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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Am+Soc+Nephrol
2014 ; 25
(10
): 2187-200
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Sonic hedgehog is a novel tubule-derived growth factor for interstitial
fibroblasts after kidney injury
#MMPMID24744439
Zhou D
; Li Y
; Zhou L
; Tan RJ
; Xiao L
; Liang M
; Hou FF
; Liu Y
J Am Soc Nephrol
2014[Oct]; 25
(10
): 2187-200
PMID24744439
show ga
Tubular epithelium constitutes the majority of the renal parenchyma and is the
primary target of various kidney injuries. However, how the injured tubules drive
interstitial fibroblast activation and proliferation remains poorly understood.
Here, we investigated the role of sonic hedgehog (Shh), a secreted extracellular
signaling protein, in fibroblast proliferation. Shh was induced in renal tubular
epithelia in animal models of CKD induced by ischemia/reperfusion injury (IRI),
adriamycin, or renal mass ablation, and in renal tubules of kidney biopsy
specimens from CKD patients with different etiologies. Using Gli1-CreER(T2)
reporter mice, we identified interstitial fibroblasts as the principal targets of
renal Shh signaling in vivo. In vitro, incubation with Shh promoted normal rat
kidney fibroblast proliferation, which was assessed by cell counting, MTT assay,
and BrdU incorporation assay, and stimulated the induction of numerous
proliferation-related genes. However, Shh had no effect on the proliferation of
renal tubular epithelial cells. In vivo, overexpression of Shh promoted
fibroblast expansion and aggravated kidney fibrotic lesions after IRI.
Correspondingly, blockade of Shh signaling by cyclopamine, a small molecule
inhibitor of Smoothened, inhibited fibroblast proliferation, reduced
myofibroblast accumulation, and attenuated renal fibrosis. These studies identify
Shh as a novel, specific, and potent tubule-derived growth factor that promotes
interstitial fibroblast proliferation and activation. Our data also suggest that
blockade of Shh signaling is a plausible strategy for therapeutic intervention of
renal fibrosis.