General Information:

Id: 8,191
Diseases: Diabetes mellitus, type II - [OMIM]
Insulin resistance
Nephropathy, diabetic
Mammalia
review
Reference: Vukovic I et al.(2015) The missing link - likely pathogenetic role of GM3 and other gangliosides in the development of diabetic nephropathy Kidney Blood Press. Res. 40: 306-314 [PMID: 26043887]

Interaction Information:

Comment Diabetes mellitus is a major cause of end-stage renal disease (ESRD) worldwide, in both first-world countries and in developing ones. It occurs in up to 40% of diabetic patients, somewhat more frequently in type I than in type II.
Formal Description
Interaction-ID: 82295

increases_activity of

disease

End-stage renal disease

Comment Diabetes mellitus is a major cause of end-stage renal disease (ESRD) worldwide, in both first-world countries and in developing ones. It occurs in up to 40% of diabetic patients, somewhat more frequently in type I than in type II.
Formal Description
Interaction-ID: 82490

increases_activity of

disease

End-stage renal disease

Comment Diabetic nephropathy is characterized by an onset of microalbuminuria coupled with increased glomerular filtration rate (GFR) in the initial stage, followed by progressive increase of the total urine protein excretion and decrease of the GFR. A fully developed nephrotic syndrome is marked by total urine protein excretion of over 3.5 g/day.
Formal Description
Interaction-ID: 82491

disease

Nephropathy, diabetic

increases_activity of

phenotype

albuminuria

Comment Diabetic nephropathy is characterized by an onset of microalbuminuria coupled with increased glomerular filtration rate (GFR) in the initial stage, followed by progressive increase of the total urine protein excretion and decrease of the GFR. A fully developed nephrotic syndrome is marked by total urine protein excretion of over 3.5 g/day.
Formal Description
Interaction-ID: 82492

disease

Nephropathy, diabetic

increases_activity of

Comment Diabetes mellitus is a major cause of end-stage renal disease (ESRD) worldwide, in both first-world countries and in developing ones. It occurs in up to 40% of diabetic patients, somewhat more frequently in type I than in type II.
Formal Description
Interaction-ID: 82493

disease

Nephropathy, diabetic

increases_activity of

disease

End-stage renal disease

Comment The proliferation of the extracellular matrix plays a key role in the pathogenesis of diabetic nephropathy.
Formal Description
Interaction-ID: 82495

increases_activity of

disease

Nephropathy, diabetic

Comment The expansion of extracellular matrix causes thickening of glomerular basal membrane, as well as the tubulo-interstitial and mesangial compartment. This mechanism is responsible for obstruction of the glomerular filtration.
Formal Description
Interaction-ID: 82500
Comment Inflammatory pathways seem to be interlinked with those of systemic and local hypertensive pathomechanisms, since angiotensin II, through the AT1 receptor, induces the protein kinase C (PKC) activity, and also rises the intracellular levels of reactive oxygen species (ROS), contributing to the inflammatory process.
Formal Description
Interaction-ID: 82501

gene/protein

Angiotensin II

increases_activity of

gene/protein

AGTR1

Drugbank entries Show/Hide entries for AGTR1
Comment Inflammatory pathways seem to be interlinked with those of systemic and local hypertensive pathomechanisms, since angiotensin II, through the AT1 receptor, induces the protein kinase C (PKC) activity, and also rises the intracellular levels of reactive oxygen species (ROS), contributing to the inflammatory process.
Formal Description
Interaction-ID: 82503

gene/protein

AGTR1

increases_activity of

gene/protein

Protein kinase C

Drugbank entries Show/Hide entries for AGTR1
Comment Inflammatory pathways seem to be interlinked with those of systemic and local hypertensive pathomechanisms, since angiotensin II, through the AT1 receptor, induces the protein kinase C (PKC) activity, and also rises the intracellular levels of reactive oxygen species (ROS), contributing to the inflammatory process.
Formal Description
Interaction-ID: 82504

gene/protein

Angiotensin II

increases_quantity of

drug/chemical compound

Reactive oxygen species

Comment Activation of Gq alpha subunit-coupled signaling pathways in glomerular podocytes promotes renal injury.
Formal Description
Interaction-ID: 82507

gene/protein

GNAQ

increases_activity of

Comment The AT1 receptor is a G protein-coupled receptor. Commonly, Gq alpha subunit of G protein-coupled receptors activates phospholipase C. Phospholipase C generates DAG as second messenger of AT1 receptor binding, further activating protein kinase C. PKC induction by AT1 is synergistically affected by reactive oxygen species, generated by interactions of AGE and corresponding receptors, which also increases the phospholipase C activity producing more molecular units of DAG. This double pathway PKC activation defines its central role in diabetic nephropathy pathogenesis.
Formal Description
Interaction-ID: 82511

