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1.
J Invest Dermatol ; 140(2): 445-454, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31425704

RESUMO

Calpains, intracellular proteases specifically inhibited by calpastatin, play a major role in neoangiogenesis involved in tumor invasiveness and metastasis. They are partly exteriorized via the ATP-binding cassette transporter A1(ABCA1) transporter, but the importance of this process in tumor growth is still unknown. The aim of our study was to investigate the role of extracellular calpains in a model of melanoma by blocking their extracellular activity or exteriorization. In the first approach, a B16-F10 model of melanoma was developed in transgenic mice expressing high extracellular levels of calpastatin. In these mice, tumor growth was inhibited by ∼ 3-fold compared with wild-type animals. In vitro cytotoxicity assays and in vivo tumor studies have demonstrated that this protection was associated with a defect in tumor neoangiogenesis. Similarly, in wild-type animals given probenecid to blunt ABCA1 activity, melanoma tumor growth was inhibited by ∼ 3-fold. Again, this response was associated with a defect in neoangiogenesis. In vitro studies confirmed that probenecid limited endothelial cell migration and capillary formation from vascular explants. The observed reduction in fibronectin cleavage under these conditions is potentially involved in the response. Collectively, these studies demonstrate that probenecid, by blunting ABCA1 activity and thereby calpain exteriorization, limits melanoma tumor neoangiogenesis and invasiveness.


Assuntos
Transportador 1 de Cassete de Ligação de ATP/antagonistas & inibidores , Calpaína/metabolismo , Melanoma Experimental/tratamento farmacológico , Neovascularização Patológica/tratamento farmacológico , Probenecid/farmacologia , Neoplasias Cutâneas/tratamento farmacológico , Transportador 1 de Cassete de Ligação de ATP/genética , Transportador 1 de Cassete de Ligação de ATP/metabolismo , Animais , Proteínas de Ligação ao Cálcio/genética , Proteínas de Ligação ao Cálcio/metabolismo , Linhagem Celular Tumoral/transplante , Proliferação de Células/efeitos dos fármacos , Humanos , Masculino , Melanoma Experimental/irrigação sanguínea , Melanoma Experimental/patologia , Camundongos , Camundongos Transgênicos , Neovascularização Patológica/patologia , Probenecid/uso terapêutico , Neoplasias Cutâneas/irrigação sanguínea , Neoplasias Cutâneas/patologia
2.
PLoS One ; 14(10): e0224138, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31648281

RESUMO

Thyroid calcification is frequent in thyroid nodules. The aim of our study was to evaluate the prevalence of calcifications in thyroid tissue samples of patients with various thyroid diseases, and to identify their composition according to their localization. Among 50 thyroid samples included, 56% were malignant (papillary carcinoma) and 44% were benign (adenoma, multinodular goiter, Graves' disease, sarcoidosis). Calcifications were found in 95% of samples using polarised light microscopy, whereas only 12% were described in initial pathological reports. Three types were individualised and analyzed by infrared spectrometry (µFTIR): colloid calcifications composed of calcium oxalate, capsular calcifications and psammoma bodies, both composed of calcium phosphate. Of notice, psammoma bodies characterized by FE-SEM were composed of concentric structure suggesting a slow process for crystal deposition. Calcium phosphates were found only in malignant samples whereas calcium oxalate was not associated with a define pathology. Proliferation assessed by KI67 staining was high (33% of positive follicles), and RUNX2, OPN, and CD44 positive staining were detected in thyrocytes with a broad variation between samples. However, thyrocyte proliferation and differentiation markers were not associated with the number of crystals. TRPV5 and CaSR expression was also detected in thyrocytes. mRNA transcripts expression was confirmed in a subgroup of 10 patients, altogether with other calcium transporters such as PMCA1 or Cav1.3. Interestingly, TRPV5 mRNA expression was significantly associated with number of colloid calcifications (rho = -0.72; p = 0.02). The high prevalence of calcium oxalate crystals within colloid gel raises intriguing issues upon follicle physiology for calcium and oxalate transport.


