Am J Physiol Renal Physiol 294: F1076-F1083, 2008.
First published March 19, 2008; doi:10.1152/ajprenal.00323.2007
0363-6127/08 $8.00
Smad ubiquitination regulatory factor-2 in the fibrotic kidney: regulation, target specificity, and functional implication
Ruoyun Tan,1,2
Weichun He,2
Xia Lin,3
Lawrence P. Kiss,2 and
Youhua Liu2
1Department of Medicine, The Second Affiliated Hospital, Nanjing Medical University, Nanjing, China; 2Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and 3Department of Surgery, Baylor College of Medicine, Houston, Texas
Submitted 13 July 2007
; accepted in final form 12 March 2008
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ABSTRACT
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Smad ubiquitination regulatory factor-2 (Smurf2) is an E3 ubiqutin ligase that plays a pivotal role in regulating TGF-β signaling via selectively targeting key components of the Smad pathway for degradation. In this study, we have investigated the regulation of Smurf2 expression, its target specificity, and the functional implication of its induction in the fibrotic kidney. Immunohistochemical staining revealed that Smurf2 was upregulated specifically in renal tubules of kidney biopsies from patients with various nephropathies. In vitro, Smurf2 mRNA and protein were induced in human proximal tubular epithelial cells (HKC-8) upon TGF-β1 stimulation. Ectopic expression of Smurf2 was sufficient to reduce the steady-state levels of Smad2, but not Smad1, Smad3, Smad4, and Smad7, in HKC-8 cells. Interestingly, Smurf2 was also able to downregulate the Smad transcriptional corepressors Ski, SnoN, and TG-interacting factor. Inhibition of the proteasomal pathway prevented Smurf2-mediated downregulation of Smad2 and Smad corepressors. Functionally, overexpression of Smurf2 enhanced the transcription of the TGF-β-responsive promoter and augmented TGF-β1-mediated E-cadherin suppression, as well as fibronectin and type I collagen induction in HKC-8 cells. These results indicate that Smurf2 specifically targets both positive and negative Smad regulators for destruction in tubular epithelial cells, thereby providing a complex fine-tuning of TGF-β signaling. It appears that dysregulation of Smurf2 could contribute to an aberrant TGF-β/Smad signaling in the pathogenesis of kidney fibrosis.
SnoN; renal fibrosis; TGF-β1; ubiquitination
TRANSFORMING GROWTH factor-β (TGF-β) plays a fundamental role in regulating many biological processes such as cell proliferation, apoptosis, differentiation and extracellular matrix production (2, 5). Smad proteins are central components of TGF-β signaling. After TGF-β binding to its type II serine/threonine kinase receptor (TβRII), type I receptor (TβRI) is activated, resulting in the phosphorylation and activation of the downstream receptor-regulated Smads (R-Smads). Activated R-Smads (Smad2 and Smad3) heteroligomerize with the common partner Smad4 (co-Smad) and then translocate into the nucleus to control the transcription of TGF-β-responsive genes (17). This cascade of signal transduction events from the cell surface to the nucleus is tightly constrained by several negative regulatory mechanisms (15, 18, 19). Smad7, an inhibitory Smad (I-Smad), inhibits phosphorylation of R-Smads by blocking their access to TβRI and/or by promoting the degradation of the receptor complexes. In addition, several Smad transcriptional corepressors, including Sloan-Kettering Institute proto-oncogene (Ski), Ski-related novel gene, non-Alu-containing (SnoN), and TG-interacting factor (TGIF), are capable of blocking R-Smad-mediated gene transcription (5, 18). In normal physiological conditions, both positive and negative components of Smad signaling are delicately balanced and closely regulated, ensuring a homeostasis of TGF-β signal outputs.
