RT Journal Article T1 3,4-Dideoxyglucosone-3-ene as a mediator of peritoneal demesothelization A1 Santamaría, Beatriz A1 Ucero Herrería, Álvaro Conrado A1 Reyero, Ana A1 Selgas, Rafael A1 Ruíz Ortega, Marta A1 Catalan, Marina A1 Egido, Jesús A1 Ortiz, Alberto AB Background: The mesothelium contributes significantly to the functional, structural and homeostatic properties of the peritoneum. Bioincompatible peritoneal dialysis solutions contribute to mesothelial cell loss during chronic peritoneal dialysis. Cell death has been implicated in mesothelial cell loss, but the molecular mechanisms have not been adequately characterized. We now report the modulation of mesothelial cell death by the glucose degradation product 3,4-dideoxyglucosone-3-ene (3,4-DGE).Methods: Human mesothelial cells were cultured from the effluents of stable dialysis patients. Apoptosis was quantified in cultured mesothelial cells and in peritoneal effluents. Confocal microscopy and inhibitors were used to assess molecular mechanisms.Results: Peritoneal dialysis solutions with a high content of both glucose and glucose degradation products, but not those with low glucose degradation product content, induced mesothelial cell apoptosis and loss of cell viability in culture and in vivo. 3,4-DGE also induced mesothelial cell apoptosis. Apoptosis induced by peritoneal dialysis solutions and 3,4-DGE was associated with oligomerization of Bax at mitochondria and caspase activation. Bax antagonism prevented caspase activation, apoptosis and cell death. The pancaspase inhibitor zVAD was also protective.Conclusion: 3,4-DGE and peritoneal dialysis solutions with a high content in glucose degradation products induce mesothelial cell apoptosis by a Bax-dependent mechanism. This could contribute to chronic demesothelization in peritoneal dialysis. PB Oxford University SN 0931-0509 YR 2008 FD 2008-06-03 LK https://hdl.handle.net/20.500.14352/116745 UL https://hdl.handle.net/20.500.14352/116745 LA eng NO Santamaría B, Ucero AC, Reyero A, Selgas R, Ruiz-Ortega M, Catalán M, Egido J, Ortiz A. 3,4-Dideoxyglucosone-3-ene as a mediator of peritoneal demesothelization. Nephrol Dial Transplant. 2008 Oct;23(10):3307-15 NO Ministerio de Ciencia y Tecnología (España) NO Instituto de Salud Carlos III (España) NO Comunidad Autónoma de Madrid DS Docta Complutense RD 5 abr 2025