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.

JCI Insight
|December 13, 2016
PubMed

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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