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Expression of XBP1s in peritoneal mesothelial cells is critical for inflammation-induced peritoneal fibrosis.

Abstract
Intraperitoneal inflammation is the most important determinant of peritoneal fibrosis in patients with long-term peritoneal dialysis (PD). Spliced x-box binding protein-1 (XBP1s), a major proximal effector of unfolded protein response (UPR) signaling, plays an indispensable role in inflammation. Our study demonstrated that the inflammatory factor interleukin-1β (IL-1β) dose- and time-dependently induced XBP1s upregulation and interleukin-6 (IL-6) secretion, as well as the expression of the fibrotic marker fibronectin. However, these effects were prevented by the IRE1 endonuclease inhibitor STF083010 since it time-dependently reduced IL-1β-induced Xbp1 mRNA splicing, XBP1s protein expression, inflammatory factor IL-6 secretion and the expression of the fibrotic marker fibronectin in human peritoneal mesothelial cells (HPMCs). The overexpression and knockdown of XBP1s in HPMCs had a similar effect on fibronectin expression. In a rat model of peritoneal inflammation, STF083010 significantly attenuated chlorhexidine digluconate-induced XBP1s and α-smooth muscle actin expression, as well as fibrotic tissue proliferation, in the peritoneum. Our results suggest that XBP1s is a strong pathogenic factor that mediates inflammation-induced peritoneal fibrosis in peritoneal dialysis.
AuthorsAn Liu, Qiong Song, Yong Zheng, Guoshuang Xu, Chen Huang, Shiren Sun, Lijie He, Lijuan Zhao, Meilan Zhou
JournalScientific reports (Sci Rep) Vol. 9 Issue 1 Pg. 19043 (12 13 2019) ISSN: 2045-2322 [Electronic] England
PMID31836774 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Inflammation Mediators
  • Interleukin-1beta
  • X-Box Binding Protein 1
  • chlorhexidine gluconate
  • Chlorhexidine
Topics
  • Animals
  • Cell Line
  • Chlorhexidine (analogs & derivatives)
  • Epithelium (pathology)
  • Humans
  • Inflammation (complications)
  • Inflammation Mediators (metabolism)
  • Interleukin-1beta (toxicity)
  • Male
  • Neovascularization, Pathologic (metabolism, pathology)
  • Peritoneal Fibrosis (etiology, pathology)
  • Peritoneum (pathology)
  • Rats, Sprague-Dawley
  • X-Box Binding Protein 1 (metabolism)

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