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血管紧张素 II 在梗阻性肾病中转化生长因子-β 表达及调控中的作用

Role of angiotensin II in the expression and regulation of transforming growth factor-beta in obstructive nephropathy.

作者信息

Pimentel J L, Sundell C L, Wang S, Kopp J B, Montero A, Martínez-Maldonado M

机构信息

Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

出版信息

Kidney Int. 1995 Oct;48(4):1233-46. doi: 10.1038/ki.1995.407.

Abstract

Unilateral ureteral obstruction (UUO) leads to fibrosis of the obstructed kidney. We tested the hypothesis that interstitial fibrosis in UUO results, at least in part, from enhanced expression of transforming growth factor-beta (TGF-beta) which in turn is regulated by local angiotensin II (Ang II) generation. (The generic name TGF-beta is used to discuss properties shared by all isoforms, but special reference to other isoforms is made when specifically needed.) Using Northern blot and immunohistochemical analysis, we examined the expression of TGF-beta in rat kidneys after 24 hours (aUUO) and one week (cUUO) of obstruction. Obstructed kidneys from both periods had increased interstitial and perivascular TGF-beta immunoreactivity compared to contralateral and sham kidneys, in which immunostaining was confined to the inner medulla. Relative abundance of all TGF-beta mRNA isoforms were higher in the obstructed than in contralateral and sham kidneys in both aUUO and cUUO. Expression of TGF-beta isoforms varied according to site (cortex vs. medulla), segment of the nephron, type of cells and duration of the obstruction. The increase in TGF-beta immunoreactivity and mRNA levels in aUUO and cUUO was almost totally abolished by pretreatment with losartan. We conclude that in UUO: (a) TGF-beta gene expression is increased and differentially regulated; (b) Ang II, at least partially, mediates the overexpression of TGF-beta gene; and (c) Ang II may play a central role in fibrogenesis in this and other models of tubulointerstitial disease.

摘要

单侧输尿管梗阻(UUO)会导致梗阻侧肾脏发生纤维化。我们验证了以下假说:UUO中的间质纤维化至少部分是由转化生长因子-β(TGF-β)表达增强所致,而TGF-β的表达又受局部血管紧张素II(Ang II)生成的调控。(通用名TGF-β用于讨论所有亚型共有的特性,但在特别需要时会专门提及其他亚型。)我们运用Northern印迹法和免疫组化分析,检测了大鼠肾脏在梗阻24小时(急性单侧输尿管梗阻,aUUO)和1周(慢性单侧输尿管梗阻,cUUO)后的TGF-β表达情况。与对侧肾脏和假手术组肾脏相比,这两个时期的梗阻侧肾脏间质和血管周围的TGF-β免疫反应性均增强,而对侧肾脏和假手术组肾脏的免疫染色仅局限于内髓质。在aUUO和cUUO中,梗阻侧肾脏中所有TGF-β mRNA亚型的相对丰度均高于对侧肾脏和假手术组肾脏。TGF-β亚型的表达因部位(皮质与髓质)、肾单位节段、细胞类型以及梗阻持续时间的不同而有所差异。用氯沙坦预处理后,aUUO和cUUO中TGF-β免疫反应性和mRNA水平的升高几乎完全被消除。我们得出结论:在UUO中,(a)TGF-β基因表达增加且存在差异调节;(b)Ang II至少部分介导了TGF-β基因的过度表达;(c)在这种以及其他肾小管间质疾病模型中,Ang II可能在纤维化形成过程中起核心作用。

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