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Am J Physiol Renal Physiol (July 30, 2008). doi:10.1152/ajprenal.90209.2008
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Submitted on March 25, 2008
Revised on July 7, 2008
Accepted on July 24, 2008

Stable expression of HIF-1{alpha} in tubular epithelial cell promotes interstitial fibrosis

Kuniko Kimura1, Masayuki Iwano1*, Debra F Higgins2, Yukinari Yamaguchi1, Kimihiko Nakatani1, Koji Harada1, Atsushi Kubo1, Yasuhiro Akai1, Erinn B Rankin3, Eric G. Neilson4, Volker Hans Haase4, and Yoshihiko Saito1

1 Nara Medical University
2 University of Pennsylvania
3 University of Pennsylvania School of Medicine
4 Vanderbilt University

* To whom correspondence should be addressed. E-mail: miwano{at}naramed-u.ac.jp.

Chronic hypoxia accelerates renal fibrosis. The chief mediator of the hypoxic response is hypoxia-inducible factor 1 (HIF-1), and its oxygen-sensitive component HIF-1{alpha}. HIF-1 regulates a wide variety of genes, some of which are closely associated with tissue fibrosis. To determine the specific role of HIF-1 in renal fibrosis, we generated a knockout mouse in which tubular epithelial expression of von Hippel-Lindau tumor suppressor (VHL), which promotes proteolysis of HIF-1{alpha} as a ubiquitin ligase, was targeted. We investigated the effect of VHL deletion (i.e. stable expression of HIF-1{alpha}) histologically and used the anti-HIF-1{alpha} agent YC-1 (3-(5'- hydroxymethyl-2'-furyl)-1-benzyl indazole) to test whether inhibition of HIF-1{alpha} could represent a novel approach to treating renal fibrosis. The area of renal fibrosis was significantly increased in a 5/6 renal ablation model of VHL-/- mice and in all VHL-/- mice at least 60 weeks of age. Injection of YC-1 inhibited the progression of renal fibrosis in unilateral ureteral obstruction model mice. In conclusion, HIF-1{alpha} appears to be a critical contributor to the progression of renal fibrosis and could be a useful target for its treatment.




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