BMP1 inhibitor UK383,367 attenuates renal fibrosis and inflammation in CKD

Mi Bai1,2,3, Juan Lei1,2, Shuqin Wang1,2

  • 1Department of Nephrology, State Key Laboratory of Reproductive Medicine, Children's Hospital of Nanjing Medical University, Nanjing, China.

Insights

UK383,367, a procollagen C proteinase inhibitor, effectively reduced kidney fibrosis in a mouse model of chronic kidney disease (CKD). This compound targets bone morphogenetic protein 1, mitigating collagen deposition and inflammation associated with renal fibrosis.

Area of Science:

  • Nephrology
  • Biochemistry
  • Pharmacology

Background:

  • Renal fibrosis is a critical factor in chronic kidney disease (CKD) progression and loss of kidney function.
  • The role of procollagen C proteinase inhibitors, like UK383,367, in renal fibrosis is not well understood.
  • Bone morphogenetic protein 1 (BMP-1) is implicated in extracellular matrix remodeling and fibrosis.

Purpose of the Study:

  • To investigate the therapeutic potential of UK383,367, a BMP-1 inhibitor, in ameliorating renal fibrosis.
  • To explore the effects of UK383,367 on collagen deposition and inflammatory responses in a preclinical model of CKD.

Main Methods:

  • Utilized a unilateral ureteral obstruction (UUO) mouse model to induce kidney fibrosis.
  • Treated mouse proximal tubular cells and NRK-49F fibroblast cells with transforming growth factor-β1 (TGF-β1) to mimic fibrotic conditions in vitro.
  • Administered UK383,367 in vivo and in vitro to assess its impact on fibrotic markers and inflammation.
  • Quantified collagen type I/III, fibronectin, and α-smooth muscle actin expression via Masson's trichrome staining and other methods.

Main Results:

  • Bone morphogenetic protein 1 (BMP-1) expression was significantly elevated in UUO mouse kidneys and human CKD patient biopsies.
  • UK383,367 treatment markedly reduced tubulointerstitial fibrosis in UUO mice, evidenced by decreased collagen and fibronectin deposition.
  • The inhibitor also blunted the expression of inflammatory factors in obstructed kidneys.
  • In vitro, UK383,367 inhibited TGF-β1-induced collagen and fibronectin expression in renal tubular and fibroblast cells.

Conclusions:

  • UK383,367 effectively ameliorates renal fibrosis in a preclinical CKD model by inhibiting BMP-1 activity.
  • The compound reduces collagen maturation and deposition, key contributors to profibrotic responses and inflammation.
  • UK383,367 demonstrates potential as a therapeutic agent for managing kidney fibrosis in CKD patients.

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