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SOX9 protein induces a chondrogenic phenotype of mesangial cells and contributes to advanced diabetic nephropathy.

Abstract
Diabetic nephropathy (DN) is the most important chronic kidney disease. We previously reported that Smad1 transcriptionally regulates the expression of extracellular matrix in DN. Phenotypic change in mesangial cells (MCs) is a key pathologic event in the progression of DN. The aim of this study is to investigate a novel mechanism underlying chondrogenic phenotypic change in MCs that results in the development of DN. MCs showed chondrogenic potential in a micromass culture, and BMP4 induced the expression of chondrocyte markers (SRY-related HMG Box 9 (SOX9) and type II collagen (COL2)). Advanced glycation end products induced the expression of chondrocyte marker proteins downstream from the BMP4-Smad1 signaling pathway in MCs. In addition, hypoxia also induced the expression of BMP4, hypoxia-inducible factor-1α (HIF-1α), and chondrocyte markers. Overexpression of SOX9 caused ectopic expression of proteoglycans and COL2 in MCs. Furthermore, forced expression of Smad1 induced chondrocyte markers as well. Dorsomorphin inhibited these inductions. Glomerular expressions of HIF-1α, BMP4, and chondrocyte markers were observed in diabetic nephropathy mice. These positive stainings were observed in mesangial sclerotic lesions. SOX9 was partially colocalized with HIF-1α and BMP4 in diabetic glomeruli. BMP4 knock-in transgenic mice showed not only similar pathological lesions to DN, but also the induction of chondrocyte markers in the sclerotic lesions. Here we demonstrate that HIF-1α and BMP4 induce SOX9 expression and subsequent chondrogenic phenotype change in DN. The results suggested that the transdifferentiation of MCs into chondrocyte-like cells in chronic hypoxic stress may result in irreversible structural change in DN.
AuthorsSeiji Kishi, Hideharu Abe, Haruhiko Akiyama, Tatsuya Tominaga, Taichi Murakami, Akira Mima, Kojiro Nagai, Fumi Kishi, Motokazu Matsuura, Takeshi Matsubara, Noriyuki Iehara, Otoya Ueda, Naoshi Fukushima, Kou-ichi Jishage, Toshio Doi
JournalThe Journal of biological chemistry (J Biol Chem) Vol. 286 Issue 37 Pg. 32162-9 (Sep 16 2011) ISSN: 1083-351X [Electronic] United States
PMID21795715 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antigens, Differentiation
  • Bmp4 protein, mouse
  • Bone Morphogenetic Protein 4
  • Collagen Type II
  • Glycation End Products, Advanced
  • Hif1a protein, mouse
  • Hypoxia-Inducible Factor 1, alpha Subunit
  • SOX9 Transcription Factor
  • Smad1 Protein
  • Smad1 protein, mouse
  • Sox9 protein, mouse
Topics
  • Animals
  • Antigens, Differentiation (biosynthesis, genetics)
  • Bone Morphogenetic Protein 4 (genetics, metabolism)
  • Cell Line
  • Cell Transdifferentiation
  • Chondrocytes (metabolism, pathology)
  • Collagen Type II (biosynthesis, genetics)
  • Diabetic Nephropathies (genetics, metabolism, pathology)
  • Gene Expression Regulation
  • Glomerular Mesangium (metabolism, pathology)
  • Glycation End Products, Advanced (genetics, metabolism)
  • Hypoxia-Inducible Factor 1, alpha Subunit (genetics, metabolism)
  • Mice
  • Mice, Transgenic
  • SOX9 Transcription Factor (biosynthesis, genetics)
  • Smad1 Protein (genetics, metabolism)

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