Journal of the American Society of Nephrology
2007 JASN IMPACT FACTOR 7.111 HOME   AUTHOR INFO   EDITORIAL BOARD   SUBSCRIBE   FEEDBACK   ALERTS   HELP 
    advanced
CURRENT ISSUE ARCHIVES JASN Express ONLINE SUBMISSION


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by YEVDOKIMOVA, N.
Right arrow Articles by MASON, R. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by YEVDOKIMOVA, N.
Right arrow Articles by MASON, R. M.
J Am Soc Nephrol 12:703-712, 2001
© 2001 American Society of Nephrology

Thrombospondin-1 Is the Key Activator of TGF-ß1 in Human Mesangial Cells Exposed to High Glucose

NATALIA YEVDOKIMOVA, NADIA ABDEL WAHAB and ROGER M. MASON

Molecular Pathology Section, Division of Biomedical Sciences, Imperial College School of Medicine, London, United Kingdom.

Correspondence to Professor Roger M. Mason, Molecular Pathology Section, Division of Biomedical Sciences, Imperial College School of Medicine, Sir Alexander Fleming Building, Exhibition Road, South Kensington, London, SW7 2AZ, UK. Phone: +44 20 7594 3019; Fax: +44 20 7594 3022; E-mail: roger.mason{at}ic.ac.uk


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Abstract. Elevated levels of transforming growth factor-ß1 (TGF-ß1) are synthesized by human mesangial cells that are cultured in medium that contains high concentrations of glucose and mediate increased synthesis of fibronectin (FN), plasminogen activator inhibitor-1 (PAI-1), and changes in the expression of other genes. TGF-ß1 is synthesized as a latent complex. Previous work indicated that high-glucose conditions also upregulate expression of thrombospondin-1 (TSP-1), a potential activator of latent TGF-ß1. With the use of the synthetic peptide GGWSHW, an inhibitor of the TSP-1 activation mechanism, endogenous TSP-1 is shown to be responsible for converting high levels of latent TGF-ß1 to bioactive growth factor over 3 wk of exposure of mesangial cells to 30 mM D-glucose. Peptide inhibition of TGF-ß1 activation by TSP-1 in high-glucose conditions completely suppressed increases in FN and PAI-1 expression. Treating mesangial cells maintained in high glucose with a TSP-1 antisense oligonucleotide reduced TSP-1 expression to levels found in 4 mM D-glucose cultures, prevented TGF-ß1 activation, and normalized expression of FN.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Expansion of the glomerular mesangial matrix is a major feature of diabetic nephropathy, a fibrotic disorder of the kidney (1). Elevated blood glucose levels in diabetes stimulate increased expression of transforming growth factor-ß1 (TGF-ß1) in mesangial cells, which, in turn, promotes the synthesis of matrix proteins and the inhibition of matrix turnover. TGF-ß1 is thought to be the key mediator of matrix accumulation in this disorder (2). However, TGF-ß1 is secreted as a latent complex (3) that must be activated before it can bind to its receptors. Thus, changes in expression of latent TGF-ß1 will have no biologic effect unless mechanisms for converting it to the active form are operational.

There are two types of latent TGF-ß1 complex. A small latent complex consists of TGF-ß1 associated noncovalently with a disulfide-linked dimer of the N-terminal part of pro-TGF-ß1, referred to as the latency-associated peptide (LAP) (4,5). A large complex also contains latent TGF-ß1-binding protein (LTBP) disulfide-linked to LAP. LTBP does not itself play any role in latency but is involved in the secretion of TGF-ß1, storage in the extracellular matrix, and eventual activation of the factor (6).

In vitro studies show that the latent TGF-ß1 complex can be activated by conformational changes induced by pH or high temperature (7), limited proteolysis or deglycosylation of LAP (8,9,10), the effect of reactive oxygen species on redox-sensitive elements in the complex (11), or binding to several membrane and extracellular matrix components. Each of these mechanisms could occur in vivo, depending on the conditions in the tissue. However, one activation mechanism, initiated by the binding of the latent complex of TGF-ß1 to the extracellular matrix glycoprotein thrombospondin-1 (TSP-1), may be particularly important in vivo (12). Moreover, we hypothesize that this mechanism of TGF-ß1 activation is likely to be very important in diabetic nephropathy. On the one hand, elevated glucose upregulates the expression and secretion of TSP-1 in mesangial cells (13,14,15); on the other hand, it reduces the likelihood of protease-dependent activation. High-glucose conditions result in decreased activity of plasmin (16,17,18) and cathepsin D (19), the main proteolytic enzymes involved in TGF-ß1 activation.

TSP-1 is a trimer of disulfide-linked 180-kD subunits. It is found in platelet ß-granules and is produced by a number of other cell types, including mesangial cells. Each subunit consists of several domains that bind to matrix and cell surface proteins (20). The TSP-1 site responsible for activating latent TGF-ß1 is localized in a domain that consists of three type 1 repeats (21). These have homology to properdin and are also referred to as properdin repeats. Two amino acid sequences are implicated in TGF-ß1 activation: GGWSHW (amino acids 418 to 423) in the first type 1 repeat (or potentially DGWSPW in the second and GGWGPW in the third type 1 repeat) and KRFK (amino acids 412 to 415) between the first and the second type 1 repeats (22). It has been proposed (22) that latent TGF-ß1 is activated as a result of binding of the KRFK sequence of TSP-1 to the LSKL sequence of the amino-terminal region of LAP (23). However, this is only possible if the TSP-1 molecule is first oriented correctly by initial interaction between the GGWSHW sequence and the mature portion of TGF-ß1. This two-step mechanism of TGF-ß1 activation is based on the results of cell-free experiments with synthetic TSP-1—derived KRFK and GGWSHW peptides (22). It was shown that the minimal sequence able to activate TGF-ß1 is KRFK. GGWSHW peptide, while unable to activate TGF-ß1, is able to bind to the latent complex. Moreover, it blocks activation by TSP-1 and increases activation by KRFK peptide (22).

