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Targeting Phospholipase D4 Attenuates Kidney Fibrosis
Priyanka Trivedi1, Ramya K Kumar1, Ashwin Iyer1
1Renal Division, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Journal of the American Society of Nephrology : JASN
|August 18, 2017
Summary
Phospholipase D4 (PLD4) is upregulated in kidney fibrosis. Inhibiting PLD4 protects against kidney fibrosis by modulating immune responses and TGF-β signaling, suggesting it as a therapeutic target.
Area of Science:
- Nephrology
- Molecular Biology
- Immunology
Background:
- Phospholipase D4 (PLD4) is significantly upregulated in chronic progressive kidney fibrosis.
- The precise function of PLD4 in kidney fibrosis remains largely unknown.
Purpose of the Study:
- To investigate the role of PLD4 in kidney fibrosis.
- To explore PLD4 as a potential therapeutic target for kidney fibrosis.
Main Methods:
- Genetic silencing of PLD4 in mice (global and conditional).
- Investigated effects on immune responses, TGF-β signaling, and protease expression (neutrophil elastase).
- Utilized siRNA to target PLD4 therapeutically in folic acid-induced kidney fibrosis models.
- Employed immunoprecipitation/mass spectrometry and coimmunoprecipitation to identify PLD4 interacting proteins.
Main Results:
- PLD4 overexpression was confirmed in fibrotic murine and human kidneys.
- Genetic silencing of PLD4 protected mice from kidney fibrosis development.
- PLD4 knockout modulated immune responses and attenuated TGF-β signaling and fibrotic markers.
- Therapeutic PLD4 inhibition reduced kidney fibrosis and associated molecular changes.
- PLD4 was found to bind proteins interacting with TrkA, a receptor involved in MAPK signaling.
Conclusions:
- PLD4 plays a critical role in the development of kidney fibrosis.
- Inhibition of PLD4 represents a promising therapeutic strategy for reversing kidney fibrosis.
- PLD4 targeting may activate protease-mediated extracellular matrix degradation.

