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Kazuma Iekushi1, Yoshiaki Taniyama, Hiroshi Kusunoki
1Department of Clinical Gene Therapy, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita 565-0871, Japan.
Abstract:
Both angiotensin II (Ang II) and transforming growth factor (TGF)-β1 are thought to be involved in the progression of chronic kidney disease. In contrast, hepatocyte growth factor (HGF) counteracts the actions of Ang II and TGF-β1. Therefore, in this study, we investigated the molecular mechanisms of how HGF antagonizes the Ang II-TGF-β axis in renal cells. In cultured human mesangial cells, TGF-β1 increased angiotensin type 1 receptor (AT(1)R) mRNA, mainly dependent on the Akt/phosphatidylinositol 3-kinase signaling pathway. Furthermore, TGF-β1 decreased the expression and phosphatase activity of phosphatase and tensin homolog, deleted on chromosome 10 (PTEN), a negative regulator of the phosphatidylinositol 3-kinase/Akt pathway. These data revealed positive feedback of the Ang II-TGF-β pathway, because Ang II increased TGF-β expression. In contrast, HGF significantly attenuated the increase in AT(1)R gene expression, and inhibited the decrease in PTEN induced by TGF-β1. Of importance, a PTEN-specific inhibitor significantly attenuated the reduction in TGF-β1-induced AT(1)R expression by HGF. These data suggest that HGF attenuated TGF-β1-induced AT(1)R expression through the PTEN/Akt pathway. To investigate this hypothesis, we performed in vivo experiments in mice with increased circulating levels of HGF produced by transgenically expressing HGF under control of a cardiac-specific transgene (HGF-Tg). In HGF-Tg mice, renal injury and fibrosis were significantly decreased, associated with reduction in AT(1)R expression and increase in PTEN after Ang II infusion, as compared with control mice. Moreover, these renal protective effects were abrogated by a neutralizing antibody against HGF. Thus, the present study demonstrated that HGF counteracts the vicious cycle of Ang II-TGF-β1-AT(1)R, mediating the inhibition of PTEN.
Insights
Hepatocyte growth factor (HGF) protects kidneys by inhibiting the angiotensin II (Ang II)-transforming growth factor-beta1 (TGF-β1) pathway. HGF normalizes angiotensin type 1 receptor (AT(1)R) expression via the PTEN/Akt pathway, reducing kidney injury and fibrosis.
Area of Science:
- Nephrology
- Molecular Biology
- Cell Biology
Background:
- Chronic kidney disease (CKD) progression involves angiotensin II (Ang II) and transforming growth factor-beta1 (TGF-β1).
- Hepatocyte growth factor (HGF) exhibits protective effects against Ang II and TGF-β1 actions.
- The interplay between Ang II, TGF-β1, and HGF in renal cells requires elucidation.
Purpose of the Study:
- To investigate the molecular mechanisms by which HGF antagonizes the Ang II-TGF-β axis in renal cells.
- To determine the role of the PTEN/Akt pathway in HGF's protective effects against TGF-β1-induced AT(1)R expression.
- To validate the in vivo efficacy of HGF in mitigating Ang II-induced renal injury and fibrosis.
Main Methods:
- In vitro studies using cultured human mesangial cells treated with TGF-β1 and Ang II.
- Assessment of angiotensin type 1 receptor (AT(1)R) mRNA and phosphatase and tensin homolog (PTEN) expression and activity.
- In vivo experiments using HGF transgenic (HGF-Tg) mice subjected to Ang II infusion.
- Administration of a PTEN-specific inhibitor and a neutralizing antibody against HGF.
Main Results:
- TGF-β1 increased AT(1)R mRNA and decreased PTEN expression/activity, dependent on the Akt/PI3K pathway.
- Ang II enhanced TGF-β1 expression, indicating a positive feedback loop.
- HGF attenuated TGF-β1-induced AT(1)R upregulation and PTEN downregulation, mediated by the PTEN/Akt pathway.
- HGF-Tg mice showed reduced renal injury, fibrosis, AT(1)R expression, and increased PTEN levels after Ang II infusion.
- HGF-neutralizing antibody abrogated the protective effects in HGF-Tg mice.
Conclusions:
- HGF counteracts the pro-fibrotic Ang II-TGF-β1-AT(1)R axis in renal cells.
- HGF's protective mechanism involves the upregulation of PTEN, thereby inhibiting the Akt/PI3K pathway and reducing AT(1)R expression.
- HGF demonstrates significant renoprotective effects in vivo by mitigating Ang II-induced kidney injury and fibrosis.
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