Treatment of cultured mesangial cells with TSP-1 leads to an increase in active TGF-ß1, elevating the production of fibronectin (14). TGF-ß1 expression is increased in stretched mesangial cells, and extracellular matrix synthesis is enhanced. The stretch-induced matrix expression is inhibited by TSP-1—blocking peptide (24). TSP-1 is also a major activator of TGF-ß1 in vivo as demonstrated with TSP-1 null mice (12). In addition, TSP-1—blocking peptides are active in vivo, inhibiting mesangial cell proliferation in the anti-Thy1 model of glomerulonephritis in rats, a process driven by TGF-ß1 (25). Moreover, TSP-1 expression is related closely to the development of fibrosis in proliferative glomerulonephritis (26) and in tubulointerstitial fibrosis (27). Collectively, this evidence suggests a major role for TSP-1 in pathologic fibrosis by its activation of TGF-ß1. However, direct evidence for TSP-1—activating TGF-ß1 in mesangial cells in high-glucose conditions is lacking. Thus, we investigated TGF-ß1 activation by endogenous TSP-1 in human mesangial cell cultures maintained in media containing normal (4 mM) and elevated (30 mM) glucose levels. We used the GGWSHW peptide to inhibit activation by TSP-1 and TSP-1 antisense oligonucleotide to inhibit TSP-1 synthesis in the mesangial cells. Secreted and cell layer—associated fibronectin and plasminogen activator inhibitor-1 (PAI-1) were measured as markers of TGF-ß1—dependent gene activation in the mesangial cell cultures. The results indicate that the elevated TGF-ß1 activity in mesangial cells in high-glucose conditions is dependent on TSP-1 activation of the growth factor.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
Primary normal human mesangial cells (HMC; CC-2259, lot 8F1510) were purchased from BioWhittaker (Wokingham, UK) and originated from a 62-yr-old Caucasian female. Special RPMI 1640 medium without D-glucose, fetal calf serum (FCS), antibiotics, ITS (insulin, transferrin, sodium selenite), and glutamine were from Life Technologies (Paisley, Scotland, UK), and Dulbecco's modified Eagle's medium (DMEM; with glutamax) was from Sigma Chemical Co. (Poole, Dorset, UK). Human TGF-ß1 and the TGF-ß1 immunoassay kit were supplied by R&D Systems (Minneapolis, MN), human platelet TSP-1 and human recombinant PAI-1 were purchased from Calbiochem-Novabiochem Corp. (La Jolla, CA), and human fibronectin (FN) was from ICN Pharmaceuticals (Costa Mesa, CA). Mouse anti—thrombospondin-1 monoclonal antibody, rabbit anti-human FN antibody, and rabbit anti-actin were obtained from Sigma, and goat anti—PAI-1 antibody was supplied by American Diagnostics, Inc. (Dundee, UK). Secondary peroxidase-conjugated antibodies were purchased from DAKO (High Wycombe, UK). Western blotting detection reagents (ECL+Plus) were from Amersham Pharmacia Biotech Ltd. (Uppsala, Sweden), and the reverse transcription-PCR (RT-PCR) kits and 1-kb DNA ladder were supplied by Life Technologies. Antisense (GTC TGG CGA TGC TG) and control (ACC GAC CGA CGT GT) phosphorothioate oligonucleotides directed to TSP-1 were designed and manufactured by Biognostik GmbH (Gottingen, Germany), who own the intellectual property rights of these sequences. Both blocking and control peptides were synthesized at our Advanced Biotechnology Center core facility.

Experimental Design
Early confluent cultures of HMC were maintained in either normal glucose (4 mM) or high glucose (30 mM) containing media supplemented with 10% FCS for up to 3 wk (28). The TSP-1—blocking peptide GGWSHW or a negative control peptide, GGYSHW, was added to media throughout the experiment. Media were changed every 48 h. At the end of each week, the medium was changed to serum-free and ITS-free medium containing the appropriate concentration of glucose and peptide. After 24 h, secreted TSP-1, TGF-ß1 (total and active), FN, and PAI-1 were measured in the medium by enzyme-linked immunosorbent assay (ELISA). The cell layers were used to estimate mRNA (RT-PCR) and protein (Western blot) levels of cell layer—associated TSP-1, FN, and PAI-1. The biologic activity of TGF-ß1 was determined using an Mv1Lu mink lung epithelial cell growth inhibition assay (29).

A TSP-1 mRNA antisense oligonucleotide (2 µM, as recommended by the manufacturer) or a CG-matched randomized sequence oligonucleotide (negative control) was added directly to normal- and high-glucose cultures for 1 wk. The medium containing oligonucleotide was renewed every 48 h. All subsequent analytical procedures were as for the peptide addition experiments.

Mesangial Cell Culture
Primary HMC were maintained at 37°C with 5% CO2/95% air in RPMI 1640 medium, containing 4 mM glucose, 10% FCS, 2 mM glutamine, 100 µg/ml streptomycin, 100 U/ml penicillin, 1 µg/ml Amphotericin B, and ITS (5 µg/ml, 5 µg/ml, 5 ng/ml, respectively). Cells were routinely passaged with a 1:4 split and were used for experiments at the seventh to ninth passages.

At the end of each experimental period, HMC-conditioned medium was collected under sterile conditions, centrifuged (3000 x g, 10 min), and aliquoted. Protease inhibitors were added to give final concentrations of 10 mM aminohexanoic acid, 1 mM ethylenediaminetetraacetate, 5 mM benzamidine, 1 mM phenylmethylsulfonyl fluoride, and 1 mM N-ethylmaleimide. Inhibitors were not added to samples assigned for measurement of TGF-ß1 bioactivity. Samples were stored at -70°C before ELISA assay or TGF-ß1 bioactivity assay.

Cell layers (5 to 6 x 105 cells) were washed extensively with phosphate-buffered saline at 4°C and were solubilized either in a reducing sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) loading buffer containing protease inhibitors for subsequent analysis of protein expression by Western blotting or in RNAzolB (AMS Biotechnology, Oxfordshire, UK) for investigating gene expression by RT-PCR. In the first case, samples were frozen and stored at -20°C before analysis. In the second case, total RNA was extracted, dissolved in diethyl pyrocarbonate—treated water, and stored at -70°C before assay.

Assay for TGF-ß1 Bioactivity
TGF-ß1 bioactivity in the conditioned media was assayed by its ability to inhibit the growth of mink lung epithelial (Mv1Lu) cells (29). Mv1Lu cells were maintained in DMEM supplemented with 10% FCS, 2 mM glutamine, and antibiotics (as above). Cells were passaged with a 1:10 split.

For bioassays, Mv1Lu cells (100 µl, 7 to 10 x 104 cells/ml) were seeded in 96-well plates in DMEM with 10% FCS. After 2 to 3 h, the plates were washed and DMEM with 10% FCS (100 µl), and HMC-conditioned medium (100 µl) were added to the wells. After 3 d, the number of cells in each well was determined by sulforhodamine B assay (30). A standard curve was constructed for 1 x 10-4 - 30 x 10-4 cells. A further standard curve was set up for each assay with 0.01 to 1 ng/ml of human platelet TGF-ß1.

Enzyme-Linked Immunosorbent Assay
The concentration of TSP-1, FN, and PAI-1 in the conditioned media was measured by ELISA (28,31,32) with some modifications to the original method. Briefly, microtiter plates were coated overnight at 4°C with serial dilutions of standard proteins in coating buffer (0.15 M NaCl, 1.5 mM KH2PO4, 10.8 mM Na2HPO4, 2.7 mM KCl [pH 7.3] for TSP-1 and 15 mM Na2CO3, 35 mM NaHCO3 [pH 9.6] for FN and PAI-1) and with HMC-conditioned media, diluted with the appropriate coating buffer. Nonspecific proteins were blocked with 2% bovine serum albumin at 37°C for 1 h. The optimal dilutions of the primary antibodies were found to be 1:1000, 1:500, and 1:2000 for mouse monoclonal anti—TSP-1, goat anti—PAI-1, and rabbit anti-human FN, respectively. The dilutions of secondary antibodies were 1:2000 (rabbit anti-mouse) and 1:1000 (rabbit anti-goat and swine anti-rabbit). The bound antibodies were detected with 2,2'-azinobis-3-ethylbenzthazoline-6-sulfonic acid at a wavelength of 405 nm.

