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Updated: Jul 3, 2026

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Published on: November 10, 2021
Activating transcription factor 3 aggravates renal fibrosis by regulating EGR2-mediated autophagy
Ruiwei Yan1, Anni Song1, Mingcun Hu1
1Department of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Background:
Chronic kidney disease (CKD) affects approximately 10% of global populations, pathologically characterized by renal fibrosis including extracellular matrix (ECM) deposition and renal tubular atrophy. Emerging evidence suggests that autophagy plays a crucial role in renal fibrosis, but the regulatory mechanisms are still not well understood.
Purposes:
In this study, we try to explore the role of activating transcription factor 3 (ATF3) in renal fibrosis as well as the potential mechanisms.
Methods:
We utilized two CKD mouse models to confirm the expression of ATF3 via immunohistochemistry staining, western blot or real-time quantitative polymerase chain reaction (RT-qPCR). Then, ATF3 knockdown mice were constructed to investigate its impact on renal fibrosis by adeno-associated virus (AAV) administration. Additionally, transcriptomic analyses and in vitro experiments were performed in The Boston University mouse proximal tubular (BUMPT) cell lines to evaluate the possible downstream signaling pathways.
Results:
Our results demonstrated that the expression of ATF3 was significantly increased in kidney specimens from both unilateral ureteral obstruction (UUO) and unilateral ischemia-reperfusion injury (UIRI) mice. Knockdown of ATF3 attenuated ECM deposition and epithelial-mesenchymal transition (EMT) in vivo and vitro. Autophagy was indicated to be involved in ATF3-mediated renal fibrosis by transcriptomic analyses, which was verified by genetic deletion of ATF3 in BUMPT cells. Besides, the database indicated that early growth response protein 2 (EGR2), a potent profibrotic molecule proven previously, was suggested to be transcriptionally activated by ATF3, which was partially confirmed by in vitro experiments.
Conclusions:
Collectively, enhanced expression of ATF3 exerts a detrimental effect in renal fibrosis by regulating EGR2-mediated autophagy pathways.
Insights
Activating transcription factor 3 (ATF3) exacerbates chronic kidney disease (CKD) fibrosis by promoting extracellular matrix deposition and renal tubular atrophy. Targeting ATF3 may offer a novel therapeutic strategy for kidney fibrosis.
Area of Science:
- Nephrology
- Molecular Biology
- Cell Biology
Background:
- Chronic kidney disease (CKD) affects 10% of the global population, characterized by renal fibrosis.
- Autophagy's role in renal fibrosis is significant, but regulatory mechanisms remain unclear.
Purpose of the Study:
- To investigate the role of activating transcription factor 3 (ATF3) in renal fibrosis.
- To elucidate the underlying mechanisms of ATF3 in kidney fibrosis.
Main Methods:
- Utilized unilateral ureteral obstruction (UUO) and unilateral ischemia-reperfusion injury (UIRI) mouse models.
- Employed immunohistochemistry, western blot, and RT-qPCR to confirm ATF3 expression.
- Generated ATF3 knockdown mice using adeno-associated virus (AAV) and conducted in vitro experiments with BUMPT cell lines.
Main Results:
- ATF3 expression was significantly elevated in kidney tissues from UUO and UIRI mouse models.
- ATF3 knockdown attenuated extracellular matrix (ECM) deposition and epithelial-mesenchymal transition (EMT).
- Transcriptomic analysis revealed ATF3's involvement in autophagy and identified early growth response protein 2 (EGR2) as a downstream target.
Conclusions:
- Enhanced ATF3 expression contributes to renal fibrosis.
- ATF3 regulates EGR2-mediated autophagy pathways, promoting kidney fibrosis.
- Targeting ATF3 presents a potential therapeutic avenue for renal fibrosis.
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