Many studies have demonstrated an aberrant regulation of TGF-β signaling in the fibrotic kidney after chronic injury (1, 13, 24). It is well documented that renal fibrogenesis is associated with increased TGF-β1 expression and posttranslational activation, as well as an upregulation of its receptors in various experimental nephropathies and in kidney biopsies from patients with renal failure (30, 37). Recently, evidence is emerging that several key components of Smad signaling are also dysregulated in the fibrotic kidney. For instance, SnoN and Ski are progressively downregulated in mouse and rat models of obstructive nephropathy (7, 38). A reduced TGIF expression is also documented in the glomeruli of diabetic animals (3). Similarly, several studies have revealed an anomalous expression of Smad2, Smad3, and Smad7 in the diseased kidney after sustained insults (6, 22, 31). Interestingly, in addition to transcriptional regulation (28), many proteins in Smad signaling are subjected to modulation by ubiquitin-mediated proteasomal degradation (7, 12, 27), a unique proteolytic pathway that selects, tags, and executes the orderly destruction of a wide variety of physiologically vital proteins such as signal transducers.
The ubiquitin-mediated proteolytic system consists of a highly organized cascade of enzymatic reactions that necessitates a ubiquitin-activating enzyme (E1), ubiquitin-conjugation enzyme (E2), and ubiquitin ligase (E3) (4, 16). The specificity and selectivity of target proteins for degradation are defined by particular E3 ubiquitin ligases. Smad ubiquitination regulatory factor-2 (Smurf2) is an E3 ligase that belongs to the HECT domain ubiquitin ligase family (11, 40), characterized by unique structural motifs that are homologous to the E6-AP COOH terminus. Structurally, Smurf2 features an NH2-terminal C2 domain, three WW domains, and a COOH-terminal HECT ligase domain (9, 11). Smurf2 can specifically target certain members of Smad proteins and promotes their ubiquitin-dependent degradation, thereby controlling the cellular levels of these signaling mediators. By so doing, Smurf2 could play an important role in regulating numerous biological processes ranging from embryogenesis, tumorogenesis, to fibrotic disease progression.
We and others have recently shown a close association between Smurf2 expression and SnoN degradation in obstructive nephropathy (7, 27), suggesting a potential role of Smurf2 in regulating TGF-β signaling in vivo. In this study, we have continued this line of investigation by delineating Smurf2 regulation, its target specificity, and its functional implication in the setting of chronic kidney fibrosis.
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MATERIALS AND METHODS
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Human kidney samples and immunohistochemical staining.
Human kidney specimens were obtained from diagnostic renal biopsies performed at the University of Pittsburgh Medical Center. Nontumor kidney tissue from the patients who had renal cell carcinoma and underwent a nephrectomy was used as the normal control. All studies involving human tissues were approved by the Institutional Review Board at the University of Pittsburgh. Immunohistochemical staining was performed using established procedures, as described previously (29). Briefly, paraffin-embedded human kidney sections (3- to 4-µm thickness) were prepared by a routine procedure and stained with the specific primary antibody against Smurf2 (sc-25511, Santa Cruz Biotechnology, Santa Cruz, CA). As a negative control, the primary antibody was replaced with nonimmune normal rabbit IgG, and no staining occurred.
Cell culture and treatment.
Human proximal tubular epithelial cells (HKC, clone 8) were cultured in DMEM and Ham's F-12 medium (1:1) supplemented with 5% FBS (Invitrogen, Carlsbad, CA), as described previously (23, 36). Cells were typically seeded at
70% confluence in complete medium containing 5% FBS for 24 h and then serum-starved for 16 h, followed by incubation with 2 ng/ml TGF-β1 for various periods of time as indicated. In some experiments, cells were pretreated with either of the various inhibitors at given concentrations or vehicle (0.1% DMSO) 0.5 h before incubation with TGF-β1. Human recombinant TGF-β1 was purchased from R&D Systems (Minneapolis, MN). PD98059 (Mek1 inhibitor), wortmannin (phosphatidylinositol 3-kinase inhibitor), SC-68376 (p38 mitogen-activated protein kinase inhibitor), and SP600125 (c-Jun amino-terminal kinase inhibitor) were purchased from Calbiochem (La Jolla, CA).
RNA isolation and RT-PCR.
