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1 Institut National de la Santé et de la Recherche Médicale Unité 430, Broussais Hospital, 75014 Paris; Claude Bernard Association, 2 Institut National de la Santé et de la Recherche Médicale Unité 465, Institut des Cordeliers, 75005 Paris; and 3 Laboratory of Applied Biochemistry, Faculty of Pharmaceutical and Biological Sciences, 92296 Châtenay-Malabry, France
We examined the role of
inflammation in the development of renal interstitial fibrosis in
Zucker obese rats, which rapidly present kidney lesions in the absence
of hypertension and hyperglycemia. Type I and III collagens were
quantified using a polarized light and computer-assisted image
analyzer. The expression of mRNA encoding matrix components, adhesion
molecules, chemokines, and growth factors was followed by RT-PCR. The
presence of synthesized proteins as well as lymphocytes and macrophages
was determined by immunohistochemistry. Interstitial fibrosis developed
in two phases. The first phase occurred as early as 3 mo and resulted
from a neosynthesis of type III collagen and fibronectin and a
reduction of extracellular matrix catabolism, in parallel with an
overexpression of transforming growth factor-
1 and in
the absence of any lymphocyte or macrophage infiltration. After 6 mo,
interstitial fibrosis worsened with a large accumulation of type I
collagen, concomitantly with a large macrophage infiltration. Thus
inflammation cannot explain the onset of interstitial fibrosis that
developed in young, insulinoresistant, normoglycemic, obese Zucker rats
but aggravated this process afterward.
Zucker rat; hyperlipidemia; hyperinsulinemia; collagen; fibronectin; tissue inhibitor of metalloproteinase-1; transforming
growth factor-
1
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