TGF-ß1 was determined by ELISA using TGF-ß1—soluble receptor type II (33). To measure active TGF-ß1 in the media, the samples were assayed directly, whereas to determine total TGF-ß1, samples were acidified before the measurement.

Western Blotting
Samples were boiled for 5 min and diluted with reducing loading buffer to standardize for cell number. Samples were resolved by SDS-PAGE (15% wt/vol gels for PAI-1 and 7.5% for FN) (28). Prestained molecular-mass standards were used to monitor protein migration. Proteins were transferred onto poly(vinylidene difluoride) membrane (Immobilon-P; Millipore, Bedford, UK) with a Bio-Rad transfer apparatus (Hercules, CA). Immunodetection was performed as described (34), and bound antibodies were revealed using the enhanced chemiluminescence reagent ECL+Plus (Amersham Pharmacia Biotech, Little Chalfont, UK). The results were normalized against the intensity of the ß-actin band for each sample.

Reverse Transcription-PCR
Equal amounts (2 µg) of DNA-free total RNA from each sample were converted to cDNA by SuperScriptTM II RNase H- reverse transcriptase (Life Technologies) with random primers in a 20-µl reaction volume. The reverse transcription reaction (0.5 µl) was subjected to PCR amplification using 2.5 U of Taq DNA polymerase in a 100-µl reaction volume with 0.5 µM of each dNTP, 0.5 µM of each specific primer, and 1.5 mM MgCl2. The amount of amplified reverse-transcribed cDNA (0.5 ml) was determined to be nonsaturating. The "house-keeping" gene glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was amplified simultaneously with TSP-1, PAI-1, and FN genes.

The sequences of primers were designed from the human genes: TSP-1 (496 bp), sense: 5'-AAA GCG TCT TCA CCA GAG ACC T-3', antisense: 5'-GCA GAT GGT AAC TGA GTT CTG ACA-3'; PAI-1 (396 bp), sense: 5'-GTA TCT CAG GAA GTC CAG CC-3', antisense: 5'-TCT AAG GTA GTT GAA TCC GAG C-3'; FN (639 bp), sense: 5'-CGA AAT CAC AGC CAG TAG-3', antisense: 5'-ATC ACA TCC ACA CGG TAG-3', GAPDH (195 bp), sense: 5'- CCA TGG AGA AGG CTG GGG-3', antisense: 5'- CAA AGT TGT CAT GGA TGA CC-3'. The amplification program was 94°C for 3 min, 35 cycles consisting of 94°C for 60 s, 55°C for 60 s, 72°C for 90 s, and 72°C for 10 min.

Equal volumes of the amplification products were analyzed by agarose gel (1.2%) electrophoresis with ethidium bromide (0.5 µg/ml) staining. A 1-kb DNA ladder was used as a size marker. Gels were photographed and analyzed with Image software (NIH Image). The results were normalized to the intensity of GAPDH bands.

Statistical Analysis
Results were compared using unpaired t test. A P value of 0.05 or less was regarded as denoting a significant difference.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Previously, we reported that prolonged exposure of HMC to high-glucose conditions over 3 wk stimulated continuous production of elevated levels of active TGF-ß1, as detected by ELISA (28). Similarly, the expression of FN and PAI-1, two genes known to be controlled by TGF-ß1 (35,36), was markedly increased in high-glucose conditions over the same period (28). We also found that mRNA levels for TSP-1, an activator of TGF-ß1, were increased in HMC exposed to high-glucose conditions over 3 wk. To test whether TSP-1 is responsible for activating TGF-ß1 in high-glucose mesangial cell cultures and, through this, for the downstream upregulation of FN and PAI-1 expression, we investigated the effect of the blocking peptide GGWSHW (22). We also investigated whether antisense oligonucleotide inhibition of TSP-1 expression modulated the activation of TGF-ß1 and the expression of FN and PAI-1.

TSP-1 Expression in Mesangial Cells Exposed to Low- and High-Glucose Conditions
TSP-1 mRNA levels, measured by semiquantitative RT-PCR, were increased in HMC exposed to 30 mM D-glucose for 1, 2, and 3 wk over levels detected in cultures maintained in 4 mM D-glucose conditions (Figure 1, lanes 1 and 2). Densitometry of the cDNA bands from three independent experiments showed a mean increase of 1.8-fold after 1 wk, 2-fold at 2 wk, and 2.5-fold at 3 wk (P < 0.01 to 0.05; data not shown). Treatment of the 30 mM D-glucose cultures with either the TGF-ß1 activation-blocking peptide (peptide W, 1 µM) or the control peptide (peptide Y, 1 µM) had no effect on the mRNA expression level of TSP-1 at any time point (Figure 1, lanes 5 and 6). However, treatment of the high-glucose cultures with TSP-1 antisense oligonucleotide for 1 wk reduced TSP-1 expression to approximately or below the level found in 4 mM D-glucose cultures (Figure 1, lane 3). A control oligonucleotide had no effect on TSP-1 mRNA expression level in high glucose (Figure 1, lane 4).



View larger version (71K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 1. Reverse transcription-PCR (RT-PCR) amplification of thrombospondin-1 (TSP-1), fibronectin (FN), plasminogen activator inhibitor-1 (PAI-1), and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) transcripts in mesangial cells. Cells were incubated under the following conditions: 4 mM D-glucose (lane 1), 30 mM D-glucose (lane 2), 30 mM + TSP-1 mRNA antisense oligonucleotide (lane 3), 30 mM + TSP-1 control oligonucleotide (lane 4), 30 mM + TSP-1 blocking peptide W (lane 5), and 30 mM + control peptide Y (lane 6). RNA extraction and RT-PCR were performed as described after treatment periods of 1, 2, and 3 wk. Ten µl of each PCR reaction was electrophoresed through a 2% agarose gel with ethidium bromide.

 

The increased levels of TSP-1 mRNA in high-glucose cultures were reflected in increased levels of TSP-1 protein in the culture media (Figure 2). The greatest increase occurred after 1 wk (2.3-fold, P < 0.001) and was 2.2-fold at 2 wk (P < 0.001) and 1.6-fold at 3 wk (P < 0.02), despite the gradually increasing levels of TSP-1 mRNA in high-glucose cultures at these time points (see above). This may be because of increased retention of TSP-1 in the cell layer matrix of cultures with increasing time. Mesangial cell cultures treated with 4 mM D-glucose + 26 mM mannitol had the same levels of TSP-1 in the medium after 1, 2, and 3 wk as cultures maintained in 4 mM D-glucose alone (data not shown). Therefore, the increased levels of TSP-1 in cultures maintained in 30 mM D-glucose are not due to the hyperosmotic effect of high-glucose concentration.