Assuntos
Calcinose/epidemiologia , Calcinose/patologia , Carcinoma Papilar/fisiopatologia , Neoplasias da Glândula Tireoide/fisiopatologia , Nódulo da Glândula Tireoide/fisiopatologia , Adulto , Estudos de Casos e Controles , Feminino , França/epidemiologia , Humanos , Incidência , Masculino , Pessoa de Meia-Idade
3.
Am J Pathol ; 189(11): 2171-2180, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31449775

RESUMO

Most kidney stones are made of calcium oxalate crystals. Randall's plaque, an apatite deposit at the tip of the renal papilla, is considered to at the origin of these stones. Hypercalciuria may promote Randall's plaque formation and growth. We analyzed whether long-term exposure of Abcc6-/- mice (a murine model of Randall's plaque) to vitamin D supplementation, with or without a calcium-rich diet, would accelerate the formation of Randall's plaque. Eight groups of mice (including Abcc6-/- and wild type) received vitamin D alone (100,000 UI/kg every 2 weeks), a calcium-enriched diet alone (calcium gluconate 2 g/L in drinking water), both vitamin D supplementation and a calcium-rich diet, or a standard diet (controls) for 6 months. Kidney calcifications were assessed by 3-dimensional microcomputed tomography, µ-Fourier transform infrared spectroscopy, field emission-scanning electron microscopy, transmission electron microscopy, and Yasue staining. At 6 months, Abcc6-/- mice exposed to vitamin D and calcium supplementation developed massive Randall's plaque when compared with control Abcc6-/- mice (P < 0.01). Wild-type animals did not develop significant calcifications when exposed to vitamin D. Combined administration of vitamin D and calcium significantly accelerates Randall's plaque formation in a murine model. This original model raises concerns about the cumulative risk of vitamin D supplementation and calcium intakes in Randall's plaque formation.


Assuntos
Cálcio da Dieta/efeitos adversos , Suplementos Nutricionais/efeitos adversos , Cálculos Renais/induzido quimicamente , Medula Renal/metabolismo , Vitamina D/efeitos adversos , Animais , Calcinose/induzido quimicamente , Calcinose/metabolismo , Calcinose/patologia , Cálcio da Dieta/administração & dosagem , Modelos Animais de Doenças , Progressão da Doença , Feminino , Cálculos Renais/metabolismo , Cálculos Renais/patologia , Medula Renal/patologia , Camundongos , Camundongos da Linhagem 129 , Camundongos Endogâmicos C57BL , Camundongos Knockout , Proteínas Associadas à Resistência a Múltiplos Medicamentos/genética , Fatores de Tempo , Vitamina D/administração & dosagem
4.
J Clin Invest ; 129(6): 2571-2577, 2019 04 04.
Artigo em Inglês | MEDLINE | ID: mdl-30946030

RESUMO

Increased urinary oxalate excretion (hyperoxaluria) promotes the formation of calcium oxalate crystals. Monogenic diseases due to hepatic enzymes deficiency result in chronic hyperoxaluria, promoting end-stage renal disease in children and young adults. Ethylene glycol poisoning also results in hyperoxaluria promoting acute renal failure and frequently death. Stiripentol is an antiepileptic drug used to treat children affected by Dravet syndrome, possibly by inhibiting neuronal lactate dehydrogenase 5 isoenzyme. As this isoenzyme is also the last step of hepatic oxalate production, we hypothesized that Stiripentol would potentially reduce hepatic oxalate production and urine oxalate excretion. In vitro, Stiripentol decreased in a dose-dependent manner the synthesis of oxalate by hepatocytes. In vivo, Stiripentol oral administration reduced significantly urine oxalate excretion in rats. Stiripentol protected kidneys against calcium oxalate crystal deposits in acute ethylene glycol intoxication and chronic calcium oxalate nephropathy models. In both models, Stiripentol improved significantly renal function. Patients affected by Dravet syndrome and treated with Stiripentol had a lower urine oxalate excretion than control patients. A young girl affected by severe type I hyperoxaluria received Stiripentol for several weeks: urine oxalate excretion decreased by two-thirds. Stiripentol is a promising potential therapy against genetic hyperoxaluria and ethylene glycol poisoning.


