PMID- 21957176 OWN - NLM STAT- MEDLINE DCOM- 20120209 LR - 20211020 IS - 1522-1466 (Electronic) IS - 1931-857X (Print) IS - 1522-1466 (Linking) VI - 302 IP - 1 DP - 2012 Jan 1 TI - Mast cells are required for the development of renal fibrosis in the rodent unilateral ureteral obstruction model. PG - F192-204 LID - 10.1152/ajprenal.00562.2010 [doi] AB - Mast cells are associated with inflammation and fibrosis. Whether they protect against or contribute to renal fibrosis is unclear. Based on our previous findings that mast cells can express and secrete active renin, and that angiotensin (ANG II) is profibrotic, we hypothesized that mast cells play a critical role in tubulointerstitial fibrosis. We tested this hypothesis in the 14-day unilateral ureteral obstruction (UUO) model in rats and mast cell-deficient (MCD) mice (WBB6F1-W/Wv) and their congenic controls (CC). In the 14-day UUO rat kidney, mast cell number is increased and they express active renin. Stabilizing mast cells in vivo with administration of cromolyn sodium attenuated the development of tubulointerstitial fibrosis, which was confirmed by measuring newly synthesized pepsin-soluble collagen and blind scoring of fixed trichrome-stained kidney sections accompanied by spectral analysis. Fibrosis was absent in UUO kidneys from MCD mice unlike that observed in the CC mice. Losartan treatment reduced the fibrosis in the CC UUO kidneys. The effects of mast cell degranulation and renin release were tested in the isolated, perfused kidney preparation. Mast cell degranulation led to renin-dependent protracted flow recovery. This demonstrates that mast cell renin is active in situ and the ensuing ANG II can modulate intrarenal vascular resistance in the UUO kidney. Collectively, the data demonstrate that mast cells are critical to the development of renal fibrosis in the 14-day UUO kidney. Since renin is present in human kidney mast cells, our work identifies potential targets in the treatment of renal fibrosis. FAU - Veerappan, Arul AU - Veerappan A AD - Dept. of Physiology and Biophysics, Weill Cornell Medical College, 1300 York Ave., Box 75, New York, NY 10065, USA. FAU - Reid, Alicia C AU - Reid AC FAU - O'Connor, Nathan AU - O'Connor N FAU - Mora, Rosalia AU - Mora R FAU - Brazin, Jacqueline A AU - Brazin JA FAU - Estephan, Racha AU - Estephan R FAU - Kameue, Takashi AU - Kameue T FAU - Chen, Jie AU - Chen J FAU - Felsen, Diane AU - Felsen D FAU - Seshan, Surya V AU - Seshan SV FAU - Poppas, Dix P AU - Poppas DP FAU - Maack, Thomas AU - Maack T FAU - Silver, Randi B AU - Silver RB LA - eng GR - R01 DK060726/DK/NIDDK NIH HHS/United States GR - DK060726/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20110928 PL - United States TA - Am J Physiol Renal Physiol JT - American journal of physiology. Renal physiology JID - 100901990 RN - 11128-99-7 (Angiotensin II) RN - EC 3.4.23.15 (Renin) RN - JMS50MPO89 (Losartan) SB - IM MH - Angiotensin II/physiology MH - Animals MH - Cell Degranulation MH - Fibrosis MH - Humans MH - In Vitro Techniques MH - Kidney/metabolism/pathology MH - Kidney Diseases/drug therapy/*pathology MH - Losartan/therapeutic use MH - Male MH - Mast Cells/*physiology MH - Mice MH - Rats MH - Renin/*physiology MH - Renin-Angiotensin System/physiology MH - Ureteral Obstruction/*pathology PMC - PMC3251335 EDAT- 2011/10/01 06:00 MHDA- 2012/02/10 06:00 PMCR- 2013/01/01 CRDT- 2011/09/30 06:00 PHST- 2011/09/30 06:00 [entrez] PHST- 2011/10/01 06:00 [pubmed] PHST- 2012/02/10 06:00 [medline] PHST- 2013/01/01 00:00 [pmc-release] AID - ajprenal.00562.2010 [pii] AID - F-00562-2010 [pii] AID - 10.1152/ajprenal.00562.2010 [doi] PST - ppublish SO - Am J Physiol Renal Physiol. 2012 Jan 1;302(1):F192-204. doi: 10.1152/ajprenal.00562.2010. Epub 2011 Sep 28.