Total RNA isolation, reverse transcription of RNA, and PCR amplification were performed as described elsewhere (27). Briefly, first-strand cDNA synthesis was carried out by using a Reverse Transcription System kit according to the instructions of the manufacturer (Promega, Madison, WI). PCR amplification was performed using HotStar Taq Master Mix Kit (Qiagen, Valencia, CA). The primer sequences were as follows: Smurf2, 5'-CGCTTGATCCAAAGTGGAAT-3' (sense), and 5'-GGTTGATGGCATTGGAAAGA-3' (antisense); collagen I, 5'-CCAAATCTGTCTCCCCAGAA-3' (sense), and 5'-TCAAAAACGAAGGGGAGATG-3' (antisense); and β-actin, 5'-TCAAGATCATTGCTCCTCCTGAGC-3' (sense), and 5'-TGCTGTCACCTTCACCGTTCCAGT-3' (antisense). Relative levels of Smurf2 and collagen I mRNA were calculated after normalizing with the housekeeping gene β-actin.
Western blot analysis.
Detection of protein expression by Western blot analysis was carried out according to the established protocols described previously (36). The primary antibodies used were as follows: anti-Smurf2 (sc-25511), anti-SnoN (sc-9141), anti-Ski (sc-9140), anti-TGIF (sc-17800), and anti-actin (sc-1616, Santa Cruz Biotechnology); anti-HA (6E2) (Cell Signaling Technology, Beverly, MA), anti-Smad2 (51-1300) and anti-Smad3 (51-1500, Zymed Laboratories, South San Francisco, CA); and anti-
-tubulin (T-9026, Sigma), anti-GAPDH (Ambion, Austin, TX), anti-E-cadherin (clone 36), and anti-fibronectin (clone 10, BD Biosciences, San Diego, CA). Quantitative analysis of Western blot data was performed by measuring the intensity of the band signals with the use of National Institutes of Health Image analysis software.
Plasmid transient transfection.
For transient transfection, HKC-8 cells were seeded in six-well plates at 5 x 105 cells/well. The cells were then cotransfected for 24 h with 1.0 µg human HA-tagged Smad1, HA-tagged Smad2, HA-tagged Smad3, HA-tagged Smad4, HA-tagged Smad7, HA-tagged SnoN, HA-tagged Ski, or HA-tagged TGIF expression vector plus 1.0 µg empty pcDNA3 vector or Flag-tagged Smurf2 expression vector, as described previously (11), using Lipofectamine 2000 reagent according to the instructions specified by the manufacturer (Invitrogen). HA-tagged SnoN and HA-tagged Ski plasmids were provided by Dr. R. Weinberg (Massachusetts Institute of Technology, Cambridge, MA) (26), whereas the HA-tagged TGIF expression vector was obtained from Dr. J. Massague (Memorial Sloan-Kettering Cancer Center, New York, NY) (14). In some experiments, transfected cells were also treated with MG132 (2.5 µM) for 24 h. In addition, HKC-8 cells were also transiently transfected with HA-tagged Smad2, HA-tagged Smad3, or Flag-tagged Smurf2 expression vector for 24 h and then treated with various concentrations of TGF-β1 for 48 or 72 h. The empty pcDNA3 vector was used as a mock transfection control.
Reporter constructs and luciferase assay.
The reporter construct p3TP-Lux was provided by Dr. J. Massague. HKC-8 cells were cotransfected by using Lipofectamine 2000 reagent with a p3TP-Lux luciferase reporter construct (1.0 µg) plus Flag-Smurf2 (1.0 µg) expression vector or empty pcDNA3 vector. A fixed amount (0.1 µg) of internal control reporter Renilla reniformis luciferase driven under a thymidine kinase (TK) promoter (pRL-TK, Promega) was also cotransfected for normalizing the transfection efficiency. After transfection for 24 h, cells were treated without or with TGF-β1 (2 ng/ml) for an additional 48 h. Luciferase assay was performed using the Dual Luciferase Assay System kit according to the manufacturer's protocols (Promega). Relative luciferase activity (arbitrary unit) was reported as fold-induction over controls after normalizing for transfection efficiency.
Small interfering RNA inhibition experiment.
For small interfering RNA (siRNA) inhibition studies, HKC-8 cells were transiently transfected with negative control siRNA (Am4635), Smad2 siRNA (ID no. 115715), or Smad3 siRNA (ID no. 107877, Ambion, Austin, TX) at the final concentration of 120 nM by using oligofectamine reagent according to the instructions specified by the manufacturer (Invitrogen). After transfection for 72 h, whole-cell lysates were collected for assessing the expression of Smad2 and Smad3 by Western blot analyses. In some experiments, after transfection for 24 h, cells were then serum-starved for 16 h, followed by treated with various concentrations of TGF-β1 for an additional 48 h.
