PMID- 23007133 OWN - NLM STAT- MEDLINE DCOM- 20130415 LR - 20230216 IS - 1530-0307 (Electronic) IS - 0023-6837 (Linking) VI - 92 IP - 12 DP - 2012 Dec TI - The monocyte chemoattractant protein-1 (MCP-1)/CCR2 system is involved in peritoneal dialysis-related epithelial-mesenchymal transition of peritoneal mesothelial cells. PG - 1698-711 LID - 10.1038/labinvest.2012.132 [doi] AB - Epithelial-mesenchymal transition (EMT) of peritoneal mesothelial cells (PMCs) has a role in the process of peritoneal fibrosis (PF), a serious complication in peritoneal dialysis (PD) patients. Even though monocyte chemoattractant protein-1 (MCP-1) was demonstrated to directly increase extracellular matrix (ECM) synthesis, the role of the MCP-1/CCR2 system in PD-related EMT and ECM synthesis in cultured human PMCs (HPMCs) and in an animal model of PD has never been elucidated. In vitro, HPMCs were exposed to 5.6 mM glucose (NG), NG+MCP-1 (10 ng/ml) (NG+MCP-1), or 100 mM glucose (HG) with or without CCR2 inhibitor (RS102895) (CCR2i) or a dominant-negative mutant MCP-1-expressing lentivirus (LV-mMCP-1). In vivo, PD catheters were inserted into 60 Sprague-Dawley rats, and saline (Control, C) (N=30) or 4.25% PD solution (PD) (N=30) was infused for 4 weeks. Twenty rats from each group were treated with empty LV or LV-mMCP-1 intraperitoneally. Snail, E-cadherin, alpha-smooth muscle actin (alpha-SMA), and fibronectin protein expression in HPMCs and the peritoneum was evaluated by western blot analysis. Compared with NG cells, Snail, alpha-SMA, and fibronectin expression was significantly increased, while E-cadherin expression was significantly decreased in HPMCs exposed to HG and NG+MCP-1, and these changes were significantly abrogated by CCR2i (P<0.05). In addition, MCP-1-induced EMT was significantly attenuated by anti-TGF-beta1 antibody. In PD rats, Snail and fibronectin expression was significantly increased in the peritoneum, whereas the ratios of E-cadherin/alpha-SMA protein expression were significantly decreased (P<0.05). The thickness of the peritoneum and the intensity of Masson's trichrome staining in the peritoneum were also significantly higher in PD rats than in C rats (P<0.05). These changes in PD rats were significantly abrogated by LV-mMCP-1. These findings suggest that the MCP-1/CCR2 system is directly involved in PD-related EMT and ECM synthesis and that this is mediated, at least in part, via TGF-beta1. FAU - Lee, Sun Ha AU - Lee SH AD - Department of Internal Medicine, College of Medicine, Brain Korea 21, Severance Biomedical Science Institute, Yonsei University, Seoul, Korea. FAU - Kang, Hye-Young AU - Kang HY FAU - Kim, Kyung Sik AU - Kim KS FAU - Nam, Bo Young AU - Nam BY FAU - Paeng, Jisun AU - Paeng J FAU - Kim, Seonghun AU - Kim S FAU - Li, Jin Ji AU - Li JJ FAU - Park, Jung Tak AU - Park JT FAU - Kim, Dong Ki AU - Kim DK FAU - Han, Seung Hyeok AU - Han SH FAU - Yoo, Tae-Hyun AU - Yoo TH FAU - Kang, Shin-Wook AU - Kang SW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120924 PL - United States TA - Lab Invest JT - Laboratory investigation; a journal of technical methods and pathology JID - 0376617 RN - 0 (CCR2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Fibronectins) RN - 0 (Receptors, CCR2) RN - 0 (Transforming Growth Factor beta1) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Analysis of Variance MH - Animals MH - Cells, Cultured MH - Chemokine CCL2/genetics/*metabolism MH - Epithelial Cells/cytology/*metabolism MH - Epithelial-Mesenchymal Transition/*physiology MH - Extracellular Matrix/metabolism MH - Fibronectins/metabolism MH - Glucose/metabolism MH - HEK293 Cells MH - Humans MH - Male MH - Peritoneal Dialysis/*adverse effects MH - Peritoneal Fibrosis/metabolism MH - Peritoneum/*cytology/pathology MH - Rats MH - Rats, Sprague-Dawley MH - Receptors, CCR2/*metabolism MH - Signal Transduction MH - Transforming Growth Factor beta1/metabolism EDAT- 2012/09/26 06:00 MHDA- 2013/04/16 06:00 CRDT- 2012/09/26 06:00 PHST- 2012/09/26 06:00 [entrez] PHST- 2012/09/26 06:00 [pubmed] PHST- 2013/04/16 06:00 [medline] AID - S0023-6837(22)01662-2 [pii] AID - 10.1038/labinvest.2012.132 [doi] PST - ppublish SO - Lab Invest. 2012 Dec;92(12):1698-711. doi: 10.1038/labinvest.2012.132. Epub 2012 Sep 24.