Recent studies have shown renoprotective effects of the
peroxisome proliferator-activated receptor-α (
PPAR-α), but its role in kidney
fibrosis is unknown. In order to gain insight into this, we examined the effect of a novel
PPAR-α agonist,
BAY PP1, in two rat models of renal
fibrosis: unilateral
ureteral obstruction and the 5/6
nephrectomy. In healthy animals,
PPAR-α was expressed in tubular but not in interstitial cells. Upon induction of
fibrosis,
PPAR-α was significantly downregulated, and treatment with
BAY PP1 significantly restored its expression. During
ureteral obstruction, treatment with
BAY PP1 significantly reduced tubulointerstitial
fibrosis, proliferation of interstitial fibroblasts, and TGF-β(1) expression. Treatment with a less potent
PPAR-α agonist,
fenofibrate, had no effects. Treatment with
BAY PP1, initiated in established disease in the 5/6
nephrectomy, halted the decline of renal function and significantly ameliorated renal
fibrosis. In vitro,
BAY PP1 had no direct effect on renal fibroblasts but reduced
collagen,
fibronectin, and TGF-β(1) expression in tubular cells.
Conditioned media of BAY PP1-treated tubular cells reduced fibroblast proliferation. Thus, renal
fibrosis is characterized by a reduction of
PPAR-α expression, and treatment with
BAY PP1 restores
PPAR-α expression and ameliorates renal
fibrosis by modulating the cross-talk between tubular cells and fibroblasts. Hence, potent
PPAR-α agonists might be useful in the treatment of renal
fibrosis.