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1 Department of Medicine, Long Island Jewish Medical Center, The Long Island Campus for the Albert Einstein College of Medicine, New Hyde Park, New York 11040; 2 Department of Medicine, Renmin Hospital, Medical College of Wuhan University, Wuhan, Hubei 430060, China; and 3 Department of Medicine, University of Texas Health Science Center, San Antonio, Texas 78284
ANG II has been shown to modulate kidney
cell growth and contribute to the pathobiology of glomerulosclerosis.
Glomerular visceral epithelial cell (GEC) injury or loss is considered
to play a pivotal role in the initiation and progression of
glomerulosclerosis. In the present study, we investigated the effect of
ANG II on GEC apoptosis. Rat GECs were incubated with
increasing doses of ANG II for variable time periods. Apoptosis
was evaluated by cell nucleus staining and DNA fragmentation assay. ANG
II induced GEC apoptosis in a dose- and time-dependent manner.
The proapoptotic effect was attenuated by the ANG II receptor type
1 antagonist losartan or the ANG II receptor type 2 antagonist
PD-123319 and was completely blocked by incubation with the combined
antagonists. Moreover, ANG II stimulated transforming growth factor
(TGF)-
1 production as measured by ELISA. GECs exposed to TGF-
1
demonstrated a dose- and time-dependent increase in apoptosis.
ANG II-induced apoptosis was significantly inhibited by
addition of anti-TGF-
1 antibody. ANG II also upregulated the
expression of Fas, FasL, and Bax and downregulated the expression of
Bcl-2 in GECs. These studies suggest that ANG II induces GEC
apoptosis by a mechanism involving TGF-
1 expression that
may, importantly, contribute to the pathogenesis of glomerulosclerosis.
angiotensin II; glomerular epithelial cells; transforming growth
factor-
; apoptosis; glomerulosclerosis
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