The wingless-type mouse mammary tumor virus integration site family (WNT) signaling pathway is involved in wound healing and
fibrosis. We evaluated the WNT signaling pathway in peritoneal membrane injury. We assessed
WNT1 protein expression in the peritoneal effluents of 54 stable
peritoneal dialysis (PD) patients and WNT-related gene expression in ex vivo mesothelial cell cultures from 21 PD patients. In a
transforming growth factor-β (TGF-β)-mediated animal model of
peritoneal fibrosis, we evaluated regulation of the WNT pathway and the effect of WNT inhibition on
peritoneal fibrosis and angiogenesis. WNT1 and WNT2 gene expression were positively correlated with peritoneal membrane solute transport in PD patients. In the mouse peritoneum, TGF-β-induced
peritoneal fibrosis was associated with increased expression of WNT2 and WNT4. Peritoneal β-
catenin protein was significantly upregulated after
infection with adenovirus expressing TGF-β (AdTGF-β) along with elements of the WNT signaling pathway. Treatment with a β-
catenin inhibitor (ICG-001) in mice with AdTGF-β-induced
peritoneal fibrosis resulted in attenuation of peritoneal angiogenesis and reduced
vascular endothelial growth factor. Similar results were also observed with the WNT antagonist Dickkopf-related
protein (DKK)-1. In addition to this, DKK-1 blocked epithelial-mesenchymal transition and increased levels of the cell adhesion
protein E-cadherin. We provide evidence that WNT signaling is active in the setting of experimental
peritoneal fibrosis and WNT1 correlates with patient peritoneal membrane solute transport in PD patients. Intervention in this pathway is a possible
therapy for peritoneal membrane injury.