Institute of Human Genetics, University of Heidelberg, Heidelberg, Germany.
Am J Pathol. 2010 Aug;177(2):632-43. doi: 10.2353/ajpath.2010.091012. Epub 2010 Jul 8.
We recently showed in a tetracycline-controlled transgenic mouse model that overexpression of transforming growth factor (TGF)-beta1 in renal tubules induces widespread peritubular fibrosis and focal degeneration of nephrons. In the present study we have analyzed the mechanisms underlying these phenomena. The initial response to tubular cell-derived TGF-beta1 consisted of a robust proliferation of peritubular cells and deposition of collagen. On sustained expression, nephrons degenerated in a focal pattern. This process started with tubular dedifferentiation and proceeded to total decomposition of tubular cells by autophagy. The final outcome was empty collapsed remnants of tubular basement membrane embedded into a dense collagenous fibrous tissue. The corresponding glomeruli survived as atubular remnants. Thus, TGF-beta1 driven autophagy may represent a novel mechanism of tubular decomposition. The fibrosis seen in between intact tubules and in areas of tubular decomposition resulted from myofibroblasts that were derived from local fibroblasts. No evidence was found for a transition of tubular cells into myofibroblasts. Neither tracing of injured tubules in electron micrographs nor genetic tagging of tubular epithelial cells revealed cells transgressing the tubular basement membrane. In conclusion, overexpression of TGF-beta1 in renal tubules in vivo induces interstitial proliferation, tubular autophagy, and fibrosis, but not epithelial-to-mesenchymal transition.
我们最近在四环素调控的转基因小鼠模型中表明,肾小管中转化生长因子(TGF)-β1的过表达会诱导广泛的肾小管周围纤维化和局灶性肾单位变性。在本研究中,我们分析了这些现象的潜在机制。肾小管细胞衍生的 TGF-β1 的初始反应是肾小管周围细胞的强烈增殖和胶原的沉积。在持续表达的情况下,肾单位呈局灶性变性。这个过程始于肾小管去分化,并通过自噬导致肾小管细胞的完全分解。最终的结果是嵌入致密胶原纤维组织中的管状基底膜的空塌陷残余物。相应的肾小球作为无管残余物存活。因此,TGF-β1 驱动的自噬可能代表了一种新的管状分解机制。在完整肾小管之间和肾小管分解区域看到的纤维化是由局部成纤维细胞衍生而来的肌成纤维细胞引起的。没有证据表明肾小管细胞向肌成纤维细胞转化。在电子显微镜下追踪受损的肾小管或对肾小管上皮细胞进行基因标记均未发现穿过管状基底膜的细胞。总之,体内肾小管中 TGF-β1 的过表达会诱导间质增殖、肾小管自噬和纤维化,但不会诱导上皮-间充质转化。