gene/protein

GNAQ

increases_activity of

gene/protein

PLC

Drugbank entries Show/Hide entries for PLC
Comment The AT1 receptor is a G protein-coupled receptor. Commonly, Gq alpha subunit of G protein-coupled receptors activates phospholipase C. Phospholipase C generates DAG as second messenger of AT1 receptor binding, further activating protein kinase C. PKC induction by AT1 is synergistically affected by reactive oxygen species, generated by interactions of AGE and corresponding receptors, which also increases the phospholipase C activity producing more molecular units of DAG. This double pathway PKC activation defines its central role in diabetic nephropathy pathogenesis.
Formal Description
Interaction-ID: 82515

gene/protein

PLC

increases_quantity of

drug/chemical compound

Diacylglycerol

Drugbank entries Show/Hide entries for PLC
Comment The AT1 receptor is a G protein-coupled receptor. Commonly, Gq alpha subunit of G protein-coupled receptors activates phospholipase C. Phospholipase C generates DAG as second messenger of AT1 receptor binding, further activating protein kinase C. PKC induction by AT1 is synergistically affected by reactive oxygen species, generated by interactions of AGE and corresponding receptors, which also increases the phospholipase C activity producing more molecular units of DAG. This double pathway PKC activation defines its central role in diabetic nephropathy pathogenesis.
Formal Description
Interaction-ID: 82516

drug/chemical compound

Diacylglycerol

increases_activity of

gene/protein

Protein kinase C

Comment The AT1 receptor is a G protein-coupled receptor. Commonly, Gq alpha subunit of G protein-coupled receptors activates phospholipase C. Phospholipase C generates DAG as second messenger of AT1 receptor binding, further activating protein kinase C. PKC induction by AT1 is synergistically affected by reactive oxygen species, generated by interactions of AGE and corresponding receptors, which also increases the phospholipase C activity producing more molecular units of DAG. This double pathway PKC activation defines its central role in diabetic nephropathy pathogenesis.
Formal Description
Interaction-ID: 82517

gene/protein

Protein kinase C

increases_activity of

disease

Nephropathy, diabetic

Comment PKC is responsible for up regulation of NADPH-oxidase expression, additionally increasing ROS quantities and the intensity of the inflammatory process and for induction of the cytokine TGF-beta.
Formal Description
Interaction-ID: 82518

gene/protein

Protein kinase C

increases_activity of

complex/PPI

NADPH oxidase complex

Comment PKC is responsible for up regulation of NADPH-oxidase expression, additionally increasing ROS quantities and the intensity of the inflammatory process and for induction of the cytokine TGF-beta.
Formal Description
Interaction-ID: 82519

gene/protein

Protein kinase C

increases_activity of

gene/protein

TGFB1

Drugbank entries Show/Hide entries for TGFB1
Comment Gangliosides are categorized according to the Svennerholm classification. Letters ‚ÄúM, D, T, Q‚ÄĚ and ‚ÄúP‚ÄĚ indicate the number of sialic acid groups on molecules (M=1...P=5). Numbers ‚Äú1-4‚ÄĚ designate the number of carbohydrate groups bound to ceramide, derived from the formula; n = 5 - number of carbohydrate groups. When present, lowercase letters ‚Äúa‚ÄĚ, ‚Äúb‚ÄĚ and ‚Äúc‚ÄĚ indicate the number of sialic acids on the inner galactose segment. Therefore, the eponymous GM3 ganglioside contains a single sialic group with 2 carbohydrate groups bound to a ceramide structure. GM3 formation is catalyzed by the GM3 synthase, a lactosylceramide alpha 2,3 ‚Äď sialyl transferase, that catalyses the N-acetylneuraminic (sialic) acid transfer on the terminal galactose residue of lactosylceramide. Glycosyltransferases are enzymes that catalyse ganglioside synthesis and determine the key sequence of carbohydrates in the glycosphingolipid chain.
Formal Description
Interaction-ID: 82520

gene/protein

ST3GAL5

increases_quantity of

drug/chemical compound

Ganglioside GM3

Comment GM3 ganglioside is linked with a variety of physiological functions on the molecular level, such as: control of cell proliferation and differentiation, apoptosis, cellular signaling pathways, cell adhesion and mobility.
Formal Description
Interaction-ID: 82524

drug/chemical compound

Ganglioside GM3

affects_activity of

Comment GM3 ganglioside is linked with a variety of physiological functions on the molecular level, such as: control of cell proliferation and differentiation, apoptosis, cellular signaling pathways, cell adhesion and mobility.
Formal Description
Interaction-ID: 82525

drug/chemical compound

Ganglioside GM3

affects_activity of

Comment GM3 ganglioside is linked with a variety of physiological functions on the molecular level, such as: control of cell proliferation and differentiation, apoptosis, cellular signaling pathways, cell adhesion and mobility.
Formal Description
Interaction-ID: 82526

