Bone morphogenic protein-7 inhibits progression of chronic renal fibrosis associated with two genetic mouse models

Michael Zeisberg1, Cindy Bottiglio, Navin Kumar

  • 1Center for Matrix Biology, Department of Medicine, Harvard Medical School and Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215, USA.

Insights

Recombinant human bone morphogenic protein-7 (rhBMP-7) therapy improved kidney function and survival in mouse models of chronic kidney disease. This treatment reduced fibrosis by decreasing profibrotic molecules and increasing matrix-degrading enzymes.

Area of Science:

  • Nephrology
  • Regenerative Medicine
  • Biochemistry

Background:

  • Tubulointerstitial fibrosis is a key indicator of chronic kidney injury, with limited therapeutic options.
  • Reduced endogenous bone morphogenic protein-7 (BMP-7) levels are observed in various kidney disease models.
  • Exogenous recombinant human BMP-7 (rhBMP-7) has shown promise in improving kidney function.

Purpose of the Study:

  • To investigate the therapeutic efficacy of rhBMP-7 in genetic mouse models of chronic renal injury and fibrosis.
  • To evaluate the impact of rhBMP-7 on renal function, histology, survival rates, and fibrotic markers.

Main Methods:

  • Treatment of mice deficient in the alpha3-chain of type IV collagen and MRL/MpJlpr/lpr lupus mice with rhBMP-7.
  • Assessment of renal function, histological changes, and survival.
  • Analysis of profibrotic molecule expression (type I collagen, fibronectin) in renal fibroblasts.
  • Measurement of active matrix metalloproteinase-2 (MMP-2) expression.

Main Results:

  • rhBMP-7 treatment significantly improved renal function, histology, and survival in both tested mouse models.
  • A notable decrease in the expression of profibrotic molecules like type I collagen and fibronectin was observed in renal fibroblasts.
  • rhBMP-7 administration led to increased expression of active matrix metalloproteinase-2, suggesting enhanced fibrotic matrix degradation.

Conclusions:

  • rhBMP-7 demonstrates significant renoprotective effects in genetic models of chronic kidney disease and fibrosis.
  • The therapeutic benefits are associated with the modulation of fibrotic processes and matrix remodeling.
  • These findings support rhBMP-7's potential as a therapeutic agent for chronic renal pathologies.

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