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Updated: Jan 26, 2026

Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
Published on: May 26, 2022
Inhibition of STAT3 activation mediated by toll-like receptor 4 attenuates angiotensin II-induced renal fibrosis and
Zheng Xu1, Chunpeng Zou2, Weihui Yu3
1Chemical Biology Research Center, School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Background And Purpose:
Hypertension adversely affects the kidney and is the second leading cause of kidney failure. Overproduction of angiotensin II greatly contributes to the progression of hypertensive kidney disease. Angiotensin II has recently been shown to activate STAT3 in cardiovascular cells. However, the underlying mechanisms of STAT3 activation by angiotensin II and downstream functional consequences in the kidneys are not fully understood.
Experimental Approach:
C57BL/6 mice were treated with angiotensin II by subcutaneous infusion for 1 month to develop nephropathy. Mice were treated with either adeno-associated virus expressing STAT3 shRNA or STAT3 inhibitor, S3I-201. Human archival kidney samples from five patients with hypertension and five individuals without hypertension were also examined. In vitro, STAT3 was blocked using siRNA or STAT3 inhibitor S3I-201 in the renal proximal tubular cell line, NRK52E, after exposure to angiotensin II.
Key Results:
Angiotensin II activated STAT3 in kidney epithelial cells through engaging toll-like receptor 4 (TLR4) and JAK2, which was independent of IL-6/gp130 and angiotensin AT1 receptors. Angiotensin II-mediated STAT3 activation increased fibrotic proteins and resulted in renal dysfunction. Both STAT3 inhibition by the low MW compound S3I-201 and TLR4 deficiency normalized renal fibrosis and dysfunction caused by Ang II in mice, without affecting hypertension.
Conclusions And Implications:
Our study reveals a novel mechanism of STAT3 activation, induced by angiotensin II, in kidney tissues and highlights a translational significance of a STAT3 inhibitor as potential therapeutic agent for hypertensive kidney disease.
Insights
Angiotensin II activates STAT3 in kidney cells via toll-like receptor 4, driving kidney disease progression. Inhibiting STAT3 offers a potential therapy for hypertension-related kidney damage.
Area of Science:
- Nephrology
- Molecular Biology
- Cardiovascular Research
Background:
- Hypertension is a leading cause of kidney failure.
- Angiotensin II contributes to hypertensive kidney disease progression.
- STAT3 activation by Angiotensin II in kidneys is not well understood.
Purpose of the Study:
- Investigate the mechanism of STAT3 activation by Angiotensin II in kidney cells.
- Determine the functional consequences of STAT3 activation in hypertensive kidney disease.
- Evaluate STAT3 inhibition as a therapeutic strategy.
Main Methods:
- Angiotensin II infusion in mice to induce nephropathy.
- STAT3 inhibition using shRNA or S3I-201.
- In vitro studies with renal proximal tubular cells.
- Analysis of human kidney samples.
Main Results:
- Angiotensin II activated STAT3 in kidney cells via TLR4 and JAK2, independent of IL-6/gp130 and AT1 receptors.
- STAT3 activation led to increased fibrotic proteins and renal dysfunction.
- STAT3 inhibition and TLR4 deficiency normalized kidney fibrosis and dysfunction without affecting blood pressure.
Conclusions:
- A novel mechanism of Angiotensin II-induced STAT3 activation in kidneys was identified.
- STAT3 inhibition shows potential as a therapeutic approach for hypertensive kidney disease.
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