PMID- 11967018 OWN - NLM STAT- MEDLINE DCOM- 20021028 LR - 20211203 IS - 0085-2538 (Print) IS - 0085-2538 (Linking) VI - 61 IP - 5 DP - 2002 May TI - Y-27632 prevents tubulointerstitial fibrosis in mouse kidneys with unilateral ureteral obstruction. PG - 1684-95 AB - BACKGROUND: The small GTPase Rho is involved in cell-to-substratum adhesion and cell contraction. These actions of Rho mediated by downstream Rho effectors such as Rho-associated coiled-coil forming protein kinase (ROCK) may be partly responsible for the progression of renal interstitial fibrosis. METHODS: The anti-fibrosis effects of Y-27632, a specific ROCK inhibitor, were studied both in vivo (unilateral ureteral obstruction; UUO) and in vitro. To investigate the therapeutic efficacy of Y-27632 in UUO kidneys, smooth muscle alpha actin (SMalphaA) expression, macrophage infiltration and fibrosis in the obstructed kidneys were studied. SMalphaA, transforming growth factor beta (TGF-beta), alpha1 (I) collagen, osteopontin, macrophage chemoattractant peptide-1 (MCP-1), and intercellular adhesion molecule-1 (ICAM-1) gene expression were examined by Northern blotting. To elucidate the mechanism linking the Rho-ROCK pathway with renal fibrosis, the effects of Y-27632 on in vitro cell proliferation and cell migration were studied. RESULTS: In vivo analysis showed that Y-27632 suppressed SMalphaA expression, macrophage infiltration and interstitial fibrosis, and that Y-27632 suppressed SMalphaA, TGF-beta and alpha1 (I) collagen mRNA expression. In vitro analysis showed that Y-27632 did not suppress proliferation of renal fibroblasts but suppressed migration of macrophages. CONCLUSIONS: The Rho-ROCK system may play an important role in the development of tissue fibrosis, and the Rho-ROCK signaling pathway may be a new therapeutic target for preventing interstitial fibrosis in progressive renal disease. FAU - Nagatoya, Katsuyuki AU - Nagatoya K AD - Department of Internal Medicine and Therapeutics, Osaka University Graduate School of Medicine, and School ofHealth and Sport Sciences, Osaka University, Osaka, Japan. FAU - Moriyama, Toshiki AU - Moriyama T FAU - Kawada, Noritaka AU - Kawada N FAU - Takeji, Masanobu AU - Takeji M FAU - Oseto, Susumu AU - Oseto S FAU - Murozono, Takahiro AU - Murozono T FAU - Ando, Akio AU - Ando A FAU - Imai, Enyu AU - Imai E FAU - Hori, Masatsugu AU - Hori M LA - eng PT - Journal Article PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (Actins) RN - 0 (Amides) RN - 0 (Enzyme Inhibitors) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (Pyridines) RN - 0 (RNA, Messenger) RN - 138381-45-0 (Y 27632) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (rho-Associated Kinases) RN - EC 3.6.5.2 (Rhoc protein, mouse) RN - EC 3.6.5.2 (ras Proteins) RN - EC 3.6.5.2 (rho GTP-Binding Proteins) RN - EC 3.6.5.2 (rhoA GTP-Binding Protein) RN - EC 3.6.5.2 (rhoB GTP-Binding Protein) RN - EC 3.6.5.2 (rhoC GTP-Binding Protein) SB - IM MH - Actins/genetics MH - Administration, Oral MH - Amides/*pharmacology MH - Animals MH - Cell Division/drug effects MH - Cell Movement/drug effects/immunology MH - Cells, Cultured MH - Enzyme Inhibitors/*pharmacology MH - Fibroblasts/cytology/physiology MH - Fibrosis MH - Gene Expression/drug effects MH - Intracellular Signaling Peptides and Proteins MH - Kidney/*pathology MH - Macrophages/cytology/drug effects MH - Mice MH - Nephritis, Interstitial/*drug therapy/pathology/prevention & control MH - Protein Serine-Threonine Kinases/antagonists & inhibitors/genetics MH - Pyridines/*pharmacology MH - RNA, Messenger/analysis MH - Signal Transduction/drug effects MH - Ureteral Obstruction/complications/*pathology MH - ras Proteins MH - rho GTP-Binding Proteins/genetics MH - rho-Associated Kinases MH - rhoA GTP-Binding Protein/genetics MH - rhoB GTP-Binding Protein/genetics MH - rhoC GTP-Binding Protein EDAT- 2002/04/23 10:00 MHDA- 2002/10/29 04:00 CRDT- 2002/04/23 10:00 PHST- 2002/04/23 10:00 [pubmed] PHST- 2002/10/29 04:00 [medline] PHST- 2002/04/23 10:00 [entrez] AID - S0085-2538(15)48405-4 [pii] AID - 10.1046/j.1523-1755.2002.00328.x [doi] PST - ppublish SO - Kidney Int. 2002 May;61(5):1684-95. doi: 10.1046/j.1523-1755.2002.00328.x.