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Updated: Mar 10, 2026

Suppression of Pro-fibrotic Signaling Potentiates Factor-mediated Reprogramming of Mouse Embryonic Fibroblasts into Induced Cardiomyocytes
Published on: June 3, 2018
Pentraxin-2 suppresses c-Jun/AP-1 signaling to inhibit progressive fibrotic disease
Naoki Nakagawa1,2,3, Luke Barron4, Ivan G Gomez1,2,4
1Division of Nephrology, Departments of Medicine and Pathology, and.
Abstract:
Pentraxin-2 (PTX-2), also known as serum amyloid P component (SAP/APCS), is a constitutive, antiinflammatory, innate immune plasma protein whose circulating level is decreased in chronic human fibrotic diseases. Here we show that recombinant human PTX-2 (rhPTX-2) retards progression of chronic kidney disease in Col4a3 mutant mice with Alport syndrome, reducing blood markers of kidney failure, enhancing lifespan by 20%, and improving histological signs of disease. Exogenously delivered rhPTX-2 was detected in macrophages but also in tubular epithelial cells, where it counteracted macrophage activation and was cytoprotective for the epithelium. Computational analysis of genes regulated by rhPTX-2 identified the transcriptional regulator c-Jun along with its activator protein-1 (AP-1) binding partners as a central target for the function of rhPTX-2. Accordingly, PTX-2 attenuates c-Jun and AP-1 activity, and reduces expression of AP-1-dependent inflammatory genes in both monocytes and epithelium. Our studies therefore identify rhPTX-2 as a potential therapy for chronic fibrotic disease of the kidney and an important inhibitor of pathological c-Jun signaling in this setting.
Insights
Pentraxin-2 (PTX-2) therapy slowed chronic kidney disease progression in Alport syndrome mice. This anti-inflammatory protein reduced kidney failure markers and improved survival by inhibiting pathological c-Jun signaling.
Area of Science:
- Immunology
- Nephrology
- Molecular Biology
Background:
- Pentraxin-2 (PTX-2), or serum amyloid P component (SAP/APCS), is an anti-inflammatory protein with decreased levels in fibrotic diseases.
- Chronic kidney disease (CKD) is a progressive condition often associated with inflammation and fibrosis.
Purpose of the Study:
- To investigate the therapeutic potential of recombinant human PTX-2 (rhPTX-2) in a mouse model of Alport syndrome-associated CKD.
- To elucidate the molecular mechanisms underlying PTX-2's effects on kidney disease progression.
Main Methods:
- Treatment of Col4a3 mutant mice (Alport syndrome model) with rhPTX-2.
- Assessment of kidney function, lifespan, and histology.
- Analysis of rhPTX-2 distribution in kidney tissues.
- Computational analysis of gene expression and validation of c-Jun/AP-1 pathway modulation.
Main Results:
- rhPTX-2 administration significantly retarded CKD progression, reduced kidney failure markers, and increased lifespan by 20%.
- rhPTX-2 localized to macrophages and tubular epithelial cells, exerting anti-inflammatory and cytoprotective effects.
- PTX-2 was found to attenuate c-Jun and activator protein-1 (AP-1) activity, reducing AP-1-dependent inflammatory gene expression.
Conclusions:
- rhPTX-2 demonstrates therapeutic potential for chronic fibrotic kidney diseases like Alport syndrome.
- PTX-2 acts by inhibiting pathological c-Jun/AP-1 signaling in both immune and epithelial cells within the kidney.
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