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Am J Physiol Renal Physiol 287: F658-F664, 2004. First published June 8, 2004; doi:10.1152/ajprenal.00040.2004
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Differential regulation of VEGF by TGF-{beta} and hypoxia in rat proximal tubular cells

Takahiko Nakagawa,1,2 Hui Y. Lan,2 Hong J. Zhu,3 Duk-Hee Kang,4 George F. Schreiner,5 and Richard J. Johnson1,2

1Division of Nephrology, Hypertension, and Transplantation, University of Florida, Gainesville, Florida 32610-0224; 2Division of Nephrology-Medicine, Baylor College of Medicine, Houston, Texas 77030; 3Ludwig Institute for Cancer Research, Royal Melbourne Hospital, Victoria 3050, Australia; 4Division of Nephrology, Ewha Women's University Hospital, Seoul 158-710, Republic of Korea; and 5Scios, Incorporated, Sunnyvale, California 94085

Submitted 5 February 2004 ; accepted in final form 1 June 2004

VEGF expression by proximal tubular epithelial cells may play a critical role in maintaining peritubular capillary endothelium in renal disease. Two major processes involved in renal injury include hypoxia (from vasoconstriction or vascular injury) and transforming growth factor (TGF)-{beta}-dependent fibrosis, both of which are known to stimulate VEGF. Because the TGF-{beta}/Smad pathway is activated in hypoxia, we tested the hypothesis that the induction of VEGF in hypoxia could be partially dependent on TGF-{beta}. Rat proximal tubular (NRK52E) cells treated with TGF-{beta} under normoxic conditions secreted VEGF at 24 h, and this was significantly reduced by blocking Smad activation by overexpressing the inhibitory Smad7 or by blocking p38 and ERK1/2 MAP kinase activation or protein kinase C activation with specific inhibitors. With acute hypoxia, rat proximal tubular cells also express VEGF mRNA and protein as well as TGF-{beta}. However, the induction of VEGF occurs before synthesis of TGF-{beta} and is not blocked by either a TGF-{beta} antagonist, by Smad7 overexpression, or by blockage of ERK1/2, whereas induction is blocked by PKC inhibition or partially blocked by a p38 inhibitor. Finally, the addition of TGF-{beta} with hypoxia results in significantly more VEGF expression than either stimulation alone. Thus TGF-{beta} and hypoxia act via additive/synergistic but distinct pathways to stimulate VEGF in proximal tubular cells, a finding that may be important in understanding how VEGF is stimulated in renal disease.

Smad; protein kinase C; mitogen-activated protein kinase; renal; angiogenesis; vascular endothelial growth factor; transforming growth factor-{beta}



Address for reprint requests and other correspondence: T. Nakagawa, Div. of Nephrology, Hypertension, and Transplantation, Univ. of Florida, PO Box 100224, Gainesville, FL 32610-0224 (E-mail: nakagt{at}medicine.ufl.edu)




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