Glomerulonephritis (GN), diabetic nephropathy, and uli. The expression efficiency into the glomeruli was hypertension are the major causes of chronic renal approximately 35%. Over-expression of TGF-b caused failure that finally require renal replacement therapy. extracellular matrix accumulation with a mild increase Different aetiological factors lead to renal injury, howin glomerular cell numbers 5 to 7 days after transfection ever, these diseases share the common histological [6 ]. Over-expression of TGF-b also altered the phenopathway of a pathological accumulation of extracellutype of mesangial cells since type I and type III lar matrix in the glomeruli. These features are clinically collagens were expressed in the mesangial area. referred to as glomerulosclerosis. Pathophysiological TGF-b actions have now been TGF-b plays an important role in regulating tissue demonstrated. The discovery that blocking TGF-b repair and remodelling following injury [1,2]. One of with either neutralizing antibodies [7] or the proteothe most important biological actions of TGF-b is the glycan decorin [8] stopped extracellular matrix accuregulation of extracellular matrix accumulation. TGFmulation offers the potential of developing agents that b stimulates the synthesis of individual matrix componmodulate or antagonize TGF-b as anti-fibrotic drugs. ents including proteoglycans, collagens, and glycoproWe have also reported that inhibition of TGF-b teins [3]. TGF-b also inhibits matrix degradation by gene expression by antisense oligonucleotides could decreasing the synthesis of proteases and increasing suppress the development of experimental GN [9]. the synthesis of protease inhibitors [4]. Finally, TGFFurthermore, continuous delivery of decorin, which b modulates the expression of integrin receptors and was accomplished by in vivo gene transfer into the alters their relative proportions on the cell surface in skeletal muscle, also inhibited the extracellular matrix a manner that could facilitate adhesion to the matrix expansion in experimental GN [10]. This evidence [5]. All of these actions leads to increased deposition strongly suggests the hypothesis that the inhibition of and accumulation of extracellular matrix surrounding over-expressed TGF-b can ameliorate the progression the cells in a tissue. All of these events have largely of renal diseases. been demonstrated in vitro in cultured cells. In an Recently it has been shown that TGF-b signals are experimental model of GN, TGF-b has also been transduced by contacting two transmembrane serine/ shown to be responsible for the accumulation of the threonine kinases known as type I and type II receptors pathological matrix in the glomeruli following simultaneously [11]. The type II receptor recognizes immunological injury. That is, all three actions of the active TGF-b ligand, whereas the type I receptor TGF-b actions on the extracellular matrix; (1) does not. Thus, TGF-b binds directly to the type II increased synthesis; (2) decreased degradation; and receptor, which is a constitutively active kinase. The (3) modulation of integrin receptors, have now been TGF-b binding type II receptor is then recognized by demonstrated to be involved in matrix deposition the type I receptor which is recruited into the complex in GN. and becomes phosphorylated by the type II receptor. It was not known, however, whether or not the overBoth receptors are required for TGF-b action in mamproduction of a single growth factor in the glomerulus malian cells [12] because mutations in either receptor resulted in glomerulosclerosis. Therefore, the haemagtype disrupts signalling in each case. Based on the glutinating virus of Japan (HVJ) liposome method differences between their ligand-binding properties, the was applied to create a new animal model expressing type II receptor acts upstream of the type I receptor, the single growth factor selectively in the glomerulus. and so these components may be thought of as primary The expression vectors carrying cDNA for TGF-b receptor and transducer, respectively [12]. These results were generated and introduced into the kidney by the motivated us to produce an inactive type II receptor HVJ-liposome method. Consequently, the selective construct to impede the activities of TGF-b. However, overexpression of TGF-b was observed in the glomerthe soluble type II receptor was reported to have about a 10-fold less binding affinity for TGF-b than does the Correspondence and offprint requests to: Enyu Imai, First Department cell-surface type II receptor [13]. This may partly of Medicine, Osaka University School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan. depend on the fact that the soluble type II receptor is
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