Naoki Nakagawa, Koh-ichi Yuhki, Jun-ichi Kawabe, Takayuki Fujino, Osamu Takahata, Maki Kabara, Kazutoshi Abe, Fumiaki Kojima, Hitoshi Kashiwagi, Naoyuki Hasebe, Kenjiro Kikuchi, Yukihiko Sugimoto, Shuh Narumiya, Fumitaka Ushikubi
Department of Pharmacology, Asahikawa Medical University, Asahikawa, Japan.
Kidney international 2012 JulInflammatory responses in the kidney lead to tubulointerstitial fibrosis, a common feature of chronic kidney diseases. Here we examined the role of prostaglandin E(2) (PGE(2)) in the development of tubulointerstitial fibrosis. In the kidneys of wild-type mice, unilateral ureteral obstruction leads to progressive tubulointerstitial fibrosis with macrophage infiltration and myofibroblast proliferation. This was accompanied by an upregulation of COX-2 and PGE(2) receptor subtype EP(4) mRNAs. In the kidneys of EP(4) gene knockout mice, however, obstruction-induced histological alterations were significantly augmented. In contrast, an EP(4)-specific agonist significantly attenuated these alterations in the kidneys of wild-type mice. The mRNAs for macrophage chemokines and profibrotic growth factors were upregulated in the kidneys of wild-type mice after ureteral obstruction. This was significantly augmented in the kidneys of EP(4)-knockout mice and suppressed by the EP(4) agonist but only in the kidneys of wild-type mice. Notably, COX-2 and MCP-1 proteins, as well as EP(4) mRNA, were localized in renal tubular epithelial cells after ureteral obstruction. In cultured renal fibroblasts, another EP(4)-specific agonist significantly inhibited PDGF-induced proliferation and profibrotic connective tissue growth factor production. Hence, an endogenous PGE(2)-EP(4) system in the tubular epithelium limits the development of tubulointerstitial fibrosis by suppressing inflammatory responses.
Naoki Nakagawa, Koh-ichi Yuhki, Jun-ichi Kawabe, Takayuki Fujino, Osamu Takahata, Maki Kabara, Kazutoshi Abe, Fumiaki Kojima, Hitoshi Kashiwagi, Naoyuki Hasebe, Kenjiro Kikuchi, Yukihiko Sugimoto, Shuh Narumiya, Fumitaka Ushikubi. The intrinsic prostaglandin E2-EP4 system of the renal tubular epithelium limits the development of tubulointerstitial fibrosis in mice. Kidney international. 2012 Jul;82(2):158-71
PMID: 22513820
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