View larger version (34K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 2. The expression level of TSP-1 in mesangial cells exposed to high-glucose conditions in the presence or absence of W and Y peptides. Cells were incubated under the following conditions: 4 mM D-glucose ({square}), 30 mM D-glucose ({blacksquare}), 30 mM + TSP-1 blocking peptide W (), and 30 mM + control peptide Y () for up to 3 wk. At the end of each week, the medium was changed to serum-free medium containing the same concentration of glucose and peptide. After an additional 24 h, media were collected and used to measure the secreted level of TSP-1 by enzyme-linked immunosorbent assay (ELISA) as described in the Materials and Methods section. The data represent mean ± SEM for three separate experiments with quadruplicate cultures for each condition in each experiment. TSP-1 levels are increased in 30 mM conditions compared with 4 mM conditions. *, P < 0.02; **, P < 0.001.

 

Effect of Blocking Peptide W on TSP-1 and TGF-ß1
The effect of peptide W on TSP-1 synthesis was investigated. Concentrations of the peptide up to 10 µM had no effect on TSP-1 levels in the media of either normal- or high-glucose cultures after 1 wk of treatment (data not shown). Moreover, neither 1 µM peptide W nor the control peptide Y had any significant effect on the elevated TSP-1 mRNA levels in high-glucose cultures (Figure 1, lanes 5 and 6) or on TSP-1 protein levels in normal- or high-glucose media (Figure 2) when cultures were treated with either peptide over 3 wk.

ELISA assay of culture media for total TGF-ß1 showed that high-glucose—treated HMC synthesized 2.5-, 2.3-, and 1.8-fold, more growth factor after 1, 2, and 3 wk, respectively, than 4 mM D-glucose—treated cells (P < 0.01), and this was not affected by 1 µM peptide W (Figure 3) or concentrations of peptide up to 10 µM (data not shown). The amount of naturally "active" TGF-ß1, detected by ELISA, accounted for less than 5% of total TGF-ß1 in 4 or 30 mM D-glucose—treated cultures. The levels were not affected by the presence of the control peptide Y in either low- or high-glucose conditions. In contrast, concentrations of peptide W between 0.1 and 10 µM markedly reduced the level of "active" TGF-ß1 in HMC cultures maintained in either 4 or 30 mM D-glucose. Maximum reduction was achieved with 1 µM peptide W (data not shown).



View larger version (22K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 3. The level of the total transforming growth factor-ß1 (TGF-ß1) in the media of cultured mesangial cells exposed to high-glucose conditions under the 30 mM D-glucose conditions in the absence ({blacksquare}) or presence () of 1 µM TSP-1 blocking peptide for up to 3 wk. At the end of each week, the medium was changed to serum-free medium containing the same concentration of glucose and peptide. After an additional 24 h, media were collected, acidified, and used to measure the total level of TGF-ß1 by ELISA as described in the Materials and Methods section. The data represent mean ± SEM for three separate experiments with quadruplicate cultures for each condition in each experiment. There were no significant differences between cultures maintained with or without the blocking peptide.

 

The levels of biologically active TGF-ß1 produced in mesangial cell cultures maintained in high- and low-glucose conditions over 3 wk was investigated using the mink lung cell growth inhibition bioassay. Bioactive TGF-ß1 levels increased by approximately 10-fold during the first 2 wk of exposure to 30 mM D-glucose and thereafter remained at the same high level (Figure 4). In contrast, bioactive TGF-ß1 concentrations increased only marginally over 3 wk culture in 4.0 mM D-glucose conditions. Treatment of high-glucose cultures with peptide W reduced the level of bioactive TGF-ß1 in these cultures at each time point over 3 wk to the same low levels found in 4 mM D-glucose cultures. In contrast, the control peptide Y had no effect on TGF-ß1 bioactivity in high-glucose cultures (Figure 4). The results indicate that all of the additional TGF-ß1 bioactivity in high-glucose—treated cultures over baseline TGF-ß1 bioactivity in 4 mM D-glucose cultures is dependent on TSP-1 activation of the growth factor.



View larger version (14K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 4. Effect of W and Y peptides on the level of biologically active TGF-ß1 in the media of cultured mesangial cells exposed to high-glucose conditions. Cells were incubated in 4 mM ({blacktriangleup}) or 30 mM ({blacksquare}) D-glucose conditions or under 30 mM D-glucose conditions in the presence of 1.0 µM W () and Y ({diamondsuit}) peptides for up to 3 wk. At the end of each week, the medium was changed to serum-free medium containing the same concentration of glucose and peptide. After an additional 24 h, media were collected and used to measure TGF-ß1 bioactivity with the mink lung epithelial cell assay as described in the Materials and Methods section. The data represent mean ± SEM for three separate experiments with quadruplicate cultures for each condition in each experiment. Bioactive TGF-ß1 is increased in 30 mM conditions compared with 4 mM conditions. *, P < 0.01.

 

Dependence of FN and PAI-1 Expression on Activation of TGF-ß1 by TSP-1
We investigated next whether the increased expression of FN and PAI-1 in HMC cultures with prolonged exposure to high glucose is dependent on TSP-1 activation of TGF-ß1. mRNA levels for FN and PAI-1 were increased in 30 mM compared with 4 mM D-glucose cultures at weeks 1, 2, and 3 (Figure 1, lanes 1 and 2 and Figures 5 and 6), confirming previous results (17,28). Treatment with peptide W reduced mRNA levels in 30 mM D-glucose, whereas control peptide Y had no significant effect (Figure 1, lanes 5 and 6). The protein levels of FN and PAI-1 were measured in the media of cultures by ELISA (Figures 5 and 6). In each case, the protein levels reflected the mRNA levels for FN and PAI-1, being elevated in high-glucose conditions and reduced to the basal levels of 4 mM D-glucose cultures when high-glucose cultures were treated with peptide W. They were unaffected by the control peptide Y. Thus, we conclude that the elevated expression of both FN and PAI-1 in mesangial cells exposed to high glucose is dependent on TGF-ß1 activation by TSP-1.



View larger version (37K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 5. Dependence of increased FN expression in high-glucose conditions on the activation of TGF-ß1 by TSP-1. Cells were incubated under the 4 mM ({square}) or 30 mM ({blacksquare}) D-glucose conditions or under 30 mM D-glucose conditions in the presence of W () and Y () peptides for up to 3 wk. At the end of each week, the medium was changed to serum-free medium containing the same concentration of glucose and peptide. After an additional 24 h, media were collected and used to measure the level of secreted PAI-1 by ELISA, as described in the Materials and Methods section (A). Cell layers were solubilized in sample buffer and subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE; 15% gel). Proteins were electroblotted onto poly(vinylidene difluoride) (PVDF) membranes and probed for PAI-1. Immunoreactive bands were scanned and analyzed with Image software (NIH Image) (B). The data represent mean ± SEM for three separate experiments with quadruplicate cultures for each condition in each experiment. In all cases, the difference in FN level in 30 mM D-glucose cultures treated with peptide W compared with untreated high-glucose cultures was significant. *, P <= 0.02.

