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NDT Advance Access originally published online on March 25, 2009
Nephrology Dialysis Transplantation 2009 24(8):2328-2338; doi:10.1093/ndt/gfn742
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org



The cyclin kinase inhibitor p57kip2 regulates TGF-β-induced compensatory tubular hypertrophy: effect of the immunomodulator AS101

Inna Sinuani1,2*, Joshua Weissgarten1,*, Ilia Beberashvili1, Micha J. Rapoport3, Judit Sandbank4, Leonid Feldman1, Michael Albeck5, Zhan Averbukh1,* and Benjamin Sredni2,*

1 Nephrology Division, Assaf Harofeh Medical Center, Zerifin 2 Safdié Institute for AIDS and Immunology Research, The Mina & Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat-Gan 3 Department of Internal Medicine C, Assaf Harofeh Medical Center, Zerifin 4 Department of Pathology, Assaf Harofeh Medical Center, Zerifin 5 Department of Chemistry, Faculty of Exact Sciences, Bar-Ilan University, Ramat Gan, Israel

Correspondence and offprint requests to: Inna Sinuani; E-mail: sinuanii{at}asaf.health.gov.il



  Abstract

Background. Compensatory tubular cell hypertrophy following unilateral nephrectomy is a cell cycle-dependent process. Our previous study showed that treatment of unilaterally nephrectomized rats with the immunomodulator AS101 partially inhibits compensatory hypertrophy of the remaining kidneys through the inhibition of IL-10-induced TGF-β secretion by mesangial cells. The present study is focused on understanding the intracellular mechanism(s) of this phenomenon.

Methods. A total of 120 male Sprague-Dawley rats were unilaterally nephrectomized or sham-operated and treated with AS101 or PBS. Kidney weight and protein/DNA ratio were assessed for each experimental animal. The expression of TGF-β, PCNA, CDK 2, pRb, ppRb, p21Waf1, p27kip1 and p57kip2 proteins in renal tissues was determined by western blot analysis and immunohistochemistry, and the immunoprecipitation of cyclin E complexes was performed.

Results. Compensatory renal growth is initiated by proliferation of resident renal cells that precedes hypertrophy. Changes in TGF-β expression were positively correlated with the amounts of p57kip2, but not with p21Waf1 and p27kip1 expression in the remaining kidneys. Moreover, there was a marked abundance of p57kip2 but not p21Waf1 and p27kip1 binding to the cyclin E complex in PBS-treated unilaterally nephrectomized rats compared to sham-operated animals. Treatment of uninephrectomized rats with AS101 reduced kidney weight and protein/DNA ratio, inhibited TGF-β and p57kip2 expression in the remaining kidneys, and decreased the level of p57kip2 binding to cyclin E complexes.

Conclusion. These results demonstrate that TGF-β-induced compensatory tubular cell hypertrophy is regulated in vivo by p57kip2 but not by the p21Waf1 and p27kip1 cyclin kinase inhibitor proteins.

Keywords: cell cycle; compensatory renal growth; cyclin kinase inhibitor proteins; hypertrophy; transforming growth factor-β


* These authors contributed equally to the work

Received for publication: 11. 5.08
Accepted in revised form: 11.12.08


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