Department of Internal Medicine III, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.
Department of Microbial Pathogenicity Mechanisms, Leibniz Institute for Natural Product Research and Infection Biology, Hans-Knoell-Institute, Jena, Germany.
Cell Tissue Res. 2018 Apr;372(1):115-133. doi: 10.1007/s00441-017-2754-1. Epub 2017 Dec 6.
Extracellular matrix deposition during tubulointerstitial fibrosis (TIF), a central pathological process in patients with diabetic nephropathy (DN), is driven by locally activated, disease-relevant myofibroblasts. Myofibroblasts can arise from various cellular sources, e.g., tubular epithelial cells via a process named epithelial-to-mesenchymal transition (EMT). Transforming growth factor beta 1 (TGF-β1) and its downstream Smad signaling play a critical role in both TIF and EMT. Whereas Smad3 is one central mediator, the role of the other prominently expressed variant, Smad2, is not completely understood. In this study, we sought to analyze the role of renal Smad2 in the development of TIF and EMT during streptozotocin-induced DN by using a fibroblast-specific protein 1 (FSP1)-promotor-driven SMAD2 knockout mouse model with decreased tubular, endothelial, and interstitial Smad2 expression. In contrast to wild-type diabetic mice, diabetic SMAD2 knockout mice showed the following features: (1) significantly reduced DN and TIF (shown by KIM1 expression; periodic acid Schiff staining; collagen I and III, fibronectin, and connective tissue growth factor deposition); (2) significantly reduced tubular EMT-like changes (e.g., altered Snail1, E-cadherin, matrix metalloproteinase 2, and vimentin deposition); and (3) significantly decreased expression of myofibroblast markers (α-smooth muscle actin, FSP1). As one mechanism for the protection against diabetes-induced TIF and EMT, decreased Smad3 protein levels and, as a possible consequence, reduced TGF-β1 levels were observed in diabetic SMAD2 knockout mice. Our findings thus support the important role of Smad2 for pro-fibrotic TGF-β/Smad3 signaling in experimental DN.
细胞外基质在肾小管间质纤维化(TIF)中的沉积是糖尿病肾病(DN)患者的一个主要病理过程,这一过程是由局部激活的、与疾病相关的肌成纤维细胞驱动的。肌成纤维细胞可以来自各种细胞来源,例如通过上皮-间充质转化(EMT)过程来自肾小管上皮细胞。转化生长因子β 1(TGF-β1)及其下游 Smad 信号转导在 TIF 和 EMT 中都起着关键作用。尽管 Smad3 是一个重要的中介,但另一个显著表达的变体 Smad2 的作用尚未完全清楚。在这项研究中,我们使用一种成纤维细胞特异性蛋白 1(FSP1)启动子驱动的 SMAD2 敲除小鼠模型,该模型降低了肾小管、内皮和间质中的 Smad2 表达,旨在分析肾脏 Smad2 在链脲佐菌素诱导的 DN 中 TIF 和 EMT 发展中的作用。与野生型糖尿病小鼠相比,糖尿病 SMAD2 敲除小鼠具有以下特征:(1)DN 和 TIF 明显减少(通过 KIM1 表达、过碘酸雪夫染色、胶原 I 和 III、纤维连接蛋白和结缔组织生长因子沉积显示);(2)肾小管 EMT 样变化明显减少(例如,改变的 Snail1、E-钙粘蛋白、基质金属蛋白酶 2 和波形蛋白沉积);(3)肌成纤维细胞标志物(α-平滑肌肌动蛋白、FSP1)的表达明显减少。作为一种对抗糖尿病诱导的 TIF 和 EMT 的保护机制,在糖尿病 SMAD2 敲除小鼠中观察到 Smad3 蛋白水平降低,可能导致 TGF-β1 水平降低。我们的研究结果因此支持了 Smad2 在实验性 DN 中促进纤维化 TGF-β/Smad3 信号的重要作用。