 


View larger version (37K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 6. Dependence of increased PAI-1 expression on the activation of TGF-ß1 by TSP-1. Cells were incubated under the 4 mM ({square}) or 30 mM ({blacksquare}) D-glucose conditions or under 30 mM glucose conditions in the presence of W () and Y () peptides for up to 3 wk. At the end of each week, the medium was changed to serum-free medium containing the same concentration of glucose and peptide. After an additional 24 h, media were collected and used to measure the level of secreted PAI-1 by ELISA, as described in the Materials and Methods section (A). Cell layers were solubilized in sample buffer and subjected to SDS-PAGE (15% gel). Proteins were electroblotted onto PVDF membranes and probed for PAI-1. Immunoreactive bands were scanned and analysed with Image software (NIH Image) (B). The data represent mean ± SEM for three separate experiments with quadruplicate cultures for each condition in each experiment. In all cases, the difference in FN level in 30 mM D-glucose cultures treated with peptide W compared with untreated high-glucose cultures was significant. *, P <= 0.02.

 

Effects of TSP-1 Deletion with an Antisense Oligonucleotide
Treatment of high-glucose cultures for 1 wk with a TSP-1 antisense oligonucleotide counteracted the overexpression of TSP-1 mRNA in these cells, whereas a randomized oligonucleotide used as a control had no effect (Figure 1, lanes 3 and 4). The level of TSP-1 protein in the medium of TSP-1 antisense oligonucleotide-treated cells decreased by 85% in high-glucose cultures and was 70% lower than in untreated 4.0 mM D-glucose cultures (Figure 7A). The total TGF-ß1 level remained unchanged (Figure 7B), but levels of bioactive TGF-ß1 fell dramatically in the 30 mM D-glucose-treated cells (Figure 7C). Moreover, treating HMC with the TSP-1 antisense oligonucleotide greatly reduced FN in mRNA levels in high-glucose cultures, whereas the control oligonucleotide had no effect (Figure 1, lanes 3 and 4). Protein FN levels were correspondingly reduced in the medium (2.5-fold) and cell layer of high-glucose cultures treated with antisense oligonucleotide but not with control oligonucleotide (Figure 7, D and E). Collectively, these results confirm a key role for TSP-1 activation of TGF-ß1 and, downstream of this, for the increased expression and synthesis of FN in high-glucose conditions.



View larger version (22K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 7. Effect of mRNA depletion of TSP-1 on the activation of TGF-ß1 and FN synthesized by mesangial cells exposed to high-glucose conditions. Cells were incubated under 4 mM ({square}) or 30 mM ({blacksquare}) D-glucose conditions or under 30 mM conditions in the presence of TSP-1 phosphorothioate antisense () or control oligonucleotides (). After 1 wk of incubation, the medium was changed to serum-free medium containing the same concentration of glucose and oligonucleotide. After an additional 24 h, media were collected and used for ELISA assays to measure the level of secreted TSP-1 (A) or total TGF-ß1 (B) or for the mink lung epithelial cell assay to measure the level of secreted bioactive TGF-ß1 (C). FN secreted into the medium was measured by ELISA (D). Cell layers were solubilized in sample buffer and subjected to SDS-PAGE (7.5% gel). Proteins were electroblotted onto PVDF membranes and probed for FN. Immunoreactive bands were scanned and analyzed with Image software (NIH Image). Two experiments were performed with quadruplicate cultures for each condition in each experiment, and the data were pooled to give the mean ± SEM.

 


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
TSP-1 is a multidomain protein that is synthesized by many cell types and exported to the extracellular matrix. It has roles in cell adhesion, cell movement, proliferation, and angiogenesis (20). Its potential ligands include integrins (37), type VII collagen, laminin {alpha}5ß3 chain, fibrillin 2 (38), decorin (39), and TGF-ß1 latency-associated peptide (23). Its interaction with the latent TGF-ß1 complex induces activation of the growth factor in vitro (21,22,23), and it is a major activator of TGF-ß1 in vivo (12).

Many studies show that TGF-1ß is a profibrotic cytokine and an important mediator of kidney fibrosis (40,41). There is much evidence to implicate TGF-ß1 as a factor that drives fibrosis in diabetic nephropathy (2,42). Increased levels of glomerular TGF-ß1 mRNA in diabetic nephropathy biopsies correlate with the hyperglycemic status of the patient (43), and glomerular TGF-ß1 protein is elevated in the disease (44). Moreover, treatment of diabetic mice with anti-TGF-ß1 antibodies attenuates renal expression of FN and type IV collagen and prevents glomerular hypertrophy (45). However, TGF-ß1 is secreted in an inactive form (3), raising questions about the mechanism of its activation in the diabetic glomerulus.

Previously, we showed that when human glomerular mesangial cells are exposed chronically, in vitro, to high concentrations of glucose, they continuously express increased levels of TGF-ß1 mRNA and protein, of which at least a fraction is active, as detected by a specific ELISA (28). It seems unlikely that plasmin is involved in the activation process (8) because we also found that expression of PAI-1 is induced in these cells by high glucose, eliminating the activity of plasminogen activator in such conditions (17). However, we also found that TSP-1 expression is upregulated in mesangial cells that are exposed to high glucose (13), a finding confirmed subsequently by others (14,15). It is noteworthy that plasma levels of TSP-1 are significantly higher in patients who have diabetes mellitus with secondary complications, e.g., nephropathy, than they are in patients without such complications. The TSP-1 levels in the latter group are indistinguishable from the level in nondiabetic controls (46). Thus, TSP-1 seems to be a good candidate for activating latent TGF-ß1 in glomerular mesangial cells that are exposed to high glucose in vitro or in the diabetic glomerulus in vivo.

Tada and Isogai (14) showed that when HMC cultures were treated with 1 to 5 µg/ml TSP-1, their active TGF-ß1 levels increased by 1.3- to 2.1-fold without any concomitant increase in total TGF-ß1 level. Moreover, the addition of TSP-1 to the cultures was accompanied by an increase in FN production, and this was blocked in the presence of an anti-TGF-ß1 neutralizing antibody. This provided good evidence for activation of latent TGF-ß1 produced by HMC by exogenous TSP-1. However, although these investigators showed that exposure to high-glucose conditions induced increased mesangial cell synthesis of TSP-1 (14), their experiments did not establish whether the endogenous protein was responsible for activating TGF-ß1 produced in these conditions. The importance of our results is that they show that endogenous TSP-1 expression is upregulated in mesangial cells that are cultured in high glucose over 3 wk, simulating chronic hyperglycemia. Moreover, this TSP-1 activates all of the additional TGF-ß1 produced by the cells in high glucose, generating chronically elevated levels of bioactive growth factor.

