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2017 ; 18
(1
): 232
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Intermedin attenuates renal fibrosis by induction of heme oxygenase-1 in rats
with unilateral ureteral obstruction
#MMPMID28697727
Qiao X
; Wang L
; Wang Y
; Su X
; Qiao Y
; Fan Y
; Peng Z
BMC Nephrol
2017[Jul]; 18
(1
): 232
PMID28697727
show ga
BACKGROUND: Intermedin [IMD, adrenomedullin-2 (ADM-2)] attenuates renal fibrosis
by inhibition of oxidative stress. However, the precise mechanisms remain
unknown. Heme oxygenase-1 (HO-1), an antioxidant agent, is associated with
antifibrogenic effects. ADM is known to induce HO-1. Whether IMD has any effect
on HO-1 is unclear. Herein, we determined whether the antifibrotic properties of
IMD are mediated by induction of HO-1. METHODS: Renal fibrosis was induced by
unilateral ureteral obstruction (UUO) performed on male Wistar rats. Rat proximal
tubular epithelial cell line (NRK-52E) was exposed to rhTGF-?1 (10 ng/ml) to
establish an in vitro model of epithelial-mesenchymal transition (EMT). IMD was
over-expressed in vivo and in vitro using the vector pcDNA3.1-IMD. Zinc
protoporphyrin (ZnPP) was used to block HO-1 enzymatic activity. IMD effects on
HO-1 expression in the obstructed kidney of UUO rat and in TGF-?1-stimulated
NRK-52E were analyzed by real-time RT-PCR, Western blotting or
immunohistochemistry. HO activity in the obstructed kidney, contralateral kidney
of UUO rat and NRK-52E was examined by measuring bilirubin production. Renal
fibrosis was determined by Masson trichrome staining and collagen I expression.
Macrophage infiltration and IL-6 expression were evaluated using
immunohistochemical analysis. In vivo and in vitro EMT was assessed by measuring
?-smooth muscle actin (?-SMA) and E-cadherin expression using Western blotting or
immunofluorescence, respectively. RESULTS: HO-1 expression and HO activity were
increased in IMD-treated UUO kidneys or NRK-52E. The obstructed kidneys of UUO
rats demonstrated significant interstitial fibrosis on day 7 after operation. In
contrast, kidneys that were treated with IMD gene transfer exhibited minimal
interstitial fibrosis. The obstructed kidneys of UUO rats also had greater
macrophage infiltration and IL-6 expression. IMD restrained infiltration of
macrophages and expression of IL-6 in UUO kidneys. The degree of EMT was
extensive in obstructed kidneys of UUO rats as indicated by decreased expression
of E-cadherin and increased expression of ?-SMA. In vitro studies using NRK-52E
confirmed these observations. EMT was suppressed by IMD gene delivery. However,
all of the above beneficial effects of IMD were eliminated by ZnPP, an inhibitor
of HO enzyme activity. CONCLUSION: This study demonstrates that IMD attenuates
renal fibrosis by induction of HO-1.