drug/chemical compound

Ganglioside GM3

affects_activity of

Comment GM3 ganglioside is linked with a variety of physiological functions on the molecular level, such as: control of cell proliferation and differentiation, apoptosis, cellular signaling pathways, cell adhesion and mobility.
Formal Description
Interaction-ID: 82527

drug/chemical compound

Ganglioside GM3

affects_activity of

process

cell adhesion

Comment A significant body of evidence emphasizes negative modulation effects of GM3 on insulin-mediated signaling pathways, at the same time highlighting its potential role in the development of type II diabetes.
Formal Description
Interaction-ID: 82530

drug/chemical compound

Ganglioside GM3

decreases_activity of

Comment A significant body of evidence emphasizes negative modulation effects of GM3 on insulin-mediated signaling pathways, at the same time highlighting its potential role in the development of type II diabetes.
Formal Description
Interaction-ID: 82531

drug/chemical compound

Ganglioside GM3

affects_activity of

Comment Another important nephrologic clinical syndrome has been linked with GM3 as an underlying cause, namely the polycystic kidney disease (PKD) and more notably the nephronophthisis related-PKD.
Formal Description
Interaction-ID: 82532

drug/chemical compound

Ganglioside GM3

increases_activity of

disease

Polycystic kidney disease

Comment GM3 and the GM3 precursor, glucosylceramide (GlcCer), seem to promote cystogenic activity.
Formal Description
Interaction-ID: 82533

drug/chemical compound

Ganglioside GM3

increases_activity of

phenotype

kidney cysts

Comment GM3 and the GM3 precursor, glucosylceramide (GlcCer), seem to promote cystogenic activity.
Formal Description
Interaction-ID: 82534

drug/chemical compound

Glucosylceramide

increases_activity of

phenotype

kidney cysts

Comment Loss of the GM3 synthase gene was reported to have a protective effect on forming cystic structures in rats, while other studies highlighted the inhibitory effects of GM3 on cell cycle induction and Akt/mTOR signaling pathway, a pathway linked with cystogenic effects.
Formal Description
Interaction-ID: 82535

drug/chemical compound

Ganglioside GM3

decreases_activity of

process

TOR signaling

Comment Advanced glycation products (AGE) are a key biochemical characteristic of diabetes. In a concentration-dependent reaction, surplus sugar molecules bind to protein structures without the mediation of enzymes, causing conformational changes and protein function disruptions.
Formal Description
Interaction-ID: 82537

phenotype

hyperglycemia

increases_quantity of

drug/chemical compound

Advanced glycation end-product

Comment A positive correlation between the increase in AGE levels and increased levels of a-series gangliosides was found in rat renal mesangial cells, with GM3, GM2 and GM1 particularly increased.
Formal Description
Interaction-ID: 82538

drug/chemical compound

Advanced glycation end-product

increases_quantity of

drug/chemical compound

Ganglioside GM3

in renal mesangial cells
Comment A positive correlation between the increase in AGE levels and increased levels of a-series gangliosides was found in rat renal mesangial cells, with GM3, GM2 and GM1 particularly increased.
Formal Description
Interaction-ID: 82539

drug/chemical compound

Advanced glycation end-product

increases_quantity of

drug/chemical compound

Ganglioside GM2

in renal mesangial cells
Comment A positive correlation between the increase in AGE levels and increased levels of a-series gangliosides was found in rat renal mesangial cells, with GM3, GM2 and GM1 particularly increased.
Formal Description
Interaction-ID: 82540

drug/chemical compound

Advanced glycation end-product

increases_quantity of

drug/chemical compound

Ganglioside GM1

in renal mesangial cells
Comment GM3 is the most abundant renal ganglioside and together with ganglioside GM1 constitutes lipid rafts. GM3 rafts are localized predominantly on the peaks of microvillus-like protrusions in the apical membrane of canine kidney cells, whereas GM1rafts are distributed mainly on the slops of protrusions or the valleys between protrusions in the plasma membranes.
Formal Description
Interaction-ID: 82541

drug/chemical compound

Ganglioside GM3

is localized in

cellular component

membrane raft

Comment GM3 is the most abundant renal ganglioside and together with ganglioside GM1 constitutes lipid rafts. GM3 rafts are localized predominantly on the peaks of microvillus-like protrusions in the apical membrane of canine kidney cells, whereas GM1rafts are distributed mainly on the slops of protrusions or the valleys between protrusions in the plasma membranes.
Formal Description
Interaction-ID: 82542

drug/chemical compound

Ganglioside GM1

is localized in

cellular component

membrane raft

Comment Loss of the GM3 synthase gene was reported to have a protective effect on forming cystic structures in rats, while other studies highlighted the inhibitory effects of GM3 on cell cycle induction and Akt/mTOR signaling pathway, a pathway linked with cystogenic effects.
Formal Description
Interaction-ID: 82544

drug/chemical compound

Ganglioside GM3

decreases_activity of