Although the greatest increase in mRNA and protein for TSP-1 occurred after 1 wk of exposure to high glucose (Figures 1 and 2), the production of bioactive TGF-ß1 increased to reach plateau levels after 2 and 3 wk of exposure. However, as demonstrated by the blocking effect of peptide W, the increased bioactivity was totally dependent on TSP-1 activation of the growth factor at all times. Assuming that a similar situation occurs in vivo, prolonged periods of poor glycemic control in diabetics are likely to induce in mesangial cells levels of TSP-1 synthesis that are sufficient to activate the elevated levels of TGF-ß1 produced during chronic hyperglycemia.

Inhibition of TSP-1 activation of TGF-ß1 in high-glucose cultures by peptide W reduced the synthesis of both FN and PAI-1 to similar levels as were found in 4 mM D-glucose cultures, at all times up to 3 wk (Figures 6 and 7). Semiquantitative RT-PCR showed that this is due to normalization of gene transcription for FN and PAI-1 in high-glucose cultures treated with peptide W. Likewise, inhibiting the increase of TSP-1 transcripts in high-glucose cultures with an antisense oligonucleotide reduced FN synthesis to the same level as found in 4 mM D-glucose cultures. This is consistent with the notion that elevated FN transcription and synthesis in high glucose depends on TSP-1 activation of TGF-ß1, which, after receptor binding, triggers intracellular signaling. The signaling pathway seems to involve activation of C-Jun N-terminal kinase in response to TGF-ß1 and subsequent binding of C-Jun-ATF2 heterodimer to the FN promoter (47). However, this pathway, which is independent of smad 4, has not as yet been confirmed in mesangial cells.

Overall, our results indicate that endogenous TSP-1 plays a key role in activating TGF-ß1 when HMC are exposed to high glucose in vitro. It is likely that TSP-1 has a similar role in hyperglycemic diabetic patients, promoting the mesangial fibrosis that is characteristic of diabetic nephropathy. Moreover, it is likely that TSP-1 is an intrinsic component of fibrosis in other regions of the kidney (27) and where fibrosis occurs in other organs. For example, liver homogenate from patients with congenital hepatic fibrosis have higher levels of TSP-1 and TGF-ß1 than in normal livers (48).


    Acknowledgments
 
We thank the Wellcome Trust for a traveling fellowship (N.Y.) and the Medical Research Council for financial support (R.M.M.).


