Antibody to Endogenous Cardiotonic Steroid Reverses Vascular Fibrosis and Restores Vasorelaxation in Chronic Kidney Disease

Int J Mol Sci. 2024 Aug 15;25(16):8896. doi: 10.3390/ijms25168896.

Abstract

Marinobufagenin (MBG) is implicated in chronic kidney disease, where it removes Fli1-induced inhibition of the collagen-1. We hypothesized that (i) in nephrectomized rats, aortic fibrosis develops due to elevated plasma MBG and inhibited Fli1, and (ii) that the antibody to MBG reduces collagen-1 and improves vasodilatation. A partial nephrectomy was performed in male Sprague-Dawley rats. Sham-operated animals comprised the control group. At 5 weeks following nephrectomy, rats were administered the vehicle (n = 8), or the anti-MBG antibody (n = 8). Isolated aortic rings were tested for their responsiveness to sodium nitroprusside following endothelin-1-induced constriction. In nephrectomized rats, there was an increase in the intensity of collagen staining in the aortic wall vs. the controls. In antibody-treated rats, the structure of bundles of collagen fibers had ordered organization. Western blots of the aorta had lower levels of Fli1 (arbitrary units, 1 ± 0.05 vs. 0.2 ± 0.01; p < 0.001) and greater collagen-1 (arbitrary units, 1 ± 0.01 vs. 9 ± 0.4; p < 0.001) vs. the control group. Administration of the MBG antibody to rats reversed the effect of the nephrectomy on Fli1 and collagen-1 proteins. Aortic rings pretreated with endothelin-1 exhibited 50% relaxation following the addition of sodium nitroprusside (EC50 = 0.28 μmol/L). The responsiveness of the aortic rings obtained from nephrectomized rats was markedly reduced (EC50 = 3.5 mol/L) compared to the control rings. Treatment of rats with the antibody restored vasorelaxation. Thus, the anti-MBG antibody counteracts the Fli1-collagen-1 system and reduces aortic fibrosis.

Keywords: Fli1; Na/K-ATPase; chronic kidney disease; fibrosis; marinobufagenin; vasorelaxation.

MeSH terms

  • Animals
  • Antibodies / pharmacology
  • Aorta / drug effects
  • Aorta / metabolism
  • Bufanolides* / pharmacology
  • Collagen Type I / metabolism
  • Endothelin-1 / metabolism
  • Fibrosis*
  • Male
  • Nephrectomy
  • Nitroprusside / pharmacology
  • Proto-Oncogene Protein c-fli-1 / metabolism
  • Rats
  • Rats, Sprague-Dawley*
  • Renal Insufficiency, Chronic* / drug therapy
  • Renal Insufficiency, Chronic* / metabolism
  • Vasodilation* / drug effects

Substances

  • Bufanolides
  • marinobufagenin
  • Antibodies
  • Nitroprusside
  • Proto-Oncogene Protein c-fli-1
  • Collagen Type I
  • Endothelin-1