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(Hypertension. 1995;26:199-207.)
© 1995 American Heart Association, Inc.
Articles |
From the Department of Pharmacology, Osaka City University Medical School, and the Department of Drug Safety Research (T.F.), Eisai Co, Ltd, Gifu, Japan.
Correspondence to Shokei Kim, MD, Department of Pharmacology, Osaka City University Medical School, 1-4-54 Asahimachi, Abeno, Osaka 545, Japan.
Abstract We have previously reported that renal mRNA levels
for transforming growth factor-ß1, fibronectin, and collagens were
increased in 32-week-old stroke-prone spontaneously hypertensive rats
(SHRSP) with severe nephrosclerosis. To elucidate the mechanism of
hypertension-induced nephrosclerosis, we examined gene expression and
localization of transforming growth factor-ß1 and cellular
phenotype in the kidney of 25-week-old SHRSP with moderate
renal damage. Renal mRNA was measured by Northern blot
analysis. The localization of transforming growth factor-ß1
and cellular phenotype was determined by immunohistochemistry.
In the kidney of 25-week-old SHRSP, renal transforming growth
factor-ß1 mRNA was elevated compared with Wistar-Kyoto rats (WKY),
whereas renal collagen mRNAs of SHRSP were not increased.
Immunoreactive transforming growth factor-ß1 in SHRSP was mainly
localized in glomerular cells. Furthermore,
-smooth
muscle actin and desmin were significantly expressed in SHRSP
glomerular cells, in contrast to negligible expression of
these proteins in WKY.
-Smooth muscle actin staining was also
observed in interstitial cells, and vimentin, another
phenotypic marker, was expressed in atrophic tubular cells of SHRSP,
despite no staining of these proteins in WKY. Furthermore, all these
phenotypic changes in SHRSP were associated with increased cell
proliferation, as shown by the increased number of proliferating cell
nuclear antigenpositive cells. Treatment of SHRSP with cilazapril and
nifedipine (from the age of 13 to 25 weeks) prevented the
increase in transforming growth factor-ß1 expression and the cellular
phenotypic modulation and was accompanied by a reduction of urinary
albumin excretion and inhibition of cell proliferation. These
results indicated that sustained hypertension causes the increased
glomerular transforming growth factor-ß1 expression and
cellular phenotypic modulation, which may play an important role in the
progression of glomerulosclerosis and
tubulointerstitial fibrosis in hypertension.
Key Words: transforming growth factor-ß phenotype hypertension, genetic nephrosclerosis antihypertensive agents
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