Statistical analysis.
Statistical analysis was performed using SigmaStat software (Jandel Scientific Software, San Rafael, CA). Comparisons between groups were made using one-way analysis of variance, followed by the Student-Newman-Keuls test. A P value of <0.05 was considered significant.
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RESULTS
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Smurf2 induction in renal tubules of human fibrotic kidneys.
Earlier studies demonstrate that SnoN degradation is closely associated with an upregulation of Smurf2 in the fibrotic kidney after unilateral ureteral obstruction (27). To explore the clinical relevance of this observation, we investigated Smurf2 protein expression in human kidney biopsies from patients with different nephropathies. As shown in Fig. 1A, little Smurf2 expression was detected by immunohistochemical staining in normal control, nontumor kidney tissues (n = 3). However, increased Smurf2 protein was found in fibrotic kidneys with diverse etiologies, such as diabetic nephropathy with focal and segmental glomerulosclerosis (n = 1) (Fig. 1B), hypertension with moderate interstitial fibrosis (n = 4) (Fig. 1C), and lupus nephritis with moderate interstitial fibrosis (n = 1) (Fig. 1D). Smurf2 was localized primarily in renal tubules, but not in glomeruli.

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Fig. 1. Smad ubiquitination regulatory factor-2 (Smurf2) is induced in renal tubules of human kidney biopsies of patients with different nephropathies. Immunohistochemical staining demonstrated Smurf2 expression and localization in normal control and diseased kidneys. Representative micrographs are shown. A: normal kidney (n = 3). B: diabetic nephropathy with focal and segmental glomerulosclerosis (n = 1). C: hypertension with moderate interstitial fibrosis (n = 4). D: lupus nephritis with severe tubular atrophy, moderate interstitial fibrosis (n = 1). Magnification x400. Arrowheads indicate the positive staining of Smurf2.
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TGF-β1 induces tubular Smurf2 expression in vitro.
We next investigated the potential inducer that triggers Smurf2 upregulation by using cultured human proximal tubular epithelial cells. As TGF-β1 is induced in virtually all chronic kidney diseases, we sought to examine whether it is responsible for Smurf2 induction under pathological conditions. Therefore, HKC-8 cells were treated with 2 ng/ml of TGF-β1 for various periods of time as indicated. As presented in Fig. 2A, TGF-β1 markedly induces Smurf2 mRNA expression. Quantitative determination revealed a fourfold induction of Smurf2 mRNA at 1 h after TGF-β1 treatment in HKC-8 cells. Western blot analyses also demonstrated a Smurf2 protein induction in HKC-8 cells by TGF-β1 (Fig. 2, C and D). Induction of Smurf2 was transient, and both Smurf2 mRNA and protein returned toward the baseline levels after 6-h incubation with TGF-β1.
Smurf2 induction by TGF-β1 requires Smad signaling.
We further explored the potential mechanism of Smurf2 induction by delineating the critical signal pathway involved. As shown in Fig. 3A, pharmacological inhibitor of Mek1 kinase (PD98059), PI-3-kinase (wortmannin), p38 MAPK (SC68376), or JNK (SP600125) did not block Smurf2 induction after TGF-β1 treatment in HKC-8 cells. To examine the potential involvement of Smad signaling, HKC-8 cells were transiently transfected with SnoN expression vector or empty pcDNA3 vector and then treated without or with TGF-β1. We found that overexpression of Smad corepressor SnoN completely abolished the TGF-β1-mediated Smurf2 mRNA induction in HKC-8 cells, indicating its dependency on Smad signaling.

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Fig. 3. Smad signaling is required for the TGF-β1-mediated induction of Smurf2 in tubular epithelial cells. A: HKC-8 cells were pretreated with either various chemical inhibitors or vehicle (DMSO) as indicated for 30 min, followed by incubation in the absence or presence of TGF-β1 (2 ng/ml) for 1 h, PD98059 (PD; 10 µM), wortmannin (wort; 10 nM), SC68376 (SC; 20 µM), or SP600125 (SP; 20 µM). B: HKC-8 cells were transiently transfected with Ski-related novel gene, non-Alu-containing (SnoN) expression vector or empty pcDNA3 vector for 24 h and then treated without or with TGF-β1 (2 ng/ml) for 1 h. The steady-state levels of Smurf2 mRNA were assessed by RT-PCR analyses.