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. McLennan SV, Death AK, Fisher EJ, Williams PF, Yue DK, Turtle JR: The role of the mesangial cell and its matrix in the pathogenesis of diabetic nephropathy. Cell Mol Biol 45:123 -135, 1998
  2. Sharma K, Ziyadex FN: Hyperglycaemia and diabetic kidney disease: The case for transforming growth factor-ß as a key mediator. Diabetes 44:1139 -1146, 1995[Abstract]
  3. Munger JS, Harpel JG, Gleizes P-E, Mazzieri R, Nunes I, Rifkin DB: Latent transforming factor-ß: Structural features and mechanism of activation. Kidney Int 51:1376 -1382, 1997[Medline]
  4. Gentry LE, Webb NR, Lim GJ, Brunner AM, Ranchalis JE, Twardzik DR, Lioubin MN, Marquardt H, Purchio AF: Type 1 transforming growth factor ß: Amplified expression and secretion of mature and precursor polypeptides in Chinese hamster ovary cells. Mol Cell Biol7 : 3418-3427,1987[Abstract/Free Full Text]
  5. McMahon GA, Dignam JD, Gentry LE: Structural characterization of the latent complex between transforming growth factor ß1 and ß1-latency-associated peptide. Biochem J313 : 343-351,1996
  6. Lawrence DA: Transforming growth factor-ß: A general review. Eur Cytokine Netw 7:363 -374, 1996[Medline]
  7. Brown PD, Wakefield LM, Levinson AD, Sporn MB: Physicochemical activation of recombinant latent transforming growth factor ß's 1, 2 and 3. Growth Factors 3:35 -43, 1990[Medline]
  8. Lyons R, Gentry LE, Purchio AF, Moses HL: Mechanism of activation of latent recombinant transforming growth factor-ß1 by plasmin. J Cell Biol 110:1361 -1367, 1990[Abstract/Free Full Text]
  9. Miyazono K, Heldin C-H: Role of carbohydrate structures in TGFß1 latency. Nature 338:158 -160, 1989[Medline]
  10. Nunes I, Gliezes P-E, Metz CN, Rifkin DB: Latent transforming growth factor-ß1 binding protein domains involved in activation and transglutaminase-dependent cross-linking of latent transforming factor-ß. J Cell Biol 136:1151 -1163, 1997[Abstract/Free Full Text]
  11. Barcellos-Hoff MH, Dix TA: Redox-mediated activation of latent transforming growth factor ß1. Mol Endocrinol10 : 1077-1083,1996[Abstract]
  12. Crawford SE, Stellmach V, Murphy-Ullrich JE, Ribiero SMF, Lawler J, Hynes RO, Boivin GP, Bouk N: Thrombospondin-1 is a major activator of TGFß1 in vivo. Cell 93:1159 -1170, 1998[Medline]
  13. Holmes DIR, Abdel Wahab N, Mason RM: Identification of glucose-regulated genes in human mesangial cells by mRNA differential display. Biochem Biophys Res Commun 238:179 -184, 1997[Medline]
  14. Tada H, Isogai S: The fibronectin production is increased by thrombospondin via activation of TGFß in cultured human mesangial cells. Nephron 79:38 -43, 1998[Medline]
  15. Murphy M, Godson C, Cannon S, Kato S, Mackenzie HS, Martin F, Brady HR: Suppression subtractive hybridization identifies high glucose level as a stimulus for expression of connective tissue growth factor and other genes in human mesangial cells. J Biol Chem274 : 5830-5834,1999[Abstract/Free Full Text]
  16. Auwerx J, Bouillon R, Collen D, Geboers J: Tissue-type plasminogen activator antigen and plasminogen activator inhibitor in diabetes mellitus. Arteriosclerosis 8:68 -72, 1988[Abstract/Free Full Text]
  17. Abdel Wahab N, Mason RM: Modulation of neutral protease expression in human mesangial cells by hyperglycaemic culture. Biochem J 320: 777-783,1996
  18. Fisher EJ, McLennan SV, Yue DK, Turtle JR: High glucose reduces generation of plasmin activity by mesangial cells. Microvasc Res 53: 173-178,1997[Medline]
  19. Leehey DJ, Song RH, Alavi N, Singh AK: Decreased degradative enzymes in mesangial cells cultured in high glucose media. Diabetes 44:929 -935, 1995[Abstract]
  20. Adams JC: Thrombospondin-1. Int J Biochem Cell Biol 29: 861-865,1997[Medline]
  21. Schultz-Cherry S, Lawler J, Murphy-Ullrich JE: The type 1 repeats of thrombospondin-1 activate latent transforming growth-factor-ß. J Biol Chem 269,26783 -26788, 1994[Abstract/Free Full Text]
  22. Schultz-Cherry S, Chen H, Mosher DF, Misenheimer TM, Krutzsch HC, Roberts DD, Murphy-Ullrich JE: Regulation of transforming growth factor-ß activation by discrete sequences of thrombospondin 1. J Biol Chem 270:7304 -7310, 1995[Abstract/Free Full Text]
  23. Ribiero SMF, Poczatek M, Schultz-Cherry C, Villian M, Murphy-Ullrich JE: The activation sequence of thrombospondin-1 interacts with the latency-associated peptide to regulate activation of latent transforming growth factor-ß. J Biol Chem274 : 13586-13593,1999[Abstract/Free Full Text]
  24. Hori Y, Katoh T, Hirakata M, Joki N, Kaname S, Fukagawa M, Okuda T, Ohashi H, Fujita T, Miyazono K, Kurokawa K: Anti-latent TGF-ß binding protein-1 antibody or synthetic oligopeptides inhibit extracellular matrix expression induced by stretch in cultured rat mesangial cells. Kidney Int 53:1616 -1625, 1998[Medline]
  25. Hugo CPM, Pichler RP, Schulze-Lohoff E, Prols F, Adler S, Krutsch HC, Murphy-Ullrich JE, Couser WG, Roberts DD, Johnson RJ: Thrombospondin peptides are potent inhibitors of mesangial and glomerular endothelial cell proliferation in vitro and in vivo. Kidney Int 55:2236 -2249, 1999[Medline]
  26. Barnes JL, Mitchell RJ, Kanalas JJ, Barnes VL: Differential expression of thrombospondin and cellular fibronectin during remodeling in proliferative glomerulonephritis. J Histochem Cytochem47 : 533-544,1999[Abstract/Free Full Text]
  27. Hugo C, Shanklad SJ, Pichler RH, Couser WG, Johnson RJ: Thrombospondin 1 precedes and predicts the development of tubulointerstitial fibrosis in glomerular disease in the rat. Kidney Int53 : 302-311,1998[Medline]
  28. Abdel Wahab N, Harper K, Mason RM: Expression of extracellular matrix molecules in human mesangial cells in response to prolonged hyperglycaemia. Biochem J 316:985 -992, 1996
  29. Howe PH, Cunningham MR, Leof EB: Inhibition of mink lung epithelial cell proliferation by transforming growth factor-ß is coupled through a pertussis-toxin-sensitive substrate. Biochem J266 : 537-545,1990[Medline]
  30. Skehan PH, Storeng R, Scudiero D, Monks A, McMahon J, Vistica D, Warren JT, Bokesch H, Kenney S, Boyd MR: New colorimetric cytotoxicity assay for anticancer-drug screening. J Natl Cancer Inst82 : 1107-1112,1990[Abstract/Free Full Text]
  31. Rennard SI, Berg R, Martin GR, Foidart JM, Robey PG: Enzyme-linked immunoassay (ELISA) for connective tissue components. Anal Biochem 104:205 -214, 1980[Medline]
  32. Raugi GJ, Mumby SM, Abbott-Brown D, Bornstein P: Thrombospondin: Synthesis and secretion by cells in culture. J Cell Biol 95: 351-354,1982[Abstract/Free Full Text]
  33. Kropf J, Schurek JO, Wollner A, Gressner AM: Immunological measurements of transforming growth factor-beta 1 (TGF-ß1) in blood: Assay development and comparison. Clin Chem43 : 1965-1974,1997[Abstract/Free Full Text]
  34. Towbin H, Staehelin T, Gordon J: Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: Procedure and some applications. Proc Natl Acad Sci USA76 : 4350-4354,1979[Abstract/Free Full Text]
  35. Ignotz RA, Endo T, Massague J: Regulation of fibronectin and type I collagen mRNA levels by transforming growth factor-ß. J Biol Chem 262:6443 -6446, 1987[Abstract/Free Full Text]
  36. Keeton MR, Curriden SA, van Zonneveld A-J, Loskutoff DJ: Identification of regulatory sequences in the type I plasminogen activator inhibitor gene responsive to transforming growth factor ß. J Biol Chem 266:23048 -23052, 1991[Abstract/Free Full Text]
  37. Krutzsch HC, Choe BJ, Sipes JM, Guo NH, Roberts DD: Identification of an {alpha}(3)ß(1) integrin recognition sequence in thrombospondin-1. J Biol Chem 274:24080 -24086, 1999[Abstract/Free Full Text]
  38. Aho S, Uitto J: Two-hybrid analysis reveals multiple direct interactions for thrombospondin 1: Matrix Biol17 : 401-412,1998[Medline]
  39. Merle B, Malaval L, Lawler J, Delmas P, Clezardin P: Decorin inhibits cell attachment to thrombospondin-1 by binding to a KKTR-dependent cell adhesive site present within the N-terminal domain of thrombospondin-1. J Cell Biochem 67:75 -83, 1997[Medline]
  40. Brujin JA, Roos A, de Geus B, de Heer E: Transforming growth factor-ß and the glomerular extracellular matrix in renal pathology. J Lab Clin Med 123:34 -47, 1994[Medline]
  41. Border WA, Noble NA: TGF-ß in kidney fibrosis: A target for gene therapy. Kidney Int 51:1388 -1396, 1997[Medline]
  42. Hoffman B, Sharma K, Zhu Y, Ziyadeh FN: Transcriptional activation of transforming growth factor-ß1 in mesangial cell culture by high glucose concentration Kidney Int54 : 1107-1116,1998[Medline]
  43. Iwano M, Kubo A, Nishino T, Sato H, Nishioka H, Akai Y, Kurioka H, Fuji Y, Manauchi M, Shiki H, Dohi K: Quantification of glomerular TGFß1 mRNA in patients with diabetes mellitus. Kidney Int49 : 1120-1126,1996[Medline]
  44. Yamamoto T, Noble NA, Cohen AH, Nast CC, Hishida A, Gold LI, Border WA: Expression of transforming growth factor-ß isoforms in human glomerular disease. Kidney Int49 : 461-469,1996[Medline]
  45. Sharma K, Jin Y, Guo J, Ziyadeh FN: Neutralization of TGF-ß by anti-TGF-ß antibody attenuates kidney hypertrophy and the enhanced extracellular matrix gene expression in STZ-induced diabetic mice. Diabetes 45:522 -530, 1996[Abstract]
  46. Bayraktar M, Dundar S, Kirazli S, Teletar F: Platelet factor 4, ß-thromboglobulin and thrombospondin levels in type I diabetes mellitus patients. J Int Med Res 22:90 -94, 1994[Medline]
  47. Hocevar BA, Brown TL, Howe PH: TGFß induces fibronectin synthesis through a c-Jun N-terminal kinase-dependent, Smad4-independent pathway. EMBO J 18:1345 -1356, 1999[Medline]
  48. El-Youssef M, Mu Y, Huang L, Stellmach V, Crawford SE: Increased expression of transforming growth factor-ß1 and thrombospondin-1 in congenital hepatic fibrosis: Possible role of the gipatic stellate cell. J Pediatr Gastroenterol Nutr28 : 386-392,1999[Medline]
Received for publication April 28, 2000. Accepted for publication September 12, 2000.




