Abstract
ABSTRACTActivated fibroblasts are considered major drivers of fibrotic disease progression through the production of excessive extracellular matrix (ECM) in response to signals from damaged epithelial and inflammatory cells. Nevertheless, epithelial cells are capable of expressing components of the ECM, cross-linking enzymes that increase its stability and are sensitive to factors involved in the early stages of fibrosis. We therefore wanted to test the hypothesis that epithelial cells can deposit ECM in response to stimulation in a comparable manner to fibroblasts. We performed immunofluorescence analysis of components of stable, mature extracellular matrix produced by primary human renal proximal tubular epithelial cells and renal fibroblasts in response to cytokine stimulation. Whilst fibroblasts produced a higher basal level of extracellular matrix components, epithelial cells were able to deposit significant levels of fibronectin, collagen I, III and IV in response to cytokine stimulation. In response to hypoxia, epithelial cells showed an increase in collagen IV deposition but not in response to the acute stress stimuli aristolochic acid or hydrogen peroxide. When epithelial cells were in co-culture with fibroblasts we observed significant increases in the level of matrix deposition which could be reduced by transforming growth factor beta (TGF-β) blockade. Our results highlight the role of epithelial cells acting as efficient producers of stable extracellular matrix which could contribute to renal tubule thickening in fibrosis.
Highlights
Chronic kidney disease (CKD) is a significant public health burden with a prevalence exceeding 10% in the adult population (Mills et al, 2015)
Characterisation of primary epithelial cells and fibroblasts In order to study the deposition of matrix from human renal proximal tubular epithelial cells (RPTECs) and human renal fibroblasts (HRFs) we wanted to perform analysis on human cells that were as close to their primary sources as possible for optimal translational relevance
These phenotypes remained stable up to six passages (Fig. 1C) and cells were used for subsequent assays up to this point. This provided us with primary cultures of human renal cells in which we could investigate the accumulation of mature extracellular matrix (ECM)
Summary
Chronic kidney disease (CKD) is a significant public health burden with a prevalence exceeding 10% in the adult population (Mills et al, 2015). Comparable deposition of fibrillar extracellular matrix by epithelial cells and fibroblasts fibroblasts are generally considered the primary cell contributing to the mature ECM, tubular epithelial cells express several components of the extracellular matrix including fibronectin and collagen IV (Bürger et al, 1998; Razzaque et al, 1995).
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