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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
2017 ; 28
(7
): 2053-2067
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Macrophage-to-Myofibroblast Transition Contributes to Interstitial Fibrosis in
Chronic Renal Allograft Injury
#MMPMID28209809
Wang YY
; Jiang H
; Pan J
; Huang XR
; Wang YC
; Huang HF
; To KF
; Nikolic-Paterson DJ
; Lan HY
; Chen JH
J Am Soc Nephrol
2017[Jul]; 28
(7
): 2053-2067
PMID28209809
show ga
Interstitial fibrosis is an important contributor to graft loss in chronic renal
allograft injury. Inflammatory macrophages are associated with fibrosis in renal
allografts, but how these cells contribute to this damaging response is not
clearly understood. Here, we investigated the role of macrophage-to-myofibroblast
transition in interstitial fibrosis in human and experimental chronic renal
allograft injury. In biopsy specimens from patients with active chronic allograft
rejection, we identified cells undergoing macrophage-to-myofibroblast transition
by the coexpression of macrophage (CD68) and myofibroblast (?-smooth muscle actin
[?-SMA]) markers. CD68(+)/?-SMA(+) cells accounted for approximately 50% of the
myofibroblast population, and the number of these cells correlated with allograft
function and the severity of interstitial fibrosis. Similarly, in C57BL/6J mice
with a BALB/c renal allograft, cells coexpressing macrophage markers (CD68 or
F4/80) and ?-SMA composed a significant population in the interstitium of
allografts undergoing chronic rejection. Fate-mapping in Lyz2-Cre/Rosa26-Tomato
mice showed that approximately half of ?-SMA(+) myofibroblasts in renal
allografts originated from recipient bone marrow-derived macrophages. Knockout of
Smad3 protected against interstitial fibrosis in renal allografts and
substantially reduced the number of macrophage-to-myofibroblast transition cells.
Furthermore, the majority of macrophage-to-myofibroblast transition cells in
human and experimental renal allograft rejection coexpressed the M2-type
macrophage marker CD206, and this expression was considerably reduced in
Smad3-knockout recipients. In conclusion, our studies indicate that
macrophage-to-myofibroblast transition contributes to interstitial fibrosis in
chronic renal allograft injury. Moreover, the transition of bone marrow-derived
M2-type macrophages to myofibroblasts in the renal allograft is regulated via a
Smad3-dependent mechanism.