Abstract

This study aim was to explore the effects of tumor necrosis factor-like weak inducer of apoptosis (TWEAK) in lupus nephritis and its potential underlying mechanisms. MRL/lpr mice were used for in vivo experiments and human proximal tubular cells (HK2 cells) were used for in vitro experiments. Results showed that MRL/lpr mice treated with vehicle solution or LV-Control shRNA displayed significant proteinuria and severe renal histopathological changes. LV-TWEAK-shRNA treatment reversed these changes and decreased renal expressions of TWEAK, TGF-β1, p-p38 MAPK, p-Smad2, COL-1, and α-SMA proteins. In vitro, hTWEAK treatment upregulated the expressions of TGF-β1, p-p38 MAPK, p-SMAD2, α-SMA, and COL-1 proteins in HK2 cells and downregulated the expressions of E-cadherin protein, which were reversed by cotreatment with anti-TWEAK mAb or SB431542 treatment. These findings suggest that TWEAK may contribute to chronic renal changes and renal fibrosis by activating TGF-β1 signaling pathway, and phosphorylation of Smad2 and p38 MAPK proteins was also involved in this signaling pathway.

Highlights

  • The kidney is one of the most commonly affected organs in systemic lupus erythematosus (SLE); about half of the patients with SLE experience lupus nephritis (LN)

  • We have studied the role of Tumor necrosis factor-like weak inducer of apoptosis (TWEAK) in the activation of TGF-β1 through the canonical signaling pathways of TGF-β and p38 mitogenactivated protein kinase (MAPK) in vivo and in vitro

  • We have found that coculture with a concentration of 10 μg/mL anti-TWEAK mAb could functionally inhibit the role of TWEAK in cultured PBMC, so, in this study, we cocultured the hTWEAK-stimulated HK2 cells with 10 μg/mL anti-TWEAK monoclonal antibody, or with 10 μM SB431542 (TGF-β1 receptor kinase inhibitor, Sigma-Aldrich, Saint Louis, USA) or dimethyl sulfoxide alone

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Summary

Introduction

The kidney is one of the most commonly affected organs in systemic lupus erythematosus (SLE); about half of the patients with SLE experience lupus nephritis (LN). The survival rate for patients with LN has improved to 88% over the last decade, approximately 10%–20% of these patients will develop end-stage renal disease (ESRD) [1] Fibrotic lesions such as sclerosed glomeruli, interstitial fibrosis, and fibrous vessels are strongly associated with poor renal outcomes in LN. Anti-Fn14 antibodies were found to reduce residual fibrosis in the acute phase of ischemia reperfusion in mice [17] These results suggest that TWEAK may contribute to chronic kidney injury and renal fibrosis in LN. Transforming growth factor-beta (TGF-β) signaling, enhanced by proinflammatory cytokines, is a central inducer of renal fibrosis [20]. The significance of TWEAK-TGF-β signaling pathway in the progression of renal fibrosis of lupus nephritis remains to be determined. We have studied the role of TWEAK in the activation of TGF-β1 through the canonical signaling pathways of TGF-β and p38 MAPK in vivo and in vitro

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