PAI-1 and CTGF are overexpressed in
kidney diseases and cause
fibrosis of the lungs, liver, and kidneys. We used a rat model of unilateral
ureteral obstruction (UUO) to investigate whether 6-BIO, a
glycogen synthase kinase-3β inhibitor, attenuated
fibrosis by inhibiting
PAI-1 and CTGF in vivo. Additionally, TGFβ-induced cellular
fibrosis was observed in vitro using the human kidney proximal tubular epithelial cells (HK-2), and rat interstitial fibroblasts (NRK49F). Expression of
fibrosis-related
proteins and signaling molecules such as
PAI-1, CTGF, TGFβ, αSMA, SMAD, and MAPK were determined in HK-2 and NRK49F cells using immunoblotting. To identify the
transcription factors that regulate the expression of
PAI-1 and CTGF the promoter activities of
AP-1 and SP-1 were analyzed using
luciferase assays. Confocal microscopy was used to observe the co-localization of
AP-1 and SP-1 to
PAI-1 and CTGF. Expression of
PAI-1, CTGF, TGFβ, and α-SMA increased in UUO model as well as in TGFβ-treated HK-2 and NRK49F cells. Furthermore, UUO and TGFβ treatment induced the activation of P-SMAD2/3, SMAD4, P-ERK 1/2, P-P38, and P-JNK MAPK signaling pathways.
PAI-1, CTGF,
AP-1 and SP-1 promoter activity increased in response to TGFβ treatment. However, treatment with 6-BIO decreased the expression of
proteins and signaling pathways associated with
fibrosis in UUO model as well as in TGFβ-treated HK-2 and NRK49F cells. Moreover, 6-BIO treatment attenuated the expression of
PAI-1 and CTGF as well as the promoter activities of
AP-1 and SP-1, thereby regulating the SMAD and MAPK signaling pathways, and subsequently exerting anti-fibrotic effects on kidney cells.