Cell division autoantigen 1 enhances signaling and the profibrotic effects of transforming growth factor-β in diabetic nephropathy
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Yugang Tu1, Tieqiao Wu, Aozhi Dai
1Diabetes and Metabolism Division, Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Abstract:
Cell division autoantigen 1 (CDA1) modulates cell proliferation and transforming growth factor-β (TGF-β) signaling in a number of cellular systems; here we found that its levels were elevated in the kidneys of two animal models of diabetic renal disease. The localization of CDA1 to tubular cells and podocytes in human kidney sections was similar to that seen in the rodent models. CDA1 small interfering RNA knockdown markedly attenuated, whereas its overexpression increased TGF-β signaling, modulating the expression of TGF-β, TGF-β receptors, connective tissue growth factor, collagen types I, III, IV, and fibronectin genes in HK-2 cells. CDA1 and TGF-β together were synergistic in stimulating TGF-β signaling and target gene expression. CDA1 knockdown effectively blocked TGF-β-stimulated expression of collagen genes. This was due to its ability to modulate the TGF-β type I, but not the type II, receptor, leading to increased phosphorylation of Smad3 and extracellular signal-regulated kinase mitogen-activated protein kinase. Furthermore, the Smad3 inhibitor, SIS3, markedly attenuated the activities of CDA1 in stimulating TGF-β signaling as well as gene expression of collagens I, III, and IV. Thus, our in vitro and in vivo findings show that CDA1 has a critical role in TGF-β signaling in the kidney.
Insights
Cell division autoantigen 1 (CDA1) is elevated in diabetic kidney disease and drives disease progression by enhancing transforming growth factor-β (TGF-β) signaling. Reducing CDA1 levels can mitigate kidney damage and fibrosis.
Area of Science:
- Nephrology
- Molecular Biology
- Cell Biology
Background:
- Cell division autoantigen 1 (CDA1) plays a role in cell proliferation and transforming growth factor-β (TGF-β) signaling.
- Elevated CDA1 levels are observed in kidney tissues from animal models of diabetic renal disease.
- CDA1 localizes to tubular cells and podocytes in human kidneys, mirroring findings in rodent models.
Purpose of the Study:
- To investigate the role of CDA1 in diabetic renal disease.
- To elucidate the mechanisms by which CDA1 influences TGF-β signaling in kidney cells.
Main Methods:
- Utilized animal models of diabetic renal disease.
- Employed small interfering RNA (siRNA) to knockdown CDA1 expression in HK-2 cells.
- Overexpressed CDA1 in HK-2 cells to assess its effects on TGF-β signaling.
- Analyzed the expression of TGF-β, its receptors, and downstream target genes (e.g., collagen types, fibronectin).
- Investigated the modulation of TGF-β type I receptor, Smad3 phosphorylation, and extracellular signal-regulated kinase (ERK) mitogen-activated protein kinase (MAPK) pathways.
- Used Smad3 inhibitor SIS3 to confirm CDA1's mechanism of action.
Main Results:
- CDA1 levels were elevated in kidneys of diabetic renal disease models.
- CDA1 knockdown attenuated TGF-β signaling, while overexpression increased it.
- CDA1 modulated the expression of key genes involved in fibrosis, including TGF-β, connective tissue growth factor, collagen types I, III, IV, and fibronectin.
- CDA1 and TGF-β acted synergistically to enhance TGF-β signaling and target gene expression.
- CDA1 knockdown blocked TGF-β-stimulated collagen gene expression.
- CDA1 modulated the TGF-β type I receptor, increasing Smad3 and ERK phosphorylation.
- SIS3 treatment attenuated CDA1-induced TGF-β signaling and collagen gene expression.
Conclusions:
- CDA1 plays a critical role in regulating TGF-β signaling within the kidney.
- CDA1 contributes to the pathogenesis of diabetic renal disease through its influence on TGF-β pathways.
- Targeting CDA1 may offer a therapeutic strategy for mitigating kidney fibrosis in diabetic nephropathy.
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