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Inhibition of MCP-1/CCR2 pathway ameliorates the development of diabetic nephropathy
Hiroshi Kanamori1, Takeshi Matsubara, Akira Mima
1Department of Nephrology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Abstract:
Monocyte chemoattractant protein (MCP-1) is an important mediator for macrophage recruitment in atherosclerosis and various glomerulonephritis. However, the role of MCP-1 and its receptor CCR2 in the progression of diabetic nephropathy remains unknown. Using a type 1 diabetic nephropathy model that shows noticeable glomerulosclerosis, we examined the role of MCP-1/CCR2 by propagermanium (Pro; CCR2 antagonist) treatment, and confirmed it by transfection of plasmids carrying the 7ND (a mutant of MCP-1) gene. We measured the mesangial matrix expansion, type IV collagen (Col4), transforming growth factor (TGF)-beta1 positive area, and macrophage infiltration in glomeruli after 12 weeks. Mesangial matrix expansion and macrophage infiltration were increased in diabetic mice and inhibited by Pro or 7ND-treatment. Increased glomerular expression of Col4 and TGF-beta1 in diabetic mice was also ameliorated. Thus blocking the MCP-1/CCR2 pathway ameliorated glomerulosclerosis, indicating that the MCP-1/CCR2 pathway plays a crucial role in the progression of diabetic nephropathy.
Insights
Blocking the monocyte chemoattractant protein (MCP-1)/CCR2 pathway ameliorates diabetic nephropathy progression. This study investigated MCP-1/CCR2
Area of Science:
- Nephrology
- Immunology
- Diabetology
Background:
- Monocyte chemoattractant protein (MCP-1) mediates macrophage recruitment in inflammatory diseases.
- The role of MCP-1 and its receptor CCR2 in diabetic nephropathy is not well understood.
Purpose of the Study:
- To investigate the role of the MCP-1/CCR2 pathway in the progression of diabetic nephropathy.
- To evaluate the therapeutic potential of blocking this pathway.
Main Methods:
- Utilized a type 1 diabetic nephropathy mouse model with glomerulosclerosis.
- Administered propagermanium (Pro), a CCR2 antagonist, and used 7ND (MCP-1 mutant) gene transfection.
- Assessed mesangial matrix expansion, type IV collagen (Col4), TGF-beta1 expression, and macrophage infiltration after 12 weeks.
Main Results:
- Diabetic mice exhibited increased mesangial matrix expansion and macrophage infiltration.
- Propagermanium or 7ND treatment significantly inhibited these increases.
- Glomerular expression of Col4 and TGF-beta1 was elevated in diabetic mice and reduced by treatment.
Conclusions:
- The MCP-1/CCR2 pathway plays a critical role in diabetic nephropathy progression.
- Blocking the MCP-1/CCR2 pathway ameliorates glomerulosclerosis and related pathological changes.
- Targeting MCP-1/CCR2 represents a potential therapeutic strategy for diabetic nephropathy.
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