Abstract

Background and Aims: There is accumulating evidence that sympathetic nervous hyperactivity contributes to the pathogenesis of glomerular sclerosis independent of blood pressure effects. A previous study showed that α<sub>1</sub>-adrenoceptor (α<sub>1</sub>-AR) antagonists inhibit mesangial cell (MC) proliferation. However, the underlying mechanism remains unclear. Methods and Results: We found that α<sub>1</sub>-AR is expressed in a human mesangial cell line. The α<sub>1</sub>-AR agonist phenylephrine (PE) induced Ca<sup>2+</sup> influx as well as release from intracellular Ca<sup>2+</sup> stores. Blockade of TRPC6 with siRNA, anti-TRPC6 antibodies and a TRPC blocker attenuated the PE-induced [Ca<sup>2+</sup>]<sub>i</sub> increase. Additionally, the PE-induced [Ca<sup>2+</sup>]<sub>i</sub> increase was phospholipase C dependent. Furthermore, PE induced a [Ca<sup>2+</sup>]<sub>i</sub> increase even when the intracellular Ca<sup>2+</sup> stores were already depleted. This effect was mimicked by an analog of diacylglycerol. These results suggested that, upon α<sub>1</sub>-AR stimulation, TRPC6 mediates Ca<sup>2+</sup> influx via a receptor-operated Ca<sup>2+</sup> entry mechanism. Finally, TRPC6 contributes to the PE-induced MC proliferation. The mechanisms are associated with the extracellular signal-regulated kinase (ERK) signaling pathway because blockade of TRPC6 and chelation of extracellular Ca<sup>2+</sup> abrogated PE-induced ERK1/2 abrogated PE-induced ERK1/2 phosphorylation. Conclusion: TRPC6 channels are involved in α<sub>1</sub>-AR activation-induced Ca<sup>2+</sup> entry, which mediates proliferation via ERK signaling in human MCs

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