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Smurf2 specifically targets Smad2 and Smad corepressors for degradation.
Smurf2 is an E3 ligase that regulates the lifespan of intracellular mediators in TGF-β signal circuit. To identify and test the specificity of Smurf2 targets, we cotransfected HKC-8 cells with HA-tagged Smad proteins and Flag-tagged Smurf2 expression vector or empty pcDNA3 vector, respectively, followed by analyzing HA-tagged Smads abundances with Western blotting. As shown in Fig. 4, A–E, cotransfection with Smad2 and Smurf2 expression vectors completely abolished HA-tagged Smad2 expression in HKC-8 cells, whereas Smurf2 did not significantly affect the expression and protein abundance of Smad1, Smad3, Smad4, and Smad7. We next examined the effects of Smurf2 on the abundance of Smad transcriptional corepressors by using the same approach. As presented in Fig. 4, F–H, Smurf2 expression clearly downregulated SnoN, Ski, and TGIF protein expression. Altogether, these results indicate that Smurf2 specifically downregulate the protein expression of Smad2, SnoN, Ski, and TGIF in tubular epithelial cells.

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Fig. 4. Differential effects of Smurf2 on the abundance of various Smads and their transcriptional corepressors in tubular epithelia cells. HKC-8 cells were transiently cotransfected with 1.0 µg HA-tagged Smads (A–E), or their corepressors (F–H) plus either 1.0 µg Flag-tagged Smurf2 expression vector or empty pcDNA3 vector as indicated for 24 h. Whole-cell lysates were immunoblotted with antibodies against HA, SnoN, Sloan-Kettering Institute proto-oncogene (Ski), TG-interacting factor (TGIF), Smurf2, and -tubulin, respectively.
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To investigate the mechanism by which Smurf2 inhibits Smad2 and Smad corepressors expression, we sought to examine whether blockade of the proteasomal-dependant degradation prevents the Smurf2-mediated downregulation of these proteins in tubular epithelial cells. As shown in Fig. 5, proteasomal degradation inhibitor MG132 completely restored Smad2, SnoN, and Ski expression after ectopic expression of Smurf2. Notably, the protein abundance of Smad2, SnoN, and Ski in the groups with Smurf2 over-expression and MG132 treatment was even greater than that in control groups without exogenous Smurf2 and MG132 (lane 3 vs. lane 1, Fig. 5, B–D). This probably reflects that endogenous Smurf2 is also involved in the HA-tagged Smad2, SnoN, and Ski degradation. As a negative control, Smad1 was not subjected to Smurf2-mediated degradation, and thus MG132 treatment caused little alteration in its abundance in HKC-8 cells (Fig. 5A).

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Fig. 5. Downregulation of Smad2 and Smad corepressors by Smurf2 is mediated by proteasomal-dependant degradation in tubular epithelial cells. HKC-8 cells were transiently cotransfected with 1.0 µg HA-tagged Smad1 (A), Smad2 (B), SnoN (C), or Ski (D) expression vector plus either 1.0 µg Flag-tagged Smurf2 expression vector or empty pcDNA3 vector as indicated. Immediately after transfection, cells were treated without or with 2.5 µM MG132 for 24 h. The HA-tagged Smad1 expression vector was also transfected as a negative control. Whole-cell lysates were immunoblotted with antibodies against HA, SnoN, Ski, and -tubulin, respectively.
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Ectopic expression of Smurf2 enhances the TGF-β1-mediated gene transcription and fibrogenic action.
The observation that Smurf2 concurrently targets both Smad2 and Smad corepressors makes its influence on TGF-β signaling uncertain. To clarify this, we first examined the effects of Smurf2 on TGF-β1-mediated gene transcription in a promoter reporter assay. HKC-8 cells were transiently cotransfected with the p3TP-Lux luciferase reporter construct and Flag-tagged Smurf2 expression vector or empty pcDNA3 vector, followed by incubation without or with TGF-β1. As shown in Fig. 6, forced expression of Smurf2 promoted p3TP-Lux luciferase reporter activity in the absence or presence of TGF-β1. These data suggest that despite its impact on both positive (Smad2) and negative (SnoN, Ski, and TGIF) regulators of TGF-β signaling, the net effect of Smurf2 appears to enhance TGF-β-mediated gene transcription.
