Transforming growth factor (TGF)-beta 1 is a potential mediator of tub
ulointerstitial (TI) fibrosis in the rat unilateral ureteral obstructi
on (UUO) model. Decorin is a protein composed of a core protein and a
chondroitin sulfate side chain and is capable of inactivating TGF-beta
. Since TGF-beta strongly induces the synthesis of decorin in experime
ntal glomerulonephritis, it was our intent to investigate whether alte
red decorin expression is operant in the rat UUO model. Renal cortical
decorin mRNA levels initially became elevated (2.5-fold) in obstructe
d kidney (OBK) versus contralateral unobstructed kidney (CUK) 24 hours
post-UUO and remained greater in the OBK specimens at 48 (2.3-fold),
96 (2.2-fold), and 168 (1.9-fold) hours post-ureteral ligation. Whole-
body X-irradiation 11 days prior to UUO significantly reduced decorin
mRNA at 24 and 96 hours post-UUO. On immunolabeling, decorin was only
evident in the adventitia of blood vessels in CUK specimens at any tim
e point after UUO. In contrast, OBK specimens initially demonstrated p
eriglomerular and peritubular interstitial localization of decorin at
96 hours post-ureteral ligation, which became even more intense and di
ffuse in the tubulointerstitium at 168 hours post-UUO. On Western anal
ysis, there were highly significant increases in decorin protein expre
ssion in the OBK versus the CUK specimens al 96 and 168 hours post-UUO
. Levels of active TGF-beta 1 in the renal cortex of OBK were 1.9- and
3.6-fold higher than CUK at 48 and 96 hours post-UUO. In summary, we
demonstrated that post-UUO, decorin mRNA and protein expression is up-
regulated in the renal cortex of OBK, but not CUK, specimens in a temp
oral parallel with active TGF-beta 1 levels and macrophage infiltratio
n. We postulate that the development of TI fibrosis in this model may
be related to only a physiologic induction of decorin by TGF-beta, and
that pharmacologic levels may be required to retard or prevent scarri
ng via TGF-beta inhibition.