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-Pathways, mTORC1 and Abl, in Renal Interstitial Fibrogenesis
1 Los Angeles Biomedical Research Institute
2 Mayo Clinic College of Medicine
3 Mayo Clinic
* To whom correspondence should be addressed. E-mail: rhirschberg{at}labiomed.org.
Renal interstitial fibrosis is a major determinant of renal failure in the majority of chronic renal diseases. Transforming growth factor beta (TGF
) is the single most important cytokine promoting renal fibrogenesis. Recent in-vitro studies have identified novel non-smad TGF
targets including p21-activated kinase-2 (PAK2), the abelson non-receptor tyrosine kinase (c-Abl) and the mammalian target of rapamycin (mTOR) that are activated by TGF
in mesenchymal cells, specifically in fibroblasts but less in epithelial cells. In the present studies we show that non-smad effectors of TGF
including PAK2, c-Abl, Akt, tuberin (TSC2) and mTOR are activated in experimental unilateral obstructive nephropathy in rats. Treatment with c-Abl or mTOR inhibitors, imatinib mesylate and rapamycin, respectively, each blocks non-canonical (non-smad) TGF
pathways in the kidney in-vivo and diminishes the number of interstitial fibroblasts and myofibroblasts as well as the interstitial accumulation of extracellular matrix proteins. These findings indicate that non-canonical TGF
pathways are activated during the early and rapid renal fibrogenesis of obstructive nephropathy. Moreover, the current findings suggest that combined inhibition of key regulators of these non-smad TGF
pathways even in dose-sparing protocols are effective treatments in renal fibrogenesis.
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