PMID- 33530801 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20211204 IS - 1473-2300 (Electronic) IS - 0300-0605 (Print) IS - 0300-0605 (Linking) VI - 49 IP - 2 DP - 2021 Feb TI - 1,25-(OH)(2)D(3) ameliorates renal interstitial fibrosis in UUO rats through the AMPKalpha/mTOR pathway. PG - 300060520981360 LID - 10.1177/0300060520981360 [doi] LID - 0300060520981360 AB - OBJECTIVE: To investigate the effects of 1,25(OH)(2)D(3) on renal fibrosis associated with the AMP-activated protein kinase (AMPK)alpha/mechanistic target of rapamycin (mTOR) signalling pathway in a rat model of unilateral ureteral obstruction (UUO). METHODS: A total of 54 male Sprague Dawley rats were randomly divided into three groups: sham-operation group, UUO group, and UUO plus calcitriol (3 ng/100 g) group. Renal tissue was excised for histological examination by immunohistochemistry and Western blot, and for gene expression analysis using real-time polymerase chain reaction. RESULTS: 1,25(OH)(2)D(3) enhanced AMPKalpha levels, inhibited mTOR levels and slowed the development of interstitial fibrosis in kidney tissue. Compared with the UUO plus calcitriol group, UUO rats demonstrated more severe renal damage characterized by marked tubular atrophy, interstitial fibrosis and significant induction of fibrogenic transforming growth factor-beta1 and increased extra-cellular matrix proteins (alpha-smooth muscle actin and collagen type III), and decreased E-cadherin. CONCLUSION: Treatment with 1,25(OH)(2)D(3) altered the AMPKalpha/mTOR signalling pathway to suppress excessive fibroblast activation observed in UUO rats. This may serve as a novel mechanism to ameliorate renal dysfunction and fibrotic lesions. FAU - Tian, Shasha AU - Tian S AUID- ORCID: 0000-0002-5306-410X AD - Department of Nephrology, The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. FAU - Yang, Xiaopeng AU - Yang X AD - Department of Nephrology, The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. FAU - Wang, Jianwu AU - Wang J AD - Department of Nephrology, The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. FAU - Luo, Jing AU - Luo J AD - Department of Rheumatology, The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. FAU - Guo, Hui AU - Guo H AD - Department of Nephrology, The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. AD - Department of Nephrology, Shenzhen Baoan Shiyan People's Hospital, Shenzhen, Guangdong, China. LA - eng PT - Journal Article PL - England TA - J Int Med Res JT - The Journal of international medical research JID - 0346411 RN - 0 (Transforming Growth Factor beta1) RN - EC 2.7.1.1 (mTOR protein, rat) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/genetics MH - Animals MH - Fibrosis MH - Kidney/pathology MH - *Kidney Diseases/drug therapy/etiology/pathology MH - Male MH - Rats MH - Rats, Sprague-Dawley MH - TOR Serine-Threonine Kinases MH - Transforming Growth Factor beta1/genetics MH - *Ureteral Obstruction PMC - PMC7871069 OTO - NOTNLM OT - 1,25-(OH)2D3 OT - AMPKalpha/mTOR OT - TGF-beta1 OT - UUO OT - renal interstitial fibrosis COIS- Declaration of conflicting interest: The authors declare that there is no conflict of interest. EDAT- 2021/02/04 06:00 MHDA- 2021/05/15 06:00 PMCR- 2021/02/02 CRDT- 2021/02/03 05:35 PHST- 2021/02/03 05:35 [entrez] PHST- 2021/02/04 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2021/02/02 00:00 [pmc-release] AID - 10.1177_0300060520981360 [pii] AID - 10.1177/0300060520981360 [doi] PST - ppublish SO - J Int Med Res. 2021 Feb;49(2):300060520981360. doi: 10.1177/0300060520981360.