PMID- 16452499 OWN - NLM STAT- MEDLINE DCOM- 20060727 LR - 20111102 IS - 1046-6673 (Print) IS - 1046-6673 (Linking) VI - 17 IP - 3 DP - 2006 Mar TI - CD40L proinflammatory and profibrotic effects on proximal tubular epithelial cells: role of NF-kappaB and lyn. PG - 627-36 AB - Chronic allograft nephropathy (CAN) is the main cause of renal graft loss, but its pathogenic mechanisms are still unclear. Immune system activation has been suggested as a key event in the development of CAN. CD40 is a co-stimulatory protein whose expression is upregulated in proximal tubular epithelial cells (PTEC) in acute rejection. This receptor interacts with CD40L, expressed by activated T cells. CD40L induces the production by PTEC of different proinflammatory cytokines, but very little is known of its profibrotic effects. The aim of this study was to investigate the effect of CD40/CD40L interaction on PTEC expression of plasminogen activator inhibitor-1 (PAI-1), a powerful profibrotic mediator, and monocyte chemoattractant protein-1 (MCP-1), a proinflammatory cytokine, and to investigate the signaling pathways that lead to these effects. Soluble CD40L induced a time-dependent increase in both PAI-1 and MCP-1 gene expression and protein production in PTEC. CD40 cross-linking on PTEC caused TNF-R-associated factors 2 and 6 membrane translocation. This event led to NF-kappaB activation, through the NF-kappaB-inducing kinase, and to a significant increase in the phosphorylation of lyn, a src-related tyrosine kinase. Lyn, upon phosphorylation, became strictly associated with caveolin-1, a scaffolding protein enriched in caveolae. Lyn inhibition did not have any effect on CD40L-induced NF-kappaB activation and MCP-1 expression but abolished PAI-1 induction. On the contrary, NF-kappaB inhibition significantly reduced only MCP-1 expression. In conclusion, CD40L could play a key role in the pathogenesis of CAN through PAI-1 induction. CD40L profibrotic and proinflammatory effects are mediated by different signaling pathways, suggesting that drugs that inhibit inflammation may not be equally effective in reducing fibrosis. FAU - Pontrelli, Paola AU - Pontrelli P AD - Clinical Pathology, Department of Biomedical Sciences, University of Foggia, Italy. FAU - Ursi, Michele AU - Ursi M FAU - Ranieri, Elena AU - Ranieri E FAU - Capobianco, Carmen AU - Capobianco C FAU - Schena, Francesco P AU - Schena FP FAU - Gesualdo, Loreto AU - Gesualdo L FAU - Grandaliano, Giuseppe AU - Grandaliano G LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060201 PL - United States TA - J Am Soc Nephrol JT - Journal of the American Society of Nephrology : JASN JID - 9013836 RN - 0 (NF-kappa B) RN - 0 (Plasminogen Activator Inhibitor 1) RN - 147205-72-9 (CD40 Ligand) RN - EC 2.7.10.2 (lyn protein-tyrosine kinase) RN - EC 2.7.10.2 (src-Family Kinases) SB - IM MH - Analysis of Variance MH - Blotting, Northern MH - Blotting, Western MH - CD40 Ligand/drug effects/*metabolism MH - Cells, Cultured MH - Humans MH - Immunoprecipitation MH - Kidney Tubules, Proximal/drug effects/*metabolism MH - Microscopy, Confocal MH - NF-kappa B/*metabolism MH - Plasminogen Activator Inhibitor 1/*pharmacology MH - Probability MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sensitivity and Specificity MH - Signal Transduction MH - src-Family Kinases/*metabolism EDAT- 2006/02/03 09:00 MHDA- 2006/07/28 09:00 CRDT- 2006/02/03 09:00 PHST- 2006/02/03 09:00 [pubmed] PHST- 2006/07/28 09:00 [medline] PHST- 2006/02/03 09:00 [entrez] AID - ASN.2005020202 [pii] AID - 10.1681/ASN.2005020202 [doi] PST - ppublish SO - J Am Soc Nephrol. 2006 Mar;17(3):627-36. doi: 10.1681/ASN.2005020202. Epub 2006 Feb 1.