Heme oxygenase-1 deficiency promotes epithelial-mesenchymal transition and renal fibrosis

被引:86
作者
Kie, Jeong-Hae [1 ]
Kapturczak, Matthias H. [1 ]
Traylor, Amie [1 ]
Agarwal, Anupam [1 ]
Hill-Kapturczak, Nathalie [1 ]
机构
[1] Univ Alabama Birmingham, Div Nephrol, Ctr Nephrol Res & Training, Dept Med, Birmingham, AL 35294 USA
来源
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY | 2008年 / 19卷 / 09期
基金
美国国家卫生研究院;
关键词
D O I
10.1681/ASN.2007101099
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Induction of heme oxygenase-1 (HO-1) is associated with potential antifibrogenic effects. The effects of HO-1 expression on epithelial-mesenchymal transition (EMT), which plays a critical role in the development of renal fibrosis, are unknown. In this study, HO-1(-/-) mice demonstrated significantly more fibrosis after 7 d of unilateral ureteral obstruction compared with wild-type mice, despite similar degrees of hydronephrosis. The obstructed kidneys of HO-1(-/-) mice also had greater macrophage infiltration and renal tubular TGF-beta 1 expression than wild-type mice. In addition, the degree of EMT was more extensive in obstructed HO-1(-/-) kidneys, as assessed by a-smooth muscle actin and expression of S100A4 in proximal tubular epithelial cells. In vitro studies using proximal tubular cells isolated from HO-1(-/-) and wild-type kidneys confirmed these observations. In conclusion, HO-1 deficiency is associated with increased fibrosis, tubular TGF-beta 1 expression, inflammation, and enhanced EMT in obstructive kidney disease. Modulation of the HO-1 pathway may provide a new therapeutic approach to progressive renal diseases.
引用
收藏
页码:1681 / 1691
页数:11
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