2014
DOI: 10.2337/db14-0001
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Role of Heparanase-Driven Inflammatory Cascade in Pathogenesis of Diabetic Nephropathy

Abstract: Renal involvement is a major medical concern in the diabetic population, and with the global epidemic of diabetes, diabetic nephropathy (DN) became the leading cause of end-stage renal failure in the Western world. Heparanase (the only known mammalian endoglycosidase that cleaves heparan sulfate) is essentially involved in DN pathogenesis. Nevertheless, the exact mode of heparanase action in sustaining the pathology of DN remains unclear. Here we describe a previously unrecognized combinatorial circuit of hepa… Show more

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Cited by 79 publications
(76 citation statements)
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“…Heparanase is the only known mammalian endoglycosidase capable of cleaving HS (28)(29)(30). It is produced as a latent 65-kDa proenzyme that is processed and activated by cathepsin L, yielding an enzymatically active heterodimer composed of 8-and 50-kDa subunits (31).…”
Section: Discussionmentioning
confidence: 99%
“…Heparanase is the only known mammalian endoglycosidase capable of cleaving HS (28)(29)(30). It is produced as a latent 65-kDa proenzyme that is processed and activated by cathepsin L, yielding an enzymatically active heterodimer composed of 8-and 50-kDa subunits (31).…”
Section: Discussionmentioning
confidence: 99%
“…30 Indeed, HS has been shown to be involved in various inflammatory models, including inflammatory bowel disease 29 and diabetic nephropathy. 16 One way in which HS could be directly involved in nociception is through the sensitization of macrophages resulting in increased levels of tumor necrosis factor alpha and interleukin 1 (IL-1), both key inflammatory mediators in nociception (Fig. 1A, third panel).…”
Section: Extracellular Matrix and General Nociceptionmentioning
confidence: 99%
“…Goldberg et al [38] have also recently shown that HPSE fuels chronic inflammation in diabetic nephropathy: inactive HPSE produced by glomeruli and activated by cathepsin- l released by tubular cells sustains a persistent activation of kidney-damaging macrophages, thus creating chronic inflammatory conditions and fostering macrophage-mediated renal injury (Figure 4).
Figure 4Involvement of HPSE in renal fibrosis.
…”
Section: Heparanase and Renal Fibrosismentioning
confidence: 99%