Journal of the American Society of Nephrology
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J Am Soc Nephrol 14:1254-1271, 2003
© 2003 American Society of Nephrology

Urokinase Receptor Deficiency Accelerates Renal Fibrosis in Obstructive Nephropathy

Guoqiang Zhang*, Heungsoo Kim*, Xiaohe Cai*, Jesús M. López-Guisa*, Charles E. Alpers{dagger}, Youhua Liu{dagger}, Peter Carmeliet§ and Allison A. Eddy*

*University of Washington and Children’s Hospital and Regional Medical Center, Division of Nephrology, Seattle, Washington; {dagger}Department of Pathology, University of Washington, Seattle, Washington; {ddagger}Department of Pathology, University of Pittsburgh, Pittsburgh, Pennsylvania; and §The Center For Transgene Technology and Gene Therapy, Flanders Interuniversity Institute for Biotechnology, Leuven, Belgium.

Correspondance to Dr. Allison A. Eddy, Children’s Hospital and Regional Medical Center, Division of Nephrology, Mail Stop 5G-1, 4800 Sand Point Way NE, Seattle, WA 98105. Phone: 206-987-2524; Fax: 206-987-2636;

ABSTRACT. The urokinase cellular receptor (uPAR) recognizes the N-terminal growth factor domain of urokinase-type plasminogen activator (uPA) and is expressed by several cell types. The present study was designed to test the hypothesis that uPAR regulates the renal fibrogenic response to chronic injury. Groups of uPAR wild-type (+/+) and deficient (-/-) mice were investigated between 3 and 14 d after unilateral ureteral obstruction (UUO) or sham surgery. Not detected in normal kidneys, uPAR mRNA was expressed in response to UUO in the +/+ mice. By in situ hybridization, uPAR mRNA transcripts were detected in renal tubules and interstitial cells of the obstructed uPAR+/+ kidneys. The severity of renal fibrosis, based on the measurement of total collagen (13.5 ± 1.5 versus 9.8 ± 1.0 µg/mg kidney on day 14; -/- versus +/+) and interstitial area stained by Masson trichrome (22 ± 4% versus 14 ± 3% on day 14; -/- versus +/+) was significantly greater in the uPAR-/- mice. In the absence of uPAR, renal uPA activity was significantly decreased compared with the wild-type animals after UUO (62 ± 20 versus 135 ± 13 units at day 3 UUO; 74 ± 17 versus 141 ± 16 at day 7 UUO; 98 ± 20 versus 165 ± 10 at day 14 UUO; -/- versus +/+). In contrast, renal expression of several genes that regulate plasmin activity were similar in both genotypes, including uPA, tPA, PAI-1, protease nexin-1, and {alpha}2-antiplasmin. Worse renal fibrosis in the uPAR-/- mice appears to be TGF-{beta}-independent, as TGF-{beta} activity was actually reduced by 65% in the -/- mice despite similar renal TGF-{beta}1 mRNA levels. Significantly lower levels of the major 2.3-kb transcript and the 69-kd active protein of hepatocyte growth factor (HGF), a known anti-fibrotic growth factor, in the uPAR-/- mice suggests a potential link between HGF and the renoprotective effects of uPAR. These data suggest that renal uPAR attenuates the fibrogenic response to renal injury, an outcome that is mediated in part by urokinase-dependent but plasminogen-independent functions. E-mail: allison.eddy@seattlechildrens.org




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