Activation of FXR protects against renal fibrosis via suppressing Smad3 expression

Kai Zhao1,2, Jialin He1, Yan Zhang1

  • 1Department of Biochemistry and Molecular Biology, College of Basic Medical Sciences, Third Military Medical University, Chongqing 400038, China.

Scientific Reports
|November 18, 2016
PubMed

Insights

The nuclear receptor FXR (farnesoid X receptor) activation suppresses kidney fibrosis by downregulating Smad3. This FXR/Smad3 pathway presents a potential new target for treating renal fibrosis.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Cell Biology

Background:

  • Renal fibrosis is a key factor in chronic kidney disease progression.
  • The nuclear receptor FXR is recognized for its protective role against fibrosis.
  • The TGFβ-Smad signaling pathway is critically involved in kidney fibrosis.

Purpose of the Study:

  • To investigate the direct anti-fibrotic effects of FXR in renal fibrosis.
  • To determine if FXR regulates the TGFβ-Smad pathway in kidney fibrosis.
  • To explore the therapeutic potential of the FXR/Smad3 pathway.

Main Methods:

  • Correlation analysis of FXR, Smad3, and fibronectin in human fibrotic kidneys.
  • In vitro studies using FXR activators and antagonists.
  • In vivo studies in unilateral ureteric obstruction (UUO) mouse model.
  • Luciferase reporter assays to assess promoter activity.

Main Results:

  • FXR levels negatively correlated with Smad3 and fibronectin in human fibrotic kidneys.
  • FXR activation suppressed kidney fibrosis and Smad3 expression, an effect reversed by FXR antagonists.
  • Ectopic Smad3 expression alleviated FXR-mediated fibrosis suppression.
  • FXR activation inhibited the Smad3 gene promoter activity.
  • FXR agonist treatment protected against renal fibrosis and reduced Smad3 expression in UUO mice.

Conclusions:

  • FXR acts as a negative regulator of Smad3 expression in renal fibrosis.
  • The FXR/Smad3 pathway is a potential novel therapeutic target for renal fibrosis treatment.

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