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NDT Advance Access originally published online on February 22, 2006
Nephrology Dialysis Transplantation 2006 21(6):1504-1513; doi:10.1093/ndt/gfl017
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© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org


Original Articles: Experimental Nephrology

Elevated glucose induction of thrombospondin-1 up-regulates fibronectin synthesis in proximal renal tubular epithelial cells through TGF-ß1 dependent and TGF-ß1 independent pathways

Susan Yung, Candice Y. Y. Lee, Qing Zhang, Shuk Kei Lau, Ryan C. W. Tsang and Tak Mao Chan

Department of Medicine, University of Hong Kong, Hong Kong, China

Correspondence and offprint requests to: Professor Tak Mao Chan and Dr Susan Yung, Department of Medicine, Queen Mary Hospital, University of Hong Kong, Pokfulam Road, Hong Kong SAR, China. Email: dtmchan{at}hkucc.hku.hk

Background. TGF-ß1 bioactivation, consequent to the interaction of latent TGF-ß1 with thrombospondin-1 (TSP-1), correlates with matrix accumulation in mesangial cells. Tubulointerstitial damage predicts poor renal survival. There is little data on TGF-ß1 bioactivation and matrix synthesis in human proximal renal tubular epithelial cells under the influence of high glucose concentrations. This study thus investigates the role of TSP-1 in mediating elevated glucose-induction of TGF-ß1 bioactivation and fibronectin (FN) synthesis in human proximal tubular epithelial cells.

Methods. Human proximal renal tubular epithelial cells (HK-2 cells) were incubated with 5, 10, 20 or 30 mM D-glucose for up to 3 weeks either in the presence or absence of TSP-1 blocking peptide. In separate studies HK-2 cells were incubated with exogenous TSP-1 (0–10 ng/ml) or TGF-ß1 (0–10 ng/ml) for 24 h. Cell proliferation was assessed by [3H]-thymidine incorporation. TGF-ß1 transcript, secretion and bioactivity were investigated by quantitative real-time PCR, ELISA and the MLEC bioassay respectively. TSP-1 and FN synthesis were assessed by quantitative real-time PCR, ELISAs and Western blot analysis.

Results. Elevated glucose concentrations increased TSP-1 synthesis, which was associated with reduced cell proliferation, increased TGF-ß1 bioactivity, and stimulation of FN synthesis. The inclusion of TSP-1 blocking peptide to cells stimulated with elevated glucose concentration abrogated activation of TGF-ß1 and induction of FN secretion. Exogenous TSP-1 increased bioactive TGF-ß1 in HK-2 cells to initiate FN accumulation. Of interest is our observation that TSP-1 also increased matrix synthesis through a mechanism independent of TGF-ß1. TGF-ß1 in turn modulated TSP-1 synthesis, indicative of an autocrine loop between TSP-1 and TGF-ß1.

Conclusions. TSP-1 plays an important role in the induction of matrix synthesis by high glucose concentrations in human proximal renal tubular epithelial cells, through TGF-ß1 dependent and TGF-ß1 independent pathways. Pharmacological intervention targeting increased TSP-1 expression may interrupt the pathogenesis of diabetic nephropathy.

Keywords: fibronectin; glucose; proximal renal tubular epithelial cells; TGF-ß1; thrombospondin-1


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C. Daniel, K. Schaub, K. Amann, J. Lawler, and C. Hugo
Thrombospondin-1 Is an Endogenous Activator of TGF-{beta} in Experimental Diabetic Nephropathy In Vivo
Diabetes, December 1, 2007; 56(12): 2982 - 2989.
[Abstract] [Full Text] [PDF]



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