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Updated: Jan 22, 2026

Direct Drug Delivery to Kidney via the Renal Artery
Published on: April 17, 2021
Src-mediated crosstalk between FXR and YAP protects against renal fibrosis
Dong-Hyun Kim1, Hoon-In Choi1, Jung Sun Park1
1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, South Korea.
Abstract:
Renal fibrosis is the common pathway of chronic kidney disease progression. The nuclear receptor farnesoid X receptor [FXR, NR1H4 (nuclear receptor subfamily 1 group member 4)], a multifunctional transcription factor, plays a pivotal role in protecting against fibrosis. However, the mechanisms underlying these antifibrotic actions of FXR in kidney disease are largely unknown. Here, we show that agonist GW4064-mediated FXR activation inhibits the activity of the nonreceptor tyrosine kinase Src (proto-oncogene tyrosine-protein kinase), which is critical for regulation of yes-associated protein (YAP) phosphorylation and nuclear localization in renal fibrosis. Activation of FXR suppressed renal fibrosis and Tyr416-Src phosphorylation in TGF-β-treated human renal proximal tubule epithelial (HK2) cells. Moreover, GW4064 treatment in HK2 cells increased Ser127 phosphorylation, cytosolic accumulation of YAP, and interaction of the hippo core kinases (Ste20-like kinase 1, large tumor suppressor kinase 1, and salvador homolog 1). Inhibition of Src using PP2 (Src kinase inhibitor) prevented renal fibrosis and increased Ser127 phosphorylation and cytosolic accumulation of YAP. The expression of fibrosis markers, inflammatory genes, and YAP target genes was increased in the kidneys of FXR knockout mice compared with those of wild-type mice. In addition, GW4064 or WAY-362450 (turofexorate isopropyl) treatment protected against unilateral ureteral obstruction-induced renal fibrosis. Collectively, our data support the novel conclusion that Src-mediated crosstalk between FXR and YAP protects against renal fibrosis, making this pathway a possible therapeutic target for chronic kidney disease.-Kim, D.-H., Choi, H.-I., Park, J. S., Kim, C. S., Bae, E. H., Ma, S. K., Kim, S. W. Src-mediated crosstalk between FXR and YAP protects against renal fibrosis.
Insights
Farnesoid X receptor (FXR) activation inhibits Src kinase, preventing kidney fibrosis by modulating YAP localization. This FXR-Src-YAP pathway offers a potential therapeutic target for chronic kidney disease.
Area of Science:
- Nephrology
- Molecular Biology
- Cell Biology
Background:
- Renal fibrosis is a key driver of chronic kidney disease (CKD) progression.
- The nuclear receptor Farnesoid X receptor (FXR) exhibits antifibrotic properties in the kidney, but its mechanisms are unclear.
- Understanding FXR's role is crucial for developing novel CKD therapies.
Purpose of the Study:
- To elucidate the molecular mechanisms by which FXR activation protects against renal fibrosis.
- To investigate the interplay between FXR, Src kinase, and YAP in the context of kidney fibrosis.
- To evaluate FXR-targeting drugs as potential treatments for renal fibrosis.
Main Methods:
- Utilized human renal proximal tubule epithelial (HK2) cells treated with TGF-β.
- Investigated the effects of FXR agonist GW4064 and Src inhibitor PP2.
- Analyzed phosphorylation and localization of YAP and Src.
- Examined renal fibrosis markers in FXR knockout mice and in vivo models of kidney injury.
Main Results:
- FXR activation by GW4064 suppressed renal fibrosis and Src phosphorylation (Tyr416) in HK2 cells.
- GW4064 increased YAP phosphorylation (Ser127) and cytosolic accumulation, promoting Hippo pathway kinase interactions.
- Src inhibition by PP2 mimicked these effects, reducing fibrosis and altering YAP localization.
- FXR deficiency exacerbated fibrosis markers and YAP target genes in mice.
- GW4064 and WAY-362450 protected against unilateral ureteral obstruction-induced renal fibrosis.
Conclusions:
- FXR activation inhibits renal fibrosis through a novel pathway involving Src-mediated crosstalk with YAP.
- This pathway regulates YAP phosphorylation and nuclear translocation, crucial for fibrotic processes.
- Targeting the FXR-Src-YAP axis presents a promising therapeutic strategy for managing chronic kidney disease.
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