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and hypoxia in rat proximal tubular cells
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)-
-dependent fibrosis, both of which are known to stimulate VEGF. Because the TGF-
/Smad pathway is activated in hypoxia, we tested the hypothesis that the induction of VEGF in hypoxia could be partially dependent on TGF-
. Rat proximal tubular (NRK52E) cells treated with TGF-
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-
. However, the induction of VEGF occurs before synthesis of TGF-
and is not blocked by either a TGF-
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-
with hypoxia results in significantly more VEGF expression than either stimulation alone. Thus TGF-
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-
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