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, but not IFN-
, regulates CCN2 (CTGF), collagen type I, and proliferation in mesangial cells: possible roles in the progression of renal fibrosis1Department of Physiology and Biophysics, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois; 2Center for Cell and Vascular Biology, Children's Research Institute, Columbus, Ohio; and 3Baxter Healthcare, Renal Division, McGaw Park, Illinois
Submitted 19 December 2006 ; accepted in final form 13 March 2007
Connective tissue growth factor (CCN2) is a profibrotic factor acting downstream and independently of TGF-
to mediate renal fibrosis. Although inflammation is often involved in the initiation and/or progression of fibrosis, the role of inflammatory cytokines in regulation of glomerular CCN2 expression, cellular proliferation, and extracellular matrix accumulation is unknown. We studied two such cytokines, TNF-
and IFN-
, for their effects on cultured mesangial cells in the presence or absence of TGF-
, as a model for progressive renal fibrosis. Short-term treatment with TNF-
, like TGF-
, significantly increased secreted CCN2 per cell, but unlike TGF-
inhibited cellular replication. TNF-
combined with TGF-
further increased CCN2 secretion and mRNA levels and reduced proliferation. Surprisingly, however, TNF-
treatment decreased baseline collagen type I protein and mRNA levels and largely blocked their stimulation by TGF-
. Long-term treatment with TGF-
or TNF-
alone no longer increased CCN2 protein levels. However, the combination synergistically increased CCN2. IFN-
had no effect on either CCN2 or collagen activity and produced a mild inhibition of TGF-
-induced collagen only at a high concentration (500 U/ml). In summary, we report a strong positive regulatory role for TNF-
, but not IFN-
, in CCN2 production and secretion, including that driven by TGF-
. The stimulation of CCN2 release by TNF-
, unlike TGF-
, is independent of cellular proliferation and not linked to increased collagen type I accumulation. This suggests that the paradigm of TGF-
-driven CCN2 with subsequent collagen production may be overridden by an as yet undefined inhibitory mechanism acting either directly or indirectly on matrix metabolism.
inflammatory cytokines; chronic kidney disease; pathophysiology of renal disease
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