Lovisa Sara, LeBleu Valerie S, Tampe Björn, Sugimoto Hikaru, Vadnagara Komal, Carstens Julienne L, Wu Chia-Chin, Hagos Yohannes, Burckhardt Birgitta C, Pentcheva-Hoang Tsvetelina, Nischal Hersharan, Allison James P, Zeisberg Michael, Kalluri Raghu
Department of Cancer Biology, Metastasis Research Center, University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.
Department of Nephrology and Rheumatology, Göttingen University Medical Center, Georg August University, Göttingen, Germany.
Nat Med. 2015 Sep;21(9):998-1009. doi: 10.1038/nm.3902. Epub 2015 Aug 3.
Kidney fibrosis is marked by an epithelial-to-mesenchymal transition (EMT) of tubular epithelial cells (TECs). Here we find that, during renal fibrosis, TECs acquire a partial EMT program during which they remain associated with their basement membrane and express markers of both epithelial and mesenchymal cells. The functional consequence of the EMT program during fibrotic injury is an arrest in the G2 phase of the cell cycle and lower expression of several solute and solvent transporters in TECs. We also found that transgenic expression of either Twist1 (encoding twist family bHLH transcription factor 1, known as Twist) or Snai1 (encoding snail family zinc finger 1, known as Snail) expression is sufficient to promote prolonged TGF-β1-induced G2 arrest of TECs, limiting the cells' potential for repair and regeneration. In mouse models of experimentally induced renal fibrosis, conditional deletion of Twist1 or Snai1 in proximal TECs resulted in inhibition of the EMT program and the maintenance of TEC integrity, while also restoring cell proliferation, dedifferentiation-associated repair and regeneration of the kidney parenchyma and attenuating interstitial fibrosis. Thus, inhibition of the EMT program in TECs during chronic renal injury represents a potential anti-fibrosis therapy.
肾纤维化的特征是肾小管上皮细胞(TECs)发生上皮-间质转化(EMT)。我们发现,在肾纤维化过程中,TECs获得了部分EMT程序,在此期间它们仍与基底膜相连,并表达上皮细胞和间充质细胞的标志物。纤维化损伤期间EMT程序的功能后果是细胞周期G2期停滞以及TECs中几种溶质和溶剂转运蛋白的表达降低。我们还发现,Twist1(编码twist家族bHLH转录因子1,即Twist)或Snai1(编码蜗牛家族锌指1,即Snail)的转基因表达足以促进TGF-β1诱导的TECs长期G2期停滞,限制细胞的修复和再生潜力。在实验性诱导的肾纤维化小鼠模型中,近端TECs中Twist1或Snai1的条件性缺失导致EMT程序受到抑制,TEC完整性得以维持,同时还能恢复细胞增殖、去分化相关的肾实质修复和再生,并减轻间质纤维化。因此,在慢性肾损伤期间抑制TECs中的EMT程序代表了一种潜在的抗纤维化治疗方法。