Nox-2 is a modulator of fibrogenesis in kidney allografts.

Nox-2 is a modulator of fibrogenesis in kidney allografts.
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DOI:
10.1111/j.1600-6143.2008.02463.x
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发表时间:
2009-01
期刊:
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
影响因子:
--
通讯作者:
Reese S
Reese S
中科院分区:
其他
文献类型:
--
作者:
Djamali A;Vidyasagar A;Adulla M;Hullett D;Reese S

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我们研究了经典吞噬细胞NADPH氧化酶(Nox)在肾移植肾小管间质纤维化发病机制中的作用。免疫荧光研究表明,Nox - 2和p22phox(Nox的电子传递亚基)共定位于人肾移植的肾小管间质中。在损伤区域,肾小管Nox - 2也与α - SMA共定位,提示上皮 - 间质转化(EMT)。间质巨噬细胞(CD68 +)和成纤维细胞(α - SMA +)表达Nox - 2,而移植物浸润的T细胞(CD3 +)和成熟的成纤维细胞(S100A4 +)不表达Nox - 2。这些结果在Fisher - Lewis大鼠肾移植模型中得到了证实。肾小管炎区域与Nox - 2和α - SMA相关,提示EMT。免疫印迹分析表明,在3周和6个月时,Nox - 2的上调与氧化应激(硝基酪氨酸)和纤维生成(α - SMA和磷酸化 - Smad2)相关。用Nox抑制剂(DPI或夹竹桃麻素)处理1周的同种异体移植物显示纤维连接蛋白和磷酸化 - Smad2减少,E - 钙黏蛋白水平升高。环孢素A、转化生长因子 - β1和血管紧张素II在体外(NRK52E细胞)使Nox - 2 mRNA水平增加2 - 7倍。用特异性Nox抑制剂(DPI或夹竹桃麻素)处理可防止E - 钙黏蛋白的下调和纤维连接蛋白转录本的上调。总之,这些研究表明Nox - 2通过激活转录因子Smad2、EMT和成纤维细胞参与同种异体移植物肾小管间质纤维化的发病机制。
We studied the role of classical phagocytic NADPH oxidase (Nox) in the pathogenesis of kidney allograft tubulointerstitial fibrosis. Immunofluorescence studies showed that Nox-2 and p22phox (electron transfer subunits of Nox) colocalized in the tubulointerstitium of human kidney allografts. Tubular Nox-2 also colocalized with α -SMA in areas of injury, suggestive of epithelial-to-mesenchymal transition (EMT). Interstitial macrophages (CD68+) and myofibroblasts (α -SMA+) expressed Nox-2 while graft infiltrating T cells (CD3+) and mature fibroblasts (S100A4+) were Nox-2−. These results were confirmed in the Fisher-to-Lewis rat kidney transplant model. Areas of tubulitis were associated with Nox-2 and α -SMA, suggestive of EMT. Immunoblot analyses showed that Nox-2 upregulation was associated with oxidative stress (nitrotyrosine) and fibrogenesis (α -SMA and phospho-Smad2) at 3 weeks and 6 months. Allografts treated with Nox inhibitors (DPI or apocynin) for 1 week showed reduced fibronectin and phospho-Smad2 and increased E-cadherin levels. Cyclosporine A, TGF-β1 and angiotensin II increased Nox-2 mRNA levels 2- to 7-fold in vitro (NRK52E cells). Treatment with specific Nox inhibitors (DPI or apocynin) prevented the downregulation of E-cadherin and upregulation of fibronectin transcripts. In aggregate, these studies suggest that Nox-2 is involved in the pathogenesis of allograft tubulointerstitial fibrosis via activation transcription factor Smad2, EMT and myofibroblasts.
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