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University of Washington, Childrens Hospital and Regional Medical Center, Division of Nephrology, Seattle, Washington
Correspondence to Dr. Allison A. Eddy, Childrens Hospital and Regional Medical Center, Division of Nephrology, Mail Stop M1-5, 4800 Sand Point Way NE, Seattle, WA 98105. Phone: 206-987-2524; E-mail: allison.eddy{at}seattlechildrens.org
ABSTRACT. The urokinase receptor (uPAR) attenuates myofibroblast recruitment and fibrosis in the kidney. This study examined the role of uPAR and its co-receptor LDL receptor-related protein (LRP) in the regulation of kidney fibroblast proliferation and extracellular signal-regulated kinase (ERK) signaling. Compared with uPAR+/+ cells, uPAR/ kidney fibroblasts were hyperproliferative. UPAR/ fibroblast proliferation was 60% inhibited by an ERK kinase inhibitor. LRP protein was reduced and extracellular accumulation of urokinase-type plasminogen activator (uPA) and plasminogen activator inhibitor type 1 (PAI-1) proteins were greater in uPAR/ cultures. Addition of functional uPA protein or LRP antisense RNA significantly increased ERK signaling and cell mitosis in both genotypes. Enhanced uPAR/ fibroblast proliferation was reversed by a recombinant nonfunctional uPA peptide. The density of cell-bound fluor-uPA was similar between uPAR/ and uPAR+/+ fibroblasts (78 ± 6 versus 92 ± 16 units). These data suggest that uPAR-deficient kidney fibroblasts express lower levels of its scavenger co-receptor LRP, resulting in greater extracellular accumulation of uPA and PAI-1. Enhanced proliferation of uPAR/ fibroblasts seems to be mediated by uPA-dependent ERK signaling via an alternative urokinase receptor.
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