Activation of interstitial myofibroblasts and excessive production of
extracellular matrix proteins are common pathways that contribute to
chronic kidney disease. In a number of tissues,
AMP-activated kinase (AMPK) activation has been shown to inhibit
fibrosis. Here, we examined the inhibitory effect of the AMPK activator, 5-aminoimidazole-4-carboxyamide ribonucleoside (
AICAR), on renal
fibrosis in vivo and TGF-β1-induced renal fibroblasts activation in vitro. A unilateral
ureteral obstruction (UUO) model was induced in male BALB/c mice. Mice with UUO were administered
AICAR (500 mg/Kg/day) or saline intraperitoneally 1 day before UUO surgery and daily thereafter. Both kidneys were harvested 7 days after surgery for further analysis. For the in vitro studies, NRK-49F rat fibroblasts were pre-incubated with
AICAR before TGF-β1 stimulation. The inhibitory effects of
AICAR on signaling pathways down-stream of TGF-β1 were analyzed. In UUO model mice, administration of
AICAR attenuated
extracellular matrix protein deposition and the expression of α-smooth muscle actin (α-SMA),
type I collagen and
fibronectin. Pre-incubation of NRK-49F cells with
AICAR inhibited TGF-β1-induced myofibroblast activation. Silencing of AMPKα1 by
siRNA or by blocking AMPK activation with Compound C diminished the inhibitory effect of
AICAR. Moreover, the inhibitory effects of
AICAR on TGF-β1-mediated myofibroblast activation were associated with down-regulation of ERK 1/2 and STAT3. Our results suggest that
AICAR reduces tubulointerstitial
fibrosis in UUO mice and inhibits TGF-β1-induced kidney myofibroblast activation. AMPK activation by
AICAR may have therapeutic potential for the treatment of renal tubulointerstitial
fibrosis.