Assuntos
Dioxolanos/farmacologia , Etilenoglicol/intoxicação , Hiperoxalúria Primária/prevenção & controle , Nefrolitíase/prevenção & controle , Animais , Oxalato de Cálcio/metabolismo , Epilepsias Mioclônicas/tratamento farmacológico , Epilepsias Mioclônicas/metabolismo , Epilepsias Mioclônicas/patologia , Feminino , Hepatócitos/metabolismo , Hepatócitos/patologia , Humanos , Hiperoxalúria Primária/metabolismo , Hiperoxalúria Primária/patologia , Rim/metabolismo , Rim/patologia , Masculino , Nefrolitíase/metabolismo , Ratos , Ratos Sprague-Dawley
5.
Bull Cancer ; 106(3): 179-188, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30683309

RESUMO

Calpain 1 is a proinflammatory calcium-activated cysteine protease, which can be partly externalized. Extracellular calpains limit inflammatory processes and promote tissue repair, through cell proliferation and migration. Toll like receptor (TLR) 2 has been identified as a target of extracellular calpains in lymphocytes. The aim was to investigate the externalization of calpain 1 and the release of soluble TLR2 during tumor progression of pulmonary lepidic predominant adenocarcinoma (LPA). Extracellular calpain 1, soluble fragment of TLR2 and cytokines were analyzed by ELISA in bronchoalveolar lavage fluid (BALF) supernatants from patients with LPA (n=68). Source of calpain was analyzed by immunohistochemistry and soluble TLR2 by flow cytometry on polymorphonuclear neutrophils (PMN) and human lung cancer cell lines. Extracellular calpain 1, secreted by tumor cells, was associated to tumor progression, neutrophilic inflammation, with a poor prognostic factor on survival (P=0.003). TLR2 was expressed on PMN and tumor cells and decreased after calpain exposure. Soluble fragment of TLR2 in BALF supernatants was correlated to the extracellular calpain 1 concentration (r=0.624; P<0.001), and its high level was associated with tumor progression and a pro-inflammatory environment. Extracellular calpain 1 secreted by tumor cells, could participate in inflammatory microenvironment and tumor progression through TLR2 in LPA.


Assuntos
Adenocarcinoma/metabolismo , Líquido da Lavagem Broncoalveolar/química , Calpaína/análise , Neoplasias Pulmonares/metabolismo , Proteínas de Neoplasias/metabolismo , Receptor 2 Toll-Like/metabolismo , Adenocarcinoma/mortalidade , Adenocarcinoma/patologia , Idoso , Calpaína/metabolismo , Linhagem Celular Tumoral , Progressão da Doença , Feminino , Humanos , Inflamação/metabolismo , Neoplasias Pulmonares/mortalidade , Neoplasias Pulmonares/patologia , Masculino , Proteínas de Neoplasias/análise , Neutrófilos/metabolismo , Prognóstico
6.
J Am Soc Nephrol ; 29(9): 2337-2347, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29991491

RESUMO

BACKGROUND: Pseudoxanthoma elasticum (PXE) is a genetic disease caused by mutations in the ABCC6 gene that result in low pyrophosphate levels and subsequent progressive soft tissue calcifications. PXE mainly affects the skin, retina, and arteries. However, many patients with PXE experience kidney stones. We determined the prevalence of this pathology in patients with PXE and examined the possible underlying mechanisms in murine models. METHODS: We conducted a retrospective study in a large cohort of patients with PXE and analyzed urine samples and kidneys from Abcc6-/- mice at various ages. We used Yasue staining, scanning electron microscopy, electron microscopy coupled to electron energy loss spectroscopy, and Fourier transform infrared microspectroscopy to characterize kidney calcifications. RESULTS: Among 113 patients with PXE, 45 (40