Fakhouri Fadi, Placier Sandrine, Ardaillou Raymond, Dussaule Jean-Claude, Chatziantoniou Christos
*INSERM U.489, Hôpital Tenon, Paris, France; and AP-HP, Laboratoire de Physiologie, Faculté de Médecine St Antoine, Paris, France.
J Am Soc Nephrol. 2001 Dec;12(12):2701-2710. doi: 10.1681/ASN.V12122701.
Hypertension is frequently associated with the development of renal vascular fibrosis. This pathophysiologic process is due to the abnormal formation of extracellular matrix proteins, mainly collagen type I. In previous studies, it has been observed that the pharmacologic blockade of angiotensin II (Ang II) or endothelin (ET) blunted the development of glomerulo- and nephroangiosclerosis in nitric oxide-deficient hypertensive animals by inhibiting collagen I gene activation. The purpose of this study was to investigate whether and how AngII interacts with ET to activate the collagen I gene and whether transforming growth factor-beta (TGF-beta) could be a player in this interaction. Experiments were performed in vivo on transgenic mice harboring the luciferase gene under the control of the collagen I-alpha 2 chain promoter (procol alpha 2[I]). Bolus intravenous administration of AngII or ET produced a rapid, dose-dependent activation of collagen I gene in aorta and renal cortical slices (threefold increase over control at 2 h, P < 0.01). The AngII-induced effect on procol alpha 2(I) was completely inhibited by candesartan (AngII type 1 receptor antagonist) and substantially blunted by bosentan (dual ET receptor antagonist) (P < 0.01), whereas the ET-induced activation of collagen I gene was blocked only by bosentan. In subsequent experiments, TGF-beta (also administered intravenously) produced a rapid increase of procol alpha 2(I) in aorta and renal cortical slices (twofold increase over control at 1 h, P < 0.01) that was completely blocked by decorin (scavenger of the active form of TGF-beta). In addition, decorin attenuated the activation of collagen I gene produced by AngII (P < 0.01). These data indicate that AngII can activate collagen I gene in aorta and renal cortex in vivo by a mechanism(s) requiring participation and/or cooperation of ET and TGF-beta.
高血压常与肾血管纤维化的发展相关。这一病理生理过程归因于细胞外基质蛋白(主要是I型胶原蛋白)的异常形成。在先前的研究中,已经观察到在一氧化氮缺乏的高血压动物中,血管紧张素II(Ang II)或内皮素(ET)的药理阻断通过抑制I型胶原蛋白基因激活,减弱了肾小球和肾血管硬化的发展。本研究的目的是调查Ang II是否以及如何与ET相互作用以激活I型胶原蛋白基因,以及转化生长因子-β(TGF-β)是否可能参与这种相互作用。实验在体内对携带在I型胶原蛋白α2链启动子(procol α2[I])控制下的荧光素酶基因的转基因小鼠进行。静脉推注Ang II或ET在主动脉和肾皮质切片中产生快速、剂量依赖性的I型胶原蛋白基因激活(2小时时比对照增加三倍,P < 0.01)。坎地沙坦(Ang II 1型受体拮抗剂)完全抑制了Ang II对procol α2(I)的诱导作用,波生坦(双重ET受体拮抗剂)使其明显减弱(P < 0.01),而ET诱导的I型胶原蛋白基因激活仅被波生坦阻断。在随后的实验中,TGF-β(也静脉给药)在主动脉和肾皮质切片中使procol α2(I)迅速增加(1小时时比对照增加两倍,P < 0.01),这被核心蛋白聚糖(活性形式TGF-β的清除剂)完全阻断。此外,核心蛋白聚糖减弱了Ang II产生的I型胶原蛋白基因激活(P < 0.01)。这些数据表明,Ang II可通过一种需要ET和TGF-β参与和/或合作的机制,在体内激活主动脉和肾皮质中的I型胶原蛋白基因。