Abstract

Recently, the role of kidney pericytes in kidney fibrosis has been investigated. This study aims to evaluate the effect of paricalcitol on hypoxia-induced and TGF-β1-induced injury in kidney pericytes. The primary cultured pericytes were pretreated with paricalcitol (20 ng/mL) for 90 min before inducing injury, and then they were exposed to TGF-β1 (5 ng/mL) or hypoxia (1% O2 and 5% CO2). TGF-β1 increased α-SMA and other fibrosis markers but reduced PDGFRβ expression in pericytes, whereas paricalcitol reversed the changes. Paricalcitol inhibited the TGF-β1-induced cell migration of pericytes. Hypoxia increased TGF-β1, α-SMA and other fibrosis markers but reduced PDGFRβ expression in pericyte, whereas paricalcitol reversed them. Hypoxia activated the HIF-1α and downstream molecules including prolyl hydroxylase 3 and glucose transporter-1, whereas paricalcitol attenuated the activation of the HIF-1α-dependent molecules and TGF-β1/Smad signaling pathways in hypoxic pericytes. The gene silencing of HIF-1α vanished the hypoxia-induced TGF-β1, α-SMA upregulation, and PDGFRβ downregulation. The effect of paricalcitol on the HIF-1α-dependent changes of fibrosis markers was not significant after the gene silencing of HIF-1α. In addition, hypoxia aggravated the oxidative stress in pericytes, whereas paricalcitol reversed the oxidative stress by increasing the antioxidant enzymes in an HIF-1α-independent manner. In conclusion, paricalcitol improved the phenotype changes of pericyte to myofibroblast in TGF-β1-stimulated pericytes. In addition, paricalcitol improved the expression of fibrosis markers in hypoxia-exposed pericytes both in an HIF-1α-dependent and independent manner.

Highlights

  • Renal interstitial fibrosis is a common pathologic consequence of different kinds of kidney injuries, and transforming growth factor (TGF)-β1 is a main contributor to induce kidney fibrosis

  • The protein expression of α-SMA was increased and PDGFRβ was decreased after TGF-β1 stimulation (Figure 1F,1G), whereas paricalcitol cotreatment reversed the changes of both α-SMA and PDGFRβ protein levels

  • These results suggested that TGF-β1 exposure causes pericyte–to–myofibroblast transition (PMT) and that paricalcitol treatment improves PMT

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Summary

Introduction

Renal interstitial fibrosis is a common pathologic consequence of different kinds of kidney injuries, and transforming growth factor (TGF)-β1 is a main contributor to induce kidney fibrosis. Hypoxia is known to be associated with the progressive loss of kidney function, while affecting various cell populations in the kidney. Various humoral factors from damaged tubular epithelial cells and infiltrating inflammatory cells trigger the transformation of interstitial resident cells such as pericytes into myofibroblasts. The genetic lineage tracing technique has shown that pericytes are the origin of myofibroblasts in kidney fibrosis [1]. HIF-1α is known to play different roles in various kidney cells [3]. HIF-1α is associated with chronic kidney disease (CKD) progression and kidney fibrosis by activating the TGF-β1-dependent pathway and mediating the epithelial–to–mesenchymal transition [4]

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