Proximal tubule PPARα attenuates renal fibrosis and inflammation caused by unilateral ureteral obstruction

S Li, N Mariappan, J Megyesi… - American Journal …, 2013 - journals.physiology.org
S Li, N Mariappan, J Megyesi, B Shank, K Kannan, S Theus, PM Price, JS Duffield, D Portilla
American Journal of Physiology-Renal Physiology, 2013journals.physiology.org
We examined the effects of increased expression of proximal tubule peroxisome proliferator-
activated receptor (PPAR) α in a mouse model of renal fibrosis. After 5 days of unilateral
ureteral obstruction (UUO), PPARα expression was significantly reduced in kidney tissue of
wild-type mice but this downregulation was attenuated in proximal tubules of PPARα
transgenic (Tg) mice. When compared with wild-type mice subjected to UUO, PPARα Tg
mice had reduced mRNA and protein expression of proximal tubule transforming growth …
We examined the effects of increased expression of proximal tubule peroxisome proliferator-activated receptor (PPAR)α in a mouse model of renal fibrosis. After 5 days of unilateral ureteral obstruction (UUO), PPARα expression was significantly reduced in kidney tissue of wild-type mice but this downregulation was attenuated in proximal tubules of PPARα transgenic (Tg) mice. When compared with wild-type mice subjected to UUO, PPARα Tg mice had reduced mRNA and protein expression of proximal tubule transforming growth factor (TGF)-β1, with reduced production of extracellular matrix proteins including collagen 1, fibronectin, α-smooth muscle actin, and reduced tubulointerstitial fibrosis. UUO-mediated increased expression of microRNA 21 in kidney tissue was also reduced in PPARα Tg mice. Overexpression of PPARα in cultured proximal tubular cells by adenoviral transduction reduced aristolochic acid-mediated increased production of TGF-β, demonstrating PPARα signaling reduces epithelial TGF-β production. Flow cytometry studies of dissociated whole kidneys demonstrated reduced macrophage infiltration to kidney tissue in PPARα Tg mice after UUO. Increased expression of proinflammatory cytokines including IL-1β, IL-6, and TNF-α in wild-type mice was also significantly reduced in kidney tissue of PPARα Tg mice. In contrast, the expression of anti-inflammatory cytokines IL-10 and arginase-1 was significantly increased in kidney tissue of PPARα Tg mice when compared with wild-type mice subjected to UUO. Our studies demonstrate several mechanisms by which preserved expression of proximal tubule PPARα reduces tubulointerstitial fibrosis and inflammation associated with obstructive uropathy.
American Physiological Society