PDGF-C is a proinflammatory cytokine that mediates renal interstitial fibrosis

J Am Soc Nephrol. 2008 Feb;19(2):281-9. doi: 10.1681/ASN.2007030290. Epub 2008 Jan 9.

Abstract

PDGF-C is a potent mitogen for fibroblasts in vitro. Transgenic PDGF-C overexpression in the heart or liver induces organ fibrosis, and PDGF-C expression is upregulated at sites of interstitial fibrosis in human and rat kidneys; however, the effect of inhibiting PDGF-C on the development of renal fibrosis in vivo is unknown. Renal fibrosis was induced in C57BL/6 mice by unilateral ureteral obstruction (UUO), and then mice were treated with neutralizing anti–PDGF-C antiserum or nonspecific IgG. An increase in PDGF-C expression was observed in fibrotic areas after UUO, contributed in large part by infiltrating macrophages. Treatment with anti–PDGF-C reduced renal fibrosis by 30% at day 5 and reduced interstitial myofibroblast accumulation by 57%. In vitro, PDGF-C was a potent mitogen for renal fibroblasts and induced chemokine expression. In vivo, anti–PDGF-C treatment produced a decrease in the expression of the renal chemokines CCL2 and CCL5 (85 and 67% reductions, respectively), accompanied by a significant decrease in leukocyte infiltration and CCR2 mRNA expression. Further supporting a role of PDGF-C in renal fibrosis, PDGF-C−/− mice demonstrated a reduction in fibrosis and leukocyte infiltration in response to UUO compared with wild-type littermates. In conclusion, specific neutralization or lack of PDGF-C reduces the development of renal inflammation and fibrosis in obstructed mouse kidneys. Leukocyte-derived PDGF-C induces chemokine expression, which may lead to the recruitment of additional leukocytes, creating an amplification loop for renal inflammation and fibrosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies / pharmacology
  • Cells, Cultured
  • Chemokine CCL2 / genetics
  • Fibroblasts / pathology
  • Fibrosis
  • Kidney / pathology
  • Kidney / physiology
  • Lymphokines / genetics
  • Lymphokines / immunology*
  • Lymphokines / metabolism
  • Macrophages / pathology
  • Macrophages / physiology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Mutant Strains
  • Monocytes / pathology
  • Nephritis, Interstitial / immunology*
  • Nephritis, Interstitial / pathology*
  • Nephritis, Interstitial / physiopathology
  • Neutrophils / pathology
  • Phosphorylation
  • Platelet-Derived Growth Factor / genetics
  • Platelet-Derived Growth Factor / immunology*
  • Platelet-Derived Growth Factor / metabolism
  • Rats
  • Receptors, Platelet-Derived Growth Factor / immunology
  • Receptors, Platelet-Derived Growth Factor / metabolism
  • Sheep
  • T-Lymphocytes / pathology
  • Ureteral Obstruction / immunology*
  • Ureteral Obstruction / pathology*
  • Ureteral Obstruction / physiopathology

Substances

  • Antibodies
  • Ccl2 protein, mouse
  • Chemokine CCL2
  • Lymphokines
  • Platelet-Derived Growth Factor
  • platelet-derived growth factor C
  • Receptors, Platelet-Derived Growth Factor