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Published ahead of print on May 7, 2009
J Am Soc Nephrol 20: 1513-1526, 2009
© 2009 American Society of Nephrology
doi: 10.1681/ASN.2008090999

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BASIC RESEARCH

CTGF Promotes Inflammatory Cell Infiltration of the Renal Interstitium by Activating NF-{kappa}B

Elsa Sánchez-López*, Sandra Rayego*, Raquel Rodrigues-Díez*, Javier Sánchez Rodriguez*, Raúl Rodrigues-Díez*, Juan Rodríguez-Vita*, Gisselle Carvajal{dagger}, Luiz Stark Aroeira{ddagger}, Rafael Selgas{ddagger}, Sergio A. Mezzano{dagger}, Alberto Ortiz§, Jesús Egido|| and Marta Ruiz-Ortega*

* Cellular Biology in Renal Diseases Laboratory, Universidad Autónoma Madrid, Madrid, Spain; {dagger} Division of Nephrology, School of Medicine, Universidad Austral, Valdivia, Chile; {ddagger} Servicio de Nefrología, Hospital Universitario La Paz, Madrid, Spain; § Dialysis Unit, Fundación Jiménez Díaz, Madrid, Spain; and || Renal Research Laboratory, Fundación Jiménez Díaz, Universidad Autónoma Madrid, Madrid, Spain

Correspondence: Marta Ruiz-Ortega, Cellular Biology in Renal Diseases Laboratory, Fundación Jiménez Díaz, Avda. Reyes Católicos, 2, 28040 Madrid, Spain. Phone: 34-91-5504821; Fax: 34-91-5442636; E-mail: mruizo{at}fjd.es

Received for publication September 22, 2008. Accepted for publication February 26, 2009.

Connective tissue growth factor (CTGF) is an important profibrotic factor in kidney diseases. Blockade of endogenous CTGF ameliorates experimental renal damage and inhibits synthesis of extracellular matrix in cultured renal cells. CTGF regulates several cellular responses, including adhesion, migration, proliferation, and synthesis of proinflammatory factors. Here, we investigated whether CTGF participates in the inflammatory process in the kidney by evaluating the nuclear factor-kappa B (NF-{kappa}B) pathway, a key signaling system that controls inflammation and immune responses. Systemic administration of CTGF to mice for 24 h induced marked infiltration of inflammatory cells in the renal interstitium (T lymphocytes and monocytes/macrophages) and led to elevated renal NF-{kappa}B activity. Administration of CTGF increased renal expression of chemokines (MCP-1 and RANTES) and cytokines (INF-{gamma}, IL-6, and IL-4) that recruit immune cells and promote inflammation. Treatment with a NF-{kappa}B inhibitor, parthenolide, inhibited CTGF-induced renal inflammatory responses, including the up-regulation of chemokines and cytokines. In cultured murine tubuloepithelial cells, CTGF rapidly activated the NF-{kappa}B pathway and the cascade of mitogen-activated protein kinases, demonstrating crosstalk between these signaling pathways. CTGF, via mitogen-activated protein kinase and NF-{kappa}B activation, increased proinflammatory gene expression. These data show that in addition to its profibrotic properties, CTGF contributes to the recruitment of inflammatory cells in the kidney by activating the NF-{kappa}B pathway.







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