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CCN2激活细胞衰老导致叶酸诱导的实验性肾病中的肾纤维化。

CCN2 Activates Cellular Senescence Leading to Kidney Fibrosis in Folic Acid-Induced Experimental Nephropathy.

作者信息

Tejedor-Santamaria Lucia, Marquez-Exposito Laura, Villacampa Alicia, Marchant Vanessa, Battaglia-Vieni Antonio, Rayego-Mateos Sandra, Rodrigues-Diez Raul R, Santos Fatima Milhano, Valentijn Floris A, Knoppert Sebastian N, Broekhuizen Roel, Ruiz-Torres María Piedad, Goldschmeding Roel, Ortiz Alberto, Peiró Concepción, Nguyen Tri Q, Ramos Adrián M, Ruiz-Ortega Marta

机构信息

Molecular and Cellular Biology in Renal and Vascular Pathology, Department of Medicine, IIS-Fundación Jiménez Díaz, Universidad Autónoma Madrid, 28040 Madrid, Spain.

Instituto de Salud Carlos III., 28029 Madrid, Spain.

出版信息

Int J Mol Sci. 2025 May 6;26(9):4401. doi: 10.3390/ijms26094401.

Abstract

Cellular communication network factor 2 (CCN2, also known as CTGF) is a complex protein that regulates numerous cellular functions. This biomolecule exhibits dual functions, depending on the context, and can act as a matricellular protein or as a growth factor. CCN2 is an established marker of fibrosis and a well-known mediator of kidney damage, involved in the regulation of inflammation, extracellular matrix remodeling, cell death, and activation of tubular epithelial cell (TECs) senescence. In response to kidney damage, cellular senescence mechanisms are activated, linked to regeneration failure and progression to fibrosis. Our preclinical studies using a total conditional CCN2 knockout mouse demonstrate that CCN2 plays a significant role in the development of a senescence phenotype after exposure to a nephrotoxic agent. CCN2 induces cell growth arrest in TECs, both in the early phase and in the chronic phase of folic acid nephropathy (FAN), associated with cell-death/necroinflammation and fibrosis, respectively. Renal CCN2 overexpression was found to be linked to excessive collagen accumulation in tubulointerstitial areas, microvascular rarefaction, and a decline in renal function, which were observed three weeks following the initial injury. All these findings were markedly diminished in conditional CCN2 knockout mice. In the FAN model, injured senescent TECs are associated with microvascular rarefaction, and both were modulated by CCN2. In primary cultured endothelial cells, as previously described in TECs, CCN2 directly induced senescence. The findings collectively demonstrate the complexity of CCN2, highlight the pivotal role of cellular senescence as an important mechanism in renal injury, and underscore the critical function of this biomolecule in kidney damage progression.

摘要

细胞通讯网络因子2(CCN2,也称为结缔组织生长因子)是一种调节多种细胞功能的复杂蛋白质。这种生物分子根据具体情况具有双重功能,可作为基质细胞蛋白或生长因子发挥作用。CCN2是一种公认的纤维化标志物,也是一种著名的肾损伤介质,参与炎症调节、细胞外基质重塑、细胞死亡以及肾小管上皮细胞(TECs)衰老的激活。响应肾损伤时,细胞衰老机制被激活,这与再生失败和纤维化进展相关。我们使用完全条件性CCN2基因敲除小鼠进行的临床前研究表明,CCN2在接触肾毒性药物后衰老表型的发展中起重要作用。CCN2在叶酸肾病(FAN)的早期和慢性期均诱导TECs细胞生长停滞,分别与细胞死亡/坏死性炎症和纤维化相关。发现肾脏CCN2过表达与肾小管间质区域过度的胶原蛋白积累、微血管稀疏以及肾功能下降有关,这些在初始损伤三周后被观察到。在条件性CCN2基因敲除小鼠中,所有这些发现均明显减轻。在FAN模型中,受损的衰老TECs与微血管稀疏相关,两者均受CCN2调节。在原代培养的内皮细胞中,如先前在TECs中所描述的,CCN2直接诱导衰老。这些发现共同证明了CCN2的复杂性,突出了细胞衰老作为肾损伤重要机制的关键作用,并强调了这种生物分子在肾损伤进展中的关键功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/918d/12072722/7b99419acdc4/ijms-26-04401-g001.jpg

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