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Growth arrest specific protein 6 participates in DOCA-induced target-organ damage
Joon-Keun Park1, Stefanie Theuer, Torsten Kirsch
1Robert-Rössle-Str 10, 13125 Berlin, Germany.
Abstract:
Growth arrest-specific protein 6 (Gas 6) is involved in inflammatory kidney diseases, vascular remodeling, cell adhesion, and thrombus formation. We explored a role for Gas 6 in aldosterone-induced target organ damage. We observed that Gas 6 was upregulated in rats with high aldosterone levels. Mineralocorticoid receptor blockade prevented target organ damage and decreased the elevated Gas 6 expression. Vascular smooth muscle cells given aldosterone increased their Gas 6 expression in vitro. To test the pathophysiological relevance, we investigated the effects of deoxycorticosterone acetate (DOCA) on Gas 6 gene-deleted ((-/-)) mice. After 6 weeks DOCA, Gas 6(-/-) mice developed similar telemetric blood pressure elevations compared to wild-type mice but were protected from cardiac hypertrophy. Cardiac expression of interleukin 6 and collagen IV was blunted in Gas 6(-/-) mice, indicating reduced inflammation and fibrosis. Gas 6(-/-) mice also had an improved renal function with reduced albuminuria, compared to wild-type mice. Renal fibrosis and fibronectin deposition in the kidney were also reduced. Gas 6 deficiency reduces the detrimental effects of aldosterone on cardiac and renal remodeling independent of blood pressure reduction. Gas 6 appears to play a role in mineralocorticoid receptor-mediated target organ damage. Furthermore, because warfarin interferes with Gas 6 protein expression, the findings could be of clinical relevance for anticoagulant choices.
Insights
Growth arrest-specific protein 6 (Gas 6) drives aldosterone-induced organ damage. Gas 6 deficiency protects against cardiac and kidney damage, highlighting its role in mineralocorticoid receptor-mediated injury.
Area of Science:
- Nephrology
- Cardiology
- Endocrinology
Background:
- Growth arrest-specific protein 6 (Gas 6) is implicated in inflammation and vascular remodeling.
- Aldosterone plays a key role in target organ damage, particularly in the cardiovascular and renal systems.
Purpose of the Study:
- To investigate the role of Gas 6 in aldosterone-induced target organ damage.
- To determine if Gas 6 deficiency mitigates cardiac and renal damage caused by excessive aldosterone.
Main Methods:
- Upregulation of Gas 6 was observed in rats with high aldosterone levels.
- In vitro studies showed aldosterone increased Gas 6 expression in vascular smooth muscle cells.
- Deoxycorticosterone acetate (DOCA)-induced target organ damage was assessed in Gas 6 gene-deleted mice and wild-type littermates.
Main Results:
- Gas 6 gene-deleted mice were protected from cardiac hypertrophy, reduced cardiac inflammation (interleukin-6) and fibrosis (collagen IV) compared to wild-type mice.
- Renal function was improved in Gas 6-deficient mice, with reduced albuminuria, renal fibrosis, and fibronectin deposition.
- Despite similar blood pressure elevations, Gas 6 deficiency attenuated aldosterone-induced cardiac and renal remodeling, independent of blood pressure changes.
Conclusions:
- Gas 6 plays a significant role in mediating aldosterone-induced target organ damage.
- Gas 6 deficiency confers protection against cardiac and renal remodeling and dysfunction.
- Findings suggest potential clinical relevance for anticoagulant choices, as warfarin affects Gas 6 expression.
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