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Am J Physiol Renal Physiol (September 5, 2007). doi:10.1152/ajprenal.00274.2007
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Submitted on June 14, 2007
Accepted on August 29, 2007

Interference with TGF-{beta} signaling by Smad3-knockout in mice limits diabetic glomerulosclerosis without affecting albuminuria

Amy Wang1, Fuad N. Ziyadeh2, Eun Young Lee1, Petr E. Pyagay1, Sun Hee Sung3, Steven A. Sheardown4, Nicholas J Laping4, and Sheldon Chen1*

1 Nephrology/Hypertension, Northwestern University, Chicago, Illinois, United States
2 Faculty of Medicine, American University of Beirut, Beirut, Lebanon
3 Pathology, Ewha Womans University, Seoul, Korea, Republic of
4 Department of Urogenital Biology, GlaxoSmithKline, King of Prussia, Pennsylvania, United States

* To whom correspondence should be addressed. E-mail: sheldon-chen{at}northwestern.edu.

Transforming growth factor (TGF)-{beta} plays a critical role in diabetic nephropathy. To isolate the contribution of one of TGF-{beta} s signaling pathways, the Smad3 gene in the mouse was knocked out at exons 2 and 3, and the effect was studied in streptozotocin (STZ)-induced diabetes over a period of six weeks. TGF-{beta} activity was increased in the diabetic mice but was not able to signal via Smad3 in the knockout (KO) mice. As expected in the wildtype, the kidneys of the STZ-diabetic mice showed both structural and functional defects that are characteristic of diabetic renal involvement. In the Smad3-KO mice, however, the defects that were improved were renal hypertrophy, mesangial matrix expansion, fibronectin overproduction, glomerular basement membrane thickening, plasma creatinine, and the blood urea nitrogen. The parameters not significantly altered by the Smad3-KO were albuminuria, reduction in podocyte slit pore density, and the increase in vascular endothelial growth factor abundance and activity. It seems that the absence of Smad3 modifies the natural course of murine diabetic nephropathy, providing renal functional protection and preventing structural lesions relating to kidney hypertrophy and matrix accumulation, even though albuminuria and changes in podocyte morphology persist. In conclusion, the effects of the Smad3-KO mirror the effects of anti-TGF-{beta} therapy in diabetes, suggesting that the chief component of TGF-{beta} signaling that is relevant to kidney disease is the Smad3 pathway.







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