Fu Haiyan, Tian Yuan, Zhou Lili, Zhou Dong, Tan Roderick J, Stolz Donna B, Liu Youhua
State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China; and.
Departments of Pathology.
J Am Soc Nephrol. 2017 Mar;28(3):785-801. doi: 10.1681/ASN.2016020165. Epub 2016 Sep 9.
Kidney fibrosis initiates at certain focal sites in which the fibrogenic niche provides a specialized microenvironment that facilitates fibroblast activation and proliferation. However, the molecular identity of these fibrogenic niches is poorly characterized. Here, we determined whether tenascin-C (TNC), an extracellular matrix glycoprotein, is a component of the fibrogenic niche in kidney fibrosis. , TNC expression increased rapidly in kidneys subjected to unilateral ureteral obstruction or ischemia/reperfusion injury and predominantly localized at the foci rich in fibroblasts in renal interstitium. , TNC selectively promoted renal interstitial fibroblast proliferation, bromodeoxyuridine incorporation, and the expression of proliferation-related genes. The mitogenic activity of TNC required the integrin/focal adhesion kinase/mitogen-activated protein kinase signaling cascade. Using decellularized extracellular matrix scaffolds, we found that TNC-enriched scaffolds facilitated fibroblast proliferation, whereas TNC-deprived scaffolds inhibited proliferation. Matrix scaffold prepared from fibrotic kidney also promoted greater fibroblast proliferation than did scaffolds prepared from healthy kidney. Conversely, small interfering RNA-mediated knockdown of TNC repressed injury-induced fibroblast expansion and renal fibrosis. These studies identify TNC as a major constituent of the fibrogenic niche that promotes fibroblast proliferation, and illustrate a pivotal role for the TNC-enriched microenvironment in kidney fibrogenesis.
肾纤维化始于某些局灶性部位,在这些部位,促纤维化生态位提供了一个特殊的微环境,促进成纤维细胞的激活和增殖。然而,这些促纤维化生态位的分子特征却鲜为人知。在此,我们确定细胞外基质糖蛋白腱生蛋白-C(TNC)是否为肾纤维化中促纤维化生态位的一个组成部分。TNC在单侧输尿管梗阻或缺血/再灌注损伤的肾脏中迅速增加,且主要定位于肾间质中富含成纤维细胞的病灶处。TNC选择性地促进肾间质成纤维细胞增殖、溴脱氧尿苷掺入以及增殖相关基因的表达。TNC的促有丝分裂活性需要整合素/黏着斑激酶/丝裂原活化蛋白激酶信号级联反应。使用去细胞外基质支架,我们发现富含TNC的支架促进成纤维细胞增殖,而缺乏TNC的支架则抑制增殖。由纤维化肾脏制备的基质支架比由健康肾脏制备的支架更能促进成纤维细胞增殖。相反,小干扰RNA介导的TNC敲低可抑制损伤诱导的成纤维细胞扩张和肾纤维化。这些研究确定TNC是促进成纤维细胞增殖的促纤维化生态位的主要成分,并阐明了富含TNC的微环境在肾纤维化发生中的关键作用。