Nee Larine E, McMorrow Tara, Campbell Eric, Slattery Craig, Ryan Michael P
Department of Pharmacology, Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Belfield, Dublin 4, Ireland.
Kidney Int. 2004 Oct;66(4):1376-86. doi: 10.1111/j.1523-1755.2004.00900.x.
Tubulointerstitial fibrosis is a morphologic hallmark of chronic kidney disease and is a key factor in the prediction of progression to end-stage renal failure. Disruption of tubular basement membrane and interstitial extracellular matrix (ECM) via cytokine-induced alterations in matrix metalloproteinases (MMPs), and tissue inhibitors of metalloproteinases (TIMPs) may be an important mechanism in this process. The presence of the proinflammatory cytokines tumor necrosis factor-alpha (TNF-alpha) and interleukin-1beta (IL-1beta) and their effects on proximal tubular cells may be critical in this process.
Human proximal tubular cells were cultured in hormonally defined medium. Cells at 80% confluency were exposed to TNF-alpha (0.1 to 100 ng/mL) or IL-1beta (0.1 to 100 ng/mL) or a combination of both for 48 hours. Activity and expression of MMP-9 was examined by gelatin zymography and Western blot analysis. TIMP-1 expression was analyzed by Western blotting. Signaling through cytokine receptors, protein kinase C (PKC) and mitogen-activated protein kinase (MAPK) pathways was investigated.
TNF-alpha but not IL-1beta resulted in a dose-dependent increase in the latent form of MMP-9. TIMP-1 was decreased by treatment with either TNF-alpha or IL-1beta. Cotreatment with IL-1beta abolished the induction of MMP-9 but augmented the inhibition of TIMP-1 in the presence of TNF-alpha. Inhibition of PKC provided evidence of the importance of this pathway in mediating the cytokine-induced suppression of TIMP-1 in human kidney (HK-2) cells. Activation of the extracellular signal-regulated protein kinase (ERK1/2) MAPK mediated the up-regulation of MMP-9 by TNF-alpha whereas p38 was found to be involved in the IL-1beta-mediated inhibition of TNF-alpha-stimulated MMP-9.
The differential effects of TNF-alpha and IL-1beta on proximal tubular MMP-9 and TIMP-1 expression are mediated through the TNF-RI, the IL-1-RI and the different signaling pathways of PKC, ERK1/2, and p38 MAPK. These findings may provide new insights into the role of proinflammatory cytokines TNF-alpha and IL-1beta in the development and possible therapeutic intervention in tubulointerstitial fibrosis.
肾小管间质纤维化是慢性肾脏病的形态学标志,也是预测进展至终末期肾衰竭的关键因素。细胞因子诱导基质金属蛋白酶(MMPs)和金属蛋白酶组织抑制剂(TIMPs)发生改变,进而破坏肾小管基底膜和间质细胞外基质(ECM),这可能是该过程中的一个重要机制。促炎细胞因子肿瘤坏死因子-α(TNF-α)和白细胞介素-1β(IL-1β)的存在及其对近端肾小管细胞的作用在这一过程中可能至关重要。
人近端肾小管细胞在激素限定培养基中培养。将80%汇合的细胞暴露于TNF-α(0.1至100 ng/mL)或IL-1β(0.1至100 ng/mL)或两者组合中48小时。通过明胶酶谱法和蛋白质印迹分析检测MMP-9的活性和表达。通过蛋白质印迹分析TIMP-1的表达。研究了通过细胞因子受体、蛋白激酶C(PKC)和丝裂原活化蛋白激酶(MAPK)途径的信号传导。
TNF-α而非IL-1β导致MMP-9潜伏形式呈剂量依赖性增加。用TNF-α或IL-1β处理均可降低TIMP-1。IL-1β与TNF-α联合处理可消除MMP-9的诱导,但在TNF-α存在的情况下增强了对TIMP-1的抑制。抑制PKC证明了该途径在介导细胞因子诱导的人肾(HK-2)细胞中TIMP-1抑制中的重要性。细胞外信号调节蛋白激酶(ERK1/2)MAPK的激活介导了TNF-α对MMP-9的上调,而发现p38参与了IL-1β介导的对TNF-α刺激的MMP-9的抑制。
TNF-α和IL-1β对近端肾小管MMP-9和TIMP-1表达的不同作用是通过TNF-RI、IL-1-RI以及PKC、ERK1/2和p38 MAPK的不同信号传导途径介导的。这些发现可能为促炎细胞因子TNF-α和IL-1β在肾小管间质纤维化发生发展中的作用以及可能的治疗干预提供新的见解。