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Am J Physiol Renal Physiol (October 21, 2009). doi:10.1152/ajprenal.00320.2009
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Submitted on June 5, 2009
Revised on September 4, 2009
Accepted on October 15, 2009

Non-Canonical TGF{beta}-Pathways, mTORC1 and Abl, in Renal Interstitial Fibrogenesis

Shinong Wang1, Mark C Wilkes2, Edward B. Leof3, and Raimund R. Hirschberg1*

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{beta}) is the single most important cytokine promoting renal fibrogenesis. Recent in-vitro studies have identified novel non-smad TGF{beta} 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{beta} in mesenchymal cells, specifically in fibroblasts but less in epithelial cells. In the present studies we show that non-smad effectors of TGF{beta} 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{beta} 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{beta} 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{beta} pathways even in dose-sparing protocols are effective treatments in renal fibrogenesis.







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