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表皮生长因子受体(EGFR)的活性对于叶酸诱导的急性肾损伤的小鼠模型中的肾小管细胞去分化和增殖是必需的。

EGFR activity is required for renal tubular cell dedifferentiation and proliferation in a murine model of folic acid-induced acute kidney injury.

机构信息

Department of Medicine, Alpert Medical School, Brown University, Rhode Island Hospital, Providence, RI 02903, USA.

出版信息

Am J Physiol Renal Physiol. 2013 Feb 15;304(4):F356-66. doi: 10.1152/ajprenal.00553.2012. Epub 2012 Dec 19.

Abstract

Proliferation of dedifferentiated intrinsic renal tubular cells has been recognized to be the major cellular event that contributes to renal repair after acute kidney injury (AKI). However, the underlying mechanism that initiates renal tubular dedifferentiation in vivo remains unexplored. Here we investigated whether epidermal growth factor receptor (EGFR) mediates this process in a murine model of folic acid (FA)-induced AKI using waved-2 mice that have reduced tyrosine kinase activity of EGFR and gefitinib, a specific EGFR inhibitor. Administration of FA for 48 h induced EGFR phosphorylation in the kidney of wild-type mice, but this was inhibited in waved-2 mice and wild-type mice given gefitinib. Compared with wild-type mice, waved-2 mice and wild-type mice treated with gefitinib had increased renal dysfunction, histologic damage, and tubular cell apoptosis after FA administration. PAX2, a dedifferentiation marker, and proliferating cell nuclear antigen, a proliferating marker, were highly expressed in renal tubular cells in wild-type mice; however, their expression was largely inhibited in the kidney of waved-2 mice. Inhibition of EGFR with gefitinib also blocked FA-induced expression of these two proteins in wild-type mice. Moreover, FA exposure resulted in phosphorylation of AKT, a downstream signaling molecule of the phosphatidylinositol 3-kinases pathway associated with renal epithelial proliferation in wild-type mice, and its phosphorylation was totally suppressed in waved-2 mice and wild-type mice given gefitinib. Taken together, these results suggest that EGFR activation is essential for initiation of renal tubular cell dedifferentiation and proliferation after AKI.

摘要

去分化固有肾小管细胞的增殖已被认为是导致急性肾损伤 (AKI) 后肾脏修复的主要细胞事件。然而,体内引发肾小管去分化的潜在机制仍未被探索。在这里,我们使用表皮生长因子受体 (EGFR) 酪氨酸激酶活性降低的 waved-2 小鼠和 EGFR 特异性抑制剂吉非替尼,研究了 EGFR 是否在叶酸 (FA) 诱导的 AKI 小鼠模型中介导这一过程。FA 给药 48 h 诱导野生型小鼠肾脏中 EGFR 磷酸化,但在 waved-2 小鼠和给予吉非替尼的野生型小鼠中受到抑制。与野生型小鼠相比,给予 FA 后,waved-2 小鼠和给予吉非替尼的野生型小鼠的肾功能、组织损伤和肾小管细胞凋亡增加。PAX2,一种去分化标志物,和增殖细胞核抗原,一种增殖标志物,在野生型小鼠的肾小管细胞中高表达;然而,它们的表达在 waved-2 小鼠中受到了很大抑制。用吉非替尼抑制 EGFR 也阻断了 FA 诱导的野生型小鼠这两种蛋白的表达。此外,FA 暴露导致 AKT 磷酸化,AKT 是与野生型小鼠肾脏上皮细胞增殖相关的磷脂酰肌醇 3-激酶途径的下游信号分子,而在 waved-2 小鼠和给予吉非替尼的野生型小鼠中,其磷酸化完全受到抑制。综上所述,这些结果表明 EGFR 激活对于 AKI 后肾小管细胞去分化和增殖的启动是必不可少的。

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