This article has been cited by other articles:


Home page
J. Biol. Chem.Home page
S. Bhattacharyya, T. E. Marinic, I. Krukovets, G. Hoppe, and O. I. Stenina
Cell Type-specific Post-transcriptional Regulation of Production of the Potent Antiangiogenic and Proatherogenic Protein Thrombospondin-1 by High Glucose
J. Biol. Chem., February 29, 2008; 283(9): 5699 - 5707.
[Abstract] [Full Text] [PDF]


Home page
DiabetesHome page
C. Daniel, K. Schaub, K. Amann, J. Lawler, and C. Hugo
Thrombospondin-1 Is an Endogenous Activator of TGF-{beta} in Experimental Diabetic Nephropathy In Vivo
Diabetes, December 1, 2007; 56(12): 2982 - 2989.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Renal Physiol.Home page
S. Liu, L. Shi, and S. Wang
Overexpression of upstream stimulatory factor 2 accelerates diabetic kidney injury
Am J Physiol Renal Physiol, November 1, 2007; 293(5): F1727 - F1735.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
S. Belmadani, J. Bernal, C.-C. Wei, M. A. Pallero, L. Dell'Italia, J. E. Murphy-Ullrich, and K. H. Berecek
A Thrombospondin-1 Antagonist of Transforming Growth Factor-{beta} Activation Blocks Cardiomyopathy in Rats with Diabetes and Elevated Angiotensin II
Am. J. Pathol., September 1, 2007; 171(3): 777 - 789.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
M. Zhang, D. Fraser, and A. Phillips
ERK, p38, and Smad Signaling Pathways Differentially Regulate Transforming Growth Factor-{beta}1 Autoinduction in Proximal Tubular Epithelial Cells
Am. J. Pathol., October 1, 2006; 169(4): 1282 - 1293.
[Abstract] [Full Text] [PDF]


Home page
Nephrol Dial TransplantHome page
S. Yung, C. Y. Y. Lee, Q. Zhang, S. K. Lau, R. C. W. Tsang, and T. M. Chan
Elevated glucose induction of thrombospondin-1 up-regulates fibronectin synthesis in proximal renal tubular epithelial cells through TGF-{beta}1 dependent and TGF-{beta}1 independent pathways
Nephrol. Dial. Transplant., June 1, 2006; 21(6): 1504 - 1513.
[Abstract] [Full Text] [PDF]


Home page
Stem CellsHome page
L. Wang, S. Clutter, J. Benincosa, J. Fortney, and L. F. Gibson
Activation of Transforming Growth Factor-{beta}1/p38/Smad3 Signaling in Stromal Cells Requires Reactive Oxygen Species-Mediated MMP-2 Activity During Bone Marrow Damage
Stem Cells, September 1, 2005; 23(8): 1122 - 1134.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
Y. Mimura, H. Ihn, M. Jinnin, Y. Asano, K. Yamane, and K. Tamaki
Constitutive Thrombospondin-1 Overexpression Contributes to Autocrine Transforming Growth Factor-{beta} Signaling in Cultured Scleroderma Fibroblasts
Am. J. Pathol., May 1, 2005; 166(5): 1451 - 1463.
[Abstract] [Full Text] [PDF]


Home page
GlycobiologyHome page
Y. Ihara, S. Manabe, M. Kanda, H. Kawano, T. Nakayama, I. Sekine, T. Kondo, and Y. Ito
Increased expression of protein C-mannosylation in the aortic vessels of diabetic Zucker rats
Glycobiology, April 1, 2005; 15(4): 383 - 392.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
T. Nakagawa, H. Y. Lan, O. Glushakova, H. J. Zhu, D.-H. Kang, G. F. Schreiner, E. P. Bottinger, R. J. Johnson, and Y. Y. Sautin
Role of ERK1/2 and p38 Mitogen-Activated Protein Kinases in the Regulation of Thrombospondin-1 by TGF-{beta}1 in Rat Proximal Tubular Cells and Mouse Fibroblasts
J. Am. Soc. Nephrol., April 1, 2005; 16(4): 899 - 904.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
A. Azuma, Y. J. Li, S. Abe, J. Usuki, K. Matsuda, S. Henmi, Y. Miyauchi, K. Ueda, A. Izawa, S. Sone, et al.
Interferon-{beta} Inhibits Bleomycin-Induced Lung Fibrosis by Decreasing Transforming Growth Factor-{beta} and Thrombospondin
Am. J. Respir. Cell Mol. Biol., February 1, 2005; 32(2): 93 - 98.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Renal Physiol.Home page
T. Naito, T. Masaki, D. J. Nikolic-Paterson, C. Tanji, N. Yorioka, and N. Kohno
Angiotensin II induces thrombospondin-1 production in human mesangial cells via p38 MAPK and JNK: a mechanism for activation of latent TGF-{beta}1
Am J Physiol Renal Physiol, February 1, 2004; 286(2): F278 - F287.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
D. Fraser, N. Brunskill, T. Ito, and A. Phillips
Long-Term Exposure of Proximal Tubular Epithelial Cells to Glucose Induces Transforming Growth Factor-{beta}1 Synthesis via an Autocrine PDGF Loop
Am. J. Pathol., December 1, 2003; 163(6): 2565 - 2574.
[Abstract] [Full Text]


Home page
DiabetesHome page
S. Wang, X. Wu, T. M. Lincoln, and J. E. Murphy-Ullrich
Expression of Constitutively Active cGMP-Dependent Protein Kinase Prevents Glucose Stimulation of Thrombospondin 1 Expression and TGF-{beta} Activity
Diabetes, August 1, 2003; 52(8): 2144 - 2150.
[Abstract] [Full Text] [PDF]


Home page
Nephrol Dial TransplantHome page
C. Hugo
The thrombospondin 1-TGF-{beta} axis in fibrotic renal disease
Nephrol. Dial. Transplant., July 1, 2003; 18(7): 1241 - 1245.
[Full Text] [PDF]


Home page
Am. J. Physiol. Renal Physiol.Home page
R. L. Meek, S. K. Cooney, S. D. Flynn, R. F. Chouinard, M. H. Poczatek, J. E. Murphy-Ullrich, and K. R. Tuttle
Amino acids induce indicators of response to injury in glomerular mesangial cells
Am J Physiol Renal Physiol, July 1, 2003; 285(1): F79 - F86.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
R. M. Mason and N. A. Wahab
Extracellular Matrix Metabolism in Diabetic Nephropathy
J. Am. Soc. Nephrol., May 1, 2003; 14(5): 1358 - 1373.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Lung Cell. Mol. Physiol.