PMID- 25547416 OWN - NLM STAT- MEDLINE DCOM- 20150910 LR - 20211203 IS - 1421-9778 (Electronic) IS - 1015-8987 (Linking) VI - 35 IP - 1 DP - 2015 TI - Rapamycin attenuates aldosterone-induced tubulointerstitial inflammation and fibrosis. PG - 116-25 LID - 10.1159/000369680 [doi] AB - BACKGROUND/AIM: Aldosterone (Aldo), a mediator of kidney fibrosis, is implicated in the pathogenesis of chronic kidney diseases (CKD). The aim of this study was to evaluate the regulatory role of rapamycin (Rap) in Aldo-induced tubulointerstitial inflammation and fibrosis. METHODS: Uninephrectomized, Sprague-Dawley rats were given 1% NaCl (salt) to drink and were randomized to receive treatment for 28 days as follows: vehicle infusion (control), 0.75 mug/h Aldo subcutaneous infusion, or Aldo infusion plus 1 mg/kg/day of Rap by intraperitoneal injection. The effect of Rap on Aldo-induced fibrosis and renal inflammation was investigated using Masson's technique, immunohistochemistry, and western blotting. The effects of Rap on the Aldo-induced epithelial-mesenchymal transition (EMT) process and on TNF-alpha mRNA expression and secretion in cultured HK-2 cells were investigated by immunofluorescent staining, western blot, qRT-PCR and ELISA. RESULTS: An in vivo study indicated that signaling by the mammalian target of Rap (mTOR) was activated in rats in the Aldo group compared to controls, as indicated by up-regulated expression of p-mTOR and p-S6K. In addition, the inflammatory response increased, as evidenced by increases in inflammatory markers (MCP-1, ICAM-1, F4/80), and the accumulation of extracellular matrix (ECM), as indicated by increased collagen I and fibronectin expression and pro-fibrogenic gene (PAI-1 and TGF-beta1) expression. These changes were attenuated by Rap treatment. An in vitro study showed that Rap significantly suppressed the Aldo-induced EMT process and TNF-alpha mRNA expression and secretion in cultured HK-2 cells. CONCLUSIONS: Rap can ameliorate tubulointerstitial inflammation and fibrosis by blocking mTOR signaling. Tubular cells may be a major cell type involved in this physiologic process. CI - (c) 2015 S. Karger AG, Basel. FAU - Wang, Bin AU - Wang B AD - Division of Nephrology, Huashan Hospital and Institute of Nephrology, Fudan University, Shanghai, China. FAU - Ding, Wei AU - Ding W FAU - Zhang, Minmin AU - Zhang M FAU - Li, Hongmei AU - Li H FAU - Gu, Yong AU - Gu Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150102 PL - Germany TA - Cell Physiol Biochem JT - Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology JID - 9113221 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Plasminogen Activator Inhibitor 1) RN - 0 (Transforming Growth Factor beta1) RN - 0 (Tumor Necrosis Factor-alpha) RN - 4964P6T9RB (Aldosterone) RN - EC 2.7.11.1 (Ribosomal Protein S6 Kinases) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Aldosterone/toxicity MH - Animals MH - Antibiotics, Antineoplastic/*pharmacology/therapeutic use MH - Cell Line MH - Epithelial-Mesenchymal Transition/*drug effects MH - Extracellular Matrix/metabolism MH - Fibrosis/chemically induced/drug therapy/*pathology MH - Humans MH - Male MH - Nephritis, Interstitial/chemically induced/drug therapy/*pathology MH - Phosphorylation/drug effects MH - Plasminogen Activator Inhibitor 1/genetics MH - Rats MH - Rats, Sprague-Dawley MH - Ribosomal Protein S6 Kinases/metabolism MH - Signal Transduction/drug effects MH - Sirolimus/*pharmacology/therapeutic use MH - TOR Serine-Threonine Kinases/metabolism MH - Transforming Growth Factor beta1/metabolism MH - Tumor Necrosis Factor-alpha/genetics/metabolism MH - Up-Regulation/drug effects EDAT- 2014/12/31 06:00 MHDA- 2015/09/12 06:00 CRDT- 2014/12/31 06:00 PHST- 2014/11/10 00:00 [accepted] PHST- 2014/12/31 06:00 [entrez] PHST- 2014/12/31 06:00 [pubmed] PHST- 2015/09/12 06:00 [medline] AID - 000369680 [pii] AID - 10.1159/000369680 [doi] PST - ppublish SO - Cell Physiol Biochem. 2015;35(1):116-25. doi: 10.1159/000369680. Epub 2015 Jan 2.