To ascertain the effect of Smurf2 on expression of the fibrosis-related genes, we examined its influence on E-cadherin suppression, as well as on fibronectin and type I collagen induction triggered by TGF-β1. As demonstrated in Fig. 7, ectopic expression of exogenous Smurf2 moderately sensitized TGF-β1's effect and promoted E-cadherin suppression. Similarly, Smurf2 also enhanced the TGF-β1-mediated fibronectin (Fig. 7, C and D) and type I collagen (Fig. 7, E and F) induction. These data suggest that increased expression of Smurf2 promotes the fibrogenic action of TGF-β1 in tubular epithelial cells.

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Fig. 7. Overexpression of Smurf2 amplifies the TGF-β1-mediated fibrogenic action in tubular epithelial cells. HKC-8 cells were transiently transfected with a Flag-tagged Smurf2 expression vector or empty pcDNA3 vector for 24 h, followed by incubation without or with various amounts of TGF-β1 as indicated for 72 h. Representative Western blot analyses show the expression of E-cadherin (A) and fibronectin (C), respectively. Graphical presentations show the relative abundance of E-cadherin (B) and fibronectin (D) after normalization with GAPDH. Representative RT-PCR analyses (E) and graphical presentation (F) show the expression of type I collagen mRNA after various treatments. Relative levels (fold-induction over pcDNA3 group in the absence of TGF-β1) are presented as means ± SE of 3 experiments. *P < 0.05, **P < 0.001 vs. pcDNA3 group in the absence of TGF-β1. P < 0.05 vs. pcDNA3 group in the presence of TGF-β1.
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Both Smad2 and Smad3 are indispensable for TGF-β1-mediated fibronectin induction.
Smad2 and Smad3 display both common and distinctive functions in transmitting TGF-β signaling. We next sought to test whether Smad2 or Smad3 is indispensable for TGF-β1-mediated matrix production by using an siRNA approach. HKC-8 cells were transiently transfected with control, Smad2, or Smad3 siRNA, respectively. Specific suppression of Smad2 and Smad3 expression was confirmed by Western blot analysis (Fig. 8, A–C). As shown in Fig. 8D, knockdown of Smad2 largely abrogated fibronectin induction by TGF-β1 in HKC-8 cells. Similarly, downregulation of Smad3 by siRNA inhibition also essentially abolished the TGF-β1-mediated fibronectin expression (Fig. 8E). Consistently, we found that overexpression of Smad2 or Smad3 via transfection markedly enhanced the fibronectin expression induced by TGF-β1 in HKC-8 cells. Therefore, both Smad2 and Smad3 are indispensable for TGF-β1-mediated matrix production by tubular epithelial cells.

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Fig. 8. Smad2 and Smad3 mediate fibronectin induction by TGF-β1 in tubular epithelial cells. A–C: knockdown of Smad2 and Smad3 expression by small interfering RNA (siRNA). HKC-8 cells were transiently transfected with control siRNA, Smad2 siRNA, or Smad3 siRNA (120 nM). Representative Western blots show the expression levels of Smad2 and Smad3 (A) at 72 h after transfection. Graphic presentations of the relative abundance of Smad2 (B) and Smad3 (C) protein levels after normalization with actin are also given. Data (relative to the controls = 1.0) are presented as means ± SE of 4 experiments. **P <0.01 vs. control siRNA group. D and E: knockdown of Smad2 and Smad3 expression inhibited TGF-β1-mediated fibronectin induction. HKC-8 cells were transiently transfected with control siRNA, Smad2 siRNA, or Smad3 siRNA (120 nM) for 24 h, followed by incubation without or with different concentrations of TGF-β1 for 48 h. F and G: overexpression of Smad2 and Smad3 enhances TGF-β1-mediated fibronectin expression in tubular epithelial cells. HKC-8 cells were transiently transfected with empty pcDNA3 vector, HA-tagged Smad2, or HA-tagged Smad3 expression vector for 24 h, respectively, and then treated with TGF-β1 for an additional 48 h. Whole-cell lysates were immunoblotted with anti-fibronectin and anti-GAPDH antibodies, respectively.
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DISCUSSION
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The ubiquitin-mediated proteasomal degradation pathway is an evolutionarily conserved enzymatic cascade that controls the lifespan of many physiologically important proteins such as cell cycle regulators, signal transducers, and transcription factors (4, 16). Smurf2, an E3 ubiquitin ligase, is involved in the regulation of the stability of numerous components of TGF-β signaling (11, 40). The results presented in this study demonstrate that Smurf2 protein is specifically upregulated in renal tubules of kidney biopsies from patients with various nephropathies. Smurf2 selectively targets Smad2 and Smad transcriptional corepressors Ski, SnoN, and TGIF for degradation in human tubular epithelial cells. Furthermore, increased Smurf2 renders tubular epithelial cells susceptible to TGF-β1 stimulation, leading to an amplified, more efficient TGF-β signal transmission. These findings suggest that dysregulation of Smurf2 expression affects the profibrotic TGF-β/Smad signaling and thus could contribute to the development and progression of human kidney fibrotic diseases.
Smurf2 exhibits an overall 83% sequence identity with Smurf1 (11), another E3 ubiquitin ligase of the C2-WW-HECT domain family that was originally identified through its interacting with Smad1 in a yeast two-hybrid screening (41). While Smurf1 contains two WW domains, Smurf2 comprises three WW domains, resulting from a 30-amino acid insertion downstream of the phospholipid/calcium-binding C2 domain (11). Accumulating evidence indicates that Smurf1 and Smurf2 may be functionally distinct in terms of target specificity. Smurf1 is indispensable for the regulation of intracellular mediators of the bone morphogenetic protein (BMP) signaling by specifically targeting Smad1 and Smad5 for degradation (41). Smurf2, as shown in this study as well as in a previous report (11), preferentially targets Smad2, a major R-Smad of TGF-β signaling, for ubiquitination and proteasomal degradation. In this regard, it appears clear that Smurf1 and Smurf2 differentially control BMP and TGF-β signaling, respectively, by selectively targeting different Smads for destruction. It is of interest to point out that while Smurf2 is upregulated in the fibrotic kidney, Smurf1 expression is barely detectable and not significantly altered (27). This is in agreement with the notion that an altered TGF-β signaling is the driving force that promotes kidney fibrotic lesions (2, 13). Notably, Smurf2 is preferentially upregulated in the tubular interstitium in human nephropathies (Fig. 1), which may reflect that this ubiquitin ligase could play an important role in regulating TGF-β signaling in that region.
One of the intriguing findings in the present study is that Smurf2 can target three Smad transcription corepressors, Ski, SnoN, and TGIF, for degradation. Ski and SnoN are two closely related nuclear proteins that bind to Smads and antagonize TGF-β signaling (15). Studies demonstrate that Smad corepressors block Smad-mediated gene transcription by a multitude of mechanisms (15, 20, 33, 35). Corepressor proteins can physically bind to and interact with activated R-Smad in the nuclei, thereby sequestering their trans-activation ability. SnoN and Ski may also displace or prevent Smads from binding to the general transcriptional coactivator p300/CBP. Furthermore, members of Smad corepressor family proteins have the ability to directly interact with other transcriptional corepressors such as the nuclear hormone receptor corepressor N-CoR and mammalian Sin3 ortholog, leading to repression of a TGF-β transcriptional response (33, 34). Regardless of the mechanisms involved, that Smurf2 simultaneously targets three corepressor proteins, Ski, SnoN, and TGIF, for degradation underscores its predominant role in controlling TGF-β/Smad signaling. By downregulating the cellular levels of corepressors, Smurf2 may have a profound effect on Smad signal transmission. Notably, upregulation of Smurf2 is accompanied by significant downregulation of Smad corepressor proteins, but not mRNA levels, in the fibrotic kidney in vivo (7, 27).
Both Smad2 and Smad3 are key mediators of TGF-β signaling, and they share a high degree of homology, with a 92% identity in the amino acid sequence (5, 18). Knockdown of one Smad (either Smad2 or Smad3) appears not to significantly affect the other Smad abundance (Fig. 8). Interestingly, Smurf2 appears to have little effect on Smad3 degradation. This may suggest that Smurf2 could selectively abolish a subset of TGF-β responses mediated by Smad2 but not Smad3. It appears, however, that both Smad2 and Smad3 are required for mediating fibronectin expression in tubular epithelial cells (Fig. 8), although other studies suggest that they exhibit distinct activities in transmitting the fibrogenic action of TGF-β1 in some cell types (21). Earlier studies indicate that in tubular epithelial cells, Smad3 mediates the E-cadherin suppression induced by TGF-β1, while Smad2 is responsible for mediating matrix metalloproteinase-2 induction. Both Smad2 and Smad3 are critical for TGF-β1 to induce de novo expression of
-smooth muscle actin in tubular cells (21). Therefore, Smad2 is also an important, positive effector of TGF-β signaling that plays a role in mediating matrix production and tissue scarring in the pathogenesis of kidney fibrosis.
We show here that Smurf2 upregulation results in enhanced TGF-β signaling (Figs. 6 and 7), which is consistent with a previous report demonstrating that knockdown of Smurf2 increases intracellular SnoN protein, leading to a reduced TGF-β response in tubular epithelial cells (27). These observations suggest that despite that Smurf2 targets both positive and negative regulators, the net effect of Smurf2 is to promote Smad signaling. This outcome is likely attributable to several mechanisms. One explanation could be related to the fact that Smurf2 concomitantly targets all three corepressors, whereas it only aims at Smad2 but leaves Smad3 alone. Alternatively, Smad corepressors may play a predominant role in ultimately controlling TGF-β signaling, so that the functional impact of the loss of corepressors may be greater than that of Smad2 obliteration. The reason Smurf2 concurrently targets both positive and negative Smad regulators in a paradoxical way remains unclear, but it could provide a complex fine-tuning of TGF-β signaling.
It should be emphasized that the biology of Smurf E3 ligases may go beyond the regulation of Smads and their corepressors. Studies have shown that Smurf2 and Smurf1 can regulate cell polarity and the formation of cellular protrusions via its ability to target the GTPase Rap1B, RhoA for degradation (25, 32). Despite little effect of Smurf2 on Smad7 in tubular epithelial cells, previous studies demonstrate that Smurf2 can interact with Smad7 to form a complex, which then is exported from the nucleus to the cytoplasm and subsequently destined to the TGF-β receptor complex at the cell surface. Once bound to the receptor complex, Smurf2 cause its degradation (10). In such a way, Smad7 functions as an adaptor for Smurf2-mediated degradation of its substrate. Consistent with this, recent studies indicate that Smad7 binds β-catenin and induces its degradation by recruiting Smurf2 to the Smad7/β-catenin complex in keratinocytes (8). Interestingly, Smurf2 upregulation also activates telomere-dependent senescence by a novel mechanism distinct from its E3 activity (39).
In summary, our present study has demonstrated that Smurf2 is upregulated specifically in renal tubules of the fibrotic kidney, which is likely mediated by TGF-β1. Increased Smurf2 renders tubular epithelial cells susceptible to TGF-β1 stimulation, creating a vicious cycle between Smurf2 induction and TGF-β action. Smurf2 concomitantly targets both positive and negative regulators of Smad signaling for degradation, thereby providing a complex fine-tuning of TGF-β signal transmission. However, because of these complexities, strategies that manipulate specific Smurf2-targeted genes (such as SnoN), rather than Smurf2 itself, might be a better way to confine hyperactive TGF-β/Smad signaling and to combat the fibrotic conditions.
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GRANTS
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This work was supported by National Institute of Diabetes and Digestive and Kidney Diseases Grants DK-061408, DK-064005, and DK-071040.
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ACKNOWLEDGMENTS
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We thank Drs. J. Massague and R. Weinberg for providing experimental reagents.
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FOOTNOTES
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Address for reprint requests and other correspondence: Y. Liu, Dept. of Pathology, Univ. of Pittsburgh, S-405 Biomedical Science Tower, 200 Lothrop St., Pittsburgh, PA 15261 (e-mail: liuy{at}upmc.edu)
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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