Ja. Douthwaite et al., Effects of transforming growth factor-beta 1 on renal extracellular matrixcomponents and their regulating proteins, J AM S NEPH, 10(10), 1999, pp. 2109-2119
Transforming growth factor-beta 1 (TGF-beta 1) is widely regarded as a pote
nt fibrogenic renal growth factor. In cell culture, TGF-beta 1 has been sho
wn to increase various extracellular matrix (ECM) proteins and tissue inhib
itors of metalloproteinases (TIMP), while decreasing matrix metalloproteina
ses (MMP), providing the optimum environment for progressive ECM accumulati
on. This study, which uses the isolated perfused rat kidney (IPRK), describ
es for the first time in a whole kidney preparation the action of TGF-beta
1 on factors associated with ECM processing. This model allows the study of
the intact rat kidney with physiologic cell-cell interactions in the absen
ce of confounding systemic influences. Left kidneys were removed from male
Wistar rats by a nonischemic technique and perfused with a sterile, apyroge
nic, endotoxin-free perfusate, based on the plasma volume expander Hemaccel
(polygeline), at constant pressure in a recirculating IPRK system. Kidneys
were perfused for 1 h either with (n = 3) or without (n = 3) recombinant h
uman TGF-beta 1 (20 ng/ml). The effects of perfusion were controlled by com
parison with the nonperfused contralateral kidney (n = 6). TGF-beta 1 was m
easured in the perfusate and urine, at the start and end of the experiment
using an enzyme-linked immunosorbent assay to its biologically active form.
After perfusion, sections of the kidneys were analyzed for changes in mRNA
by Northern blotting. Significant increases in mRNA for fibronectin (7.5-f
old, P < 0.01), heparan sulfate proteoglycan core protein (53-fold, P < 0.0
01), laminin beta 1 (12-fold, P < 0.001), collagen alpha 1(IV) (17-fold, P
< 0.001), collagen alpha 1(III) (fourfold, P < 0.001), and MMP9 (twofold, P
< 0.05) were observed after perfusion with TGF-beta 1. Measurement of TIMP
1, TIMP2, TIMP3, MMP1, and MMP2 mRNA demonstrated no detectable change, whe
reas determination of mRNA for tissue transglutaminase, an enzyme capable o
f cross-linking many ECM components, showed an eightfold increase (P < 0.01
). This study suggests that in the IPRK and in the absence of other exogeno
us growth factors, TGF-beta 1 selectively increases the synthesis of ECM an
d tissue transglutaminase without changes that would result in the reductio
n of ECM degradation.