Abstract

ABSTRACTGlomerulosclerosis and tubulointerstitial fibrosis are pathological features of chronic kidney disease. Transforming growth factor β (TGFβ) is a key player in the development of fibrosis. However, of the three known TGFβ isoforms, only TGFβ1 has an established role in fibrosis, and the pathophysiological relevance of TGFβ2 and TGFβ3 is unknown. Because Tgfb3 deficiency in mice results in early postnatal lethality, we analyzed the kidney phenotype of heterozygous Tgfb3-knockout mice (Tgfb3+/−) and compared it with that of matched wild-type mice. Four-month-old Tgfb3+/− mice exhibited incipient renal fibrosis with epithelial–mesenchymal transition, in addition to glomerular basement membrane thickening and podocyte foot process effacement associated with albuminuria. Also evident was insulin resistance and oxidative stress at the renal level, together with aberrant renal lipid metabolism and mitochondrial function. Omics analysis revealed toxic species, such as diacylglycerides and ceramides, and dysregulated mitochondrial metabolism in Tgfb3+/− mice. Kidneys of Tgfb3+/− mice showed morphological alterations of mitochondria and overactivation of non-canonical MAPK ERK1/2 and JNK cascades. Our study indicates that renal TGFβ3 might have antifibrotic and renoprotective properties, opposing or counteracting the activity of TGFβ1. This article has an associated First Person interview with the first author of the paper.

Highlights

  • Glomerulosclerosis and tubulointerstitial fibrosis are histopathological features of chronic kidney disease (CKD) from diverse etiologies

  • The expression of the three isoforms has been confirmed in all renal cell types in human kidney: TGFβ2 and TGFβ3 are mainly expressed in podocytes, whereas TGFβ1 is predominantly expressed in mesangial cells and tubules (Sureshbabu et al, 2016)

  • In the present study, using a mouse heterozygous for a null mutation in Tgfb3 (Tgfb3+/−) (Petrus et al, 2018), we provide the first evidence that a decrease in Tgfb3 expression in kidney, with no compensation by TGFβ1 or TGFβ2, is sufficient to produce a renal phenotype characterized by albuminuria, loss of function, fibrosis, epithelial–mesenchymal transition (EMT), and alterations in the lipid metabolism associated with mitochondrial dysfunction and oxidative stress

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Summary

Introduction

Glomerulosclerosis and tubulointerstitial fibrosis are histopathological features of chronic kidney disease (CKD) from diverse etiologies. The expression of the three isoforms has been confirmed in all renal cell types in human kidney: TGFβ2 and TGFβ3 are mainly expressed in podocytes, whereas TGFβ1 is predominantly expressed in mesangial cells and tubules (Sureshbabu et al, 2016). Of interest, both TGFβ1 and TGFβ3 signal through the type I (TIR) and type II (TIIR) TGFβ receptor, whereas TGFβ2 engages the type III TGFβ receptor (TIIIR) (Chaikuad and Bullock, 2016; Keiji and Kohei, 2008; Luo, 2017)

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