Iron chelation by deferoxamine prevents renal interstitial fibrosis in mice with unilateral ureteral obstruction

PLoS One. 2014 Feb 19;9(2):e89355. doi: 10.1371/journal.pone.0089355. eCollection 2014.

Abstract

Renal fibrosis plays an important role in the onset and progression of chronic kidney diseases (CKD). Although several mechanisms underlying renal fibrosis and candidate drugs for its treatment have been identified, the effect of iron chelator on renal fibrosis remains unclear. In the present study, we examined the effect of an iron chelator, deferoxamine (DFO), on renal fibrosis in mice with surgically induced unilateral ureter obstruction (UUO). Mice were divided into 4 groups: UUO with vehicle, UUO with DFO, sham with vehicle, and sham with DFO. One week after surgery, augmented renal tubulointerstitial fibrosis and the expression of collagen I, III, and IV increased in mice with UUO; these changes were suppressed by DFO treatment. Similarly, UUO-induced macrophage infiltration of renal interstitial tubules was reduced in UUO mice treated with DFO. UUO-induced expression of inflammatory cytokines and extracellular matrix proteins was abrogated by DFO treatment. DFO inhibited the activation of the transforming growth factor-β1 (TGF-β1)-Smad3 pathway in UUO mice. UUO-induced NADPH oxidase activity and p22(phox) expression were attenuated by DFO. In the kidneys of UUO mice, divalent metal transporter 1, ferroportin, and ferritin expression was higher and transferrin receptor expression was lower than in sham-operated mice. Increased renal iron content was observed in UUO mice, which was reduced by DFO treatment. These results suggest that iron reduction by DFO prevents renal tubulointerstitial fibrosis by regulating TGF-β-Smad signaling, oxidative stress, and inflammatory responses.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blotting, Western
  • Chelation Therapy / methods*
  • Deferoxamine / pharmacology*
  • Fibrosis
  • Immunohistochemistry
  • Iron Chelating Agents / pharmacology*
  • Kidney Diseases / etiology
  • Kidney Diseases / pathology*
  • Kidney Diseases / prevention & control*
  • Mice
  • Signal Transduction / drug effects
  • Transforming Growth Factor beta / metabolism
  • Ureteral Obstruction / complications*

Substances

  • Iron Chelating Agents
  • Transforming Growth Factor beta
  • Deferoxamine

Grants and funding

The study was supported by Grants for the Regional Innovation Cluster Program and the Setsuro Fujii Memorial from the Osaka Foundation for Promotion of Fundamental Medical Research to T.T. and by a JSPS KAKENHI Grant, number 24591203, to Y.I. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.