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Ph.D. (Tulane, 1972) |
| Phone: (504) 588-5292 | |
| FAX: (504) 584-2739 | |
| Address: 1430 Tulane Ave., Box SL-43 New Orleans LA 70112 |
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| Email: baricosw@tulane.edu | |
Accumulation of glomerular extracellular matrix (ECM) is a pivotal event in diabetic nephropathy. The mechanisms responsible for this accumulation are unknown and no doubt complex and diverse. However, ECM accumulation must ultimately result from increased synthesis, decreased degradation, or both. Recent studies from this lab using mesangial cells cultured on thin films of 125I-ECM, have demonstrated that ECM degradation by cultured rat and human mesangial cells is mediated by a plasminogen activator (PA)/plasmin/gelatinase cascade. This cascade is initiated by tissue plasminogen activator (tPA) and results in the production of plasmin and active gelatinase, proteinases that then degrade the ECM.
Our overall hypothesis is that in diabetic nephropathy, glomerular matrix accumulation results, at least in part, from decreased activity of the PA/plasmin/gelatinase cascade. Specifically we postulate that decreased activity of the cascade results from an imbalance in the relative amounts of tPA and PAI-1 (the major tPA inhibitor) caused by increased production of TGF-beta in response to elevated glucose levels. In addition, we postulate that glycation of the glomerular ECM and serum proteins may play important roles in attenuating ECM degradation.
Our Specific Aims are:
These studies will provide new information concerning the mechanisms of mesangial matrix catabolism, its regulation, and the potential role of decreased ECM degradation as a pathogenic mechanism of diabetic nephropathy.

NIH - PA/Plasmin/Gelatinase Cascade in Diabetic Nephropathy
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