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转化生长因子β1(TGFβ1)的T869C多态性导致信号肽改变及转化生长因子β1水平变化,与狼疮性肾纤维化相关。

Changes to signal peptide and the level of transforming growth factor- β1 due to T869C polymorphism of TGF β1 associated with lupus renal fibrosis.

作者信息

Susianti Hani, Handono Kusworini, Purnomo Basuki B, Widodo Nashi, Gunawan Atma, Kalim Handono

机构信息

Department of Clinical Pathology, Faculty of Medicine Brawijaya University/Dr. Saiful Anwar Hospital, Malang, Indonesia.

Department of Urology, Faculty of Medicine Brawijaya University/Dr. Saiful Anwar Hospital, Malang, Indonesia.

出版信息

Springerplus. 2014 Sep 10;3:514. doi: 10.1186/2193-1801-3-514. eCollection 2014.

Abstract

Lupus Nephritis (LN) is a serious manifestation of lupus that can lead to End Stage Renal Disease (ESRD). Fibrosis is the main feature of ESRD, and it is likely influenced by Transforming Growth Factor Beta1 (TGFβ1). The T869C gene polymorphism of TGFβ1 is assumed to change the signal peptide, that has potential to interfere the urine production and renal protein expression of TGFβ1. The influence of T869C gene polymorphism on TGFβ1 production and renal fibrosis was evaluated in this study. Subjects were 45 patients LN with renal fibrosis and 45 participants without renal fibrosis as control, that were recruited from 2011 to 2013.Their urinary TGFβ1 levels and TGFβ1 gene polymorphisms were examined. All lupus patients underwent renal biopsy to assess their protein expression of TGFβ1 in the renal tissue by immunohistochemistry and their renal fibrosis by morphometry and chronicity index. Changes in the signal peptide interaction with Signal Recognition Particle (SRP) and translocon of endoplasmic reticulum were analyzed by Bioinformatics. Levels of urinary and protein expression of TGFβ1 increased in the LN with renal fibrosis group. There were significant differences in levels of urinary TGFβ1 in T, C allele and TT, TC, CC genotypes between case and control groups. Furthermore, patients with C allele are 3.86 times more at risk of renal fibrosis than T allele. The C allele encodes proline, which stabilizes the interaction of the TGFβ1 signal peptide with SRP and translocon, resulting in elevation of TGFβ1 secretion. Our results indicated that T869C gene polymorphism of TGFβ1 changes the signal peptide, that contributes to the production of urinary TGFβ1 and affects renal fibrosis in lupus nephritis.

摘要

狼疮性肾炎(LN)是狼疮的一种严重表现形式,可导致终末期肾病(ESRD)。纤维化是ESRD的主要特征,可能受转化生长因子β1(TGFβ1)影响。TGFβ1的T869C基因多态性被认为会改变信号肽,这有可能干扰TGFβ1的尿液生成和肾脏蛋白表达。本研究评估了T869C基因多态性对TGFβ1产生及肾脏纤维化的影响。研究对象为45例患有肾脏纤维化的LN患者和45例无肾脏纤维化的参与者作为对照,这些患者于2011年至2013年招募。检测了他们的尿液TGFβ1水平和TGFβ1基因多态性。所有狼疮患者均接受肾活检,通过免疫组织化学评估其肾组织中TGFβ1的蛋白表达,并通过形态计量学和慢性指数评估其肾脏纤维化情况。通过生物信息学分析信号肽与信号识别颗粒(SRP)及内质网转运体相互作用的变化。肾脏纤维化的LN组中尿液和蛋白表达的TGFβ1水平升高。病例组和对照组之间,T、C等位基因以及TT、TC、CC基因型的尿液TGFβ1水平存在显著差异。此外,携带C等位基因的患者发生肾脏纤维化的风险是携带T等位基因患者的3.86倍。C等位基因编码脯氨酸,可稳定TGFβ1信号肽与SRP及转运体的相互作用,导致TGFβ1分泌增加。我们的结果表明,TGFβ1的T869C基因多态性改变了信号肽,这有助于尿液TGFβ1的产生,并影响狼疮性肾炎中的肾脏纤维化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b063/4179638/f6fe7710acd9/40064_2014_1244_Fig1_HTML.jpg

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