The orphan nuclear receptor SHP attenuates renal fibrosis

J Am Soc Nephrol. 2009 Oct;20(10):2162-70. doi: 10.1681/ASN.2008121232. Epub 2009 Jul 30.

Abstract

The accumulation of extracellular matrix proteins is a common feature of fibrotic kidney diseases. Accumulating evidence suggests that TGF-beta and plasminogen activator inhibitor type 1 (PAI-1) promote the development of renal fibrosis by stimulating the generation and inhibiting the removal of matrix proteins. The small heterodimer partner (SHP) represses PAI-1 expression in the liver by inhibiting TGF-beta signaling, but whether SHP inhibits renal fibrosis is unknown. Here, unilateral ureteral obstruction (UUO) markedly increased the expression of PAI-1, type I collagen, and fibronectin but decreased SHP gene expression. Moreover, in kidneys of SHP-/- mice, the expression of PAI-1, type I collagen, fibronectin and alpha-smooth muscle actin (alpha-SMA) were higher compared with those in kidneys of wild-type mice. In addition, loss of SHP accelerated renal fibrosis after UUO. Adenovirus-mediated overexpression of SHP in cultured rat mesangial cells and renal tubular epithelial cells inhibited TGF-beta-stimulated expression of PAI-1, type I collagen, and fibronectin. SHP inhibited TGF-beta- and Smad3-stimulated PAI-1 promoter activities as well as TGF-beta-stimulated binding of Smad3 to its consensus response element on the PAI-1 promoter. Similarly, in vivo, adenovirus-mediated overexpression of SHP in the kidney inhibited the expression of UUO-induced PAI-1, type I collagen, fibronectin, and alpha-SMA. In summary, SHP attenuates renal fibrosis in obstructive nephropathy, making its pathway a possible therapeutic target for chronic kidney disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Actins / genetics
  • Animals
  • Collagen Type I / genetics
  • Fibronectins / genetics
  • Fibrosis
  • Kidney / pathology*
  • Male
  • Plasminogen Activator Inhibitor 1 / genetics
  • Promoter Regions, Genetic
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Cytoplasmic and Nuclear / physiology*
  • Smad3 Protein / metabolism
  • Transforming Growth Factor beta / genetics
  • Transforming Growth Factor beta / physiology
  • Ureteral Obstruction / metabolism
  • Ureteral Obstruction / pathology

Substances

  • Actins
  • Collagen Type I
  • Fibronectins
  • Plasminogen Activator Inhibitor 1
  • Receptors, Cytoplasmic and Nuclear
  • Smad3 Protein
  • Smad3 protein, rat
  • Transforming Growth Factor beta
  • nuclear receptor subfamily 0, group B, member 2
  • smooth muscle actin, rat