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Pathophysiology of Renal Disease and Progression |
Signaling Pathway Induces Glomerulosclerosis and Tubulointerstitial Fibrosis In Vivo
* Department of Nephrology, Hannover Medical School, and
Phenos GmbH, Hannover, Germany
Address correspondence to: Dr. Matthias Meier, Department of Nephrology, Hannover Medical School, Carl-Neuberg Strasse 1, 30625 Hannover, Germany. Phone: +49-0-511-5326319; Fax: +49-0-511-552366; E-mail: meier.matthias{at}mh-hannover.de
Received for publication July 8, 2005. Accepted for publication February 6, 2007.
Protein kinase C (PKC), a family of 12 distinct serine-threonine kinases, is an important intracellular signaling pathway involved in various cellular functions, such as proliferation, hypertrophy, apoptosis, and adhesion. PKC-
, a novel PKC isoform that is activated in the diabetic kidney, has been demonstrated to have a central role in the underlying signaling infrastructure of myocardial ischemia and hypertrophy. The renal phenotype of PKC-
/ mice was studied with regard to renal hypertrophy and fibrosis. PKC-
/ deficient knockout mice were generated and then killed after 6, 16, and 26 wk of life. Kidney/body weight ratio did not show any significant group difference compared with appropriate wild-type controls. Urinary albumin/creatinine ratio remained normal in wild-type mice, whereas PKC-
/ mice after 6 and 16 wk showed elevated albuminuria. Masson-Goldner staining revealed that tubulointerstitial fibrosis and mesangial expansion were significantly increased in PKC-
/ mice. However, this profibrotic phenotype was not observed in other organs, such as liver and lung. Immunohistochemistry of the kidneys from PKC-
/ mice showed increased renal fibronectin and collagen IV expression that was further aggravated in the streptozotocin-induced diabetic stress model. Furthermore, TGF-
1, phospho-Smad2, and phospho-p38 mitogen-activate protein kinase expression was increased in PKC-
/ mice, suggesting a regulatory role of PKC-
in TGF-
1 and its signaling pathway in the kidney. These results indicate that deletion of PKC-
mediates renal fibrosis and that TGF-
1 and its signaling pathway might be involved. Furthermore, these data suggest that activation of PKC-
in the diabetic state may rather represent a protective response to injury than be a mediator of renal injury.
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