Background. It is now clear that the progression of renal disease is closel
y correlated to the degree of renal interstitial fibrosis. We have previous
ly demonstrated that the renal proximal tubular epithelial cell may contrib
ute to the fibrotic response by the: generation of profibrotic cytokines. T
ransforming growth factor-beta 1 (TGF-beta 1) and basic fibroblast growth f
actor (bFGF) are two of a group of profibrotic cytokines that have been ass
ociated with the development of renal interstitial fibrosis. In this study,
we have examined the influence of TGF-beta 1 on the generation of bFGF by
renal tubular epithelial cells.
Methods. HK2 cells were grown to confluence and were serum deprived and sti
mulated with recombinant TGF-beta 1 under serum-free conditions. Subsequent
ly, supernatant. cell-associated, intracellular, and matrix-associated bFGF
concentrations were determined by enzyme-linked immunosorbent assay (ELISA
). bFGF mRNA expression was examined by reverse transcription-polymerase ch
ain reaction (RT-PCR).
Results. The exposure of confluent serum-deprived HK2 cells to TGF-beta 1 l
ed to a significant increase in bFGF concentration in the cell culture supe
rnatant. Twenty-four hours following the addition of 10 ng/ml TGF-beta 1, t
his represented a twofold increase in bFGF concentration (control, 102 pg/m
l, N = 24, vs. 202 pg/ml, N = 19, P = 0.0001). Despite the increase in bFGF
concentration in the supernatant, there was no change in the expression of
bFGF mRNA following the addition of TGF-beta 1 The addition of 10 ng/ml of
TGF-beta 1 led to a 30% decrease in the total cell-associated bFGF concent
ration (control, 8.51 ng/ml, N = 16, TGF-beta 1. 6.01 ng/ml, N = 13, P = 0.
0042). This decrease in intracellular bFGF was associated with a 15% reduct
ion in anti-bFGF antibody binding to fixed permeabilized cells, following t
he addition of 10 ng/ml of recombinant TGF-beta 1 (N = 9, P = 0.0007), sugg
esting that the mechanism of stimulation of bFGF by TGF-beta 1 involved the
release of preformed bFGF from within the cells. In addition, following th
e addition of TGF-beta 1, there was a significant dose-dependent decrease i
n the amount of bFGF sequestered in the extracellular matrix. At a dose of
10 ng/ml TGF-beta, this represented a greater than sevenfold decrease (N =
9, P = 0.0007) in matrix-bound bFGF, although this represented less than 3%
of the total bFGF released into the supernatant.
Conclusion. The data presented suggest that the main mechanism by which TGF
-beta 1 stimulates bFGF generation by proximal tubular epithelial cells is
by stimulation of the secretion of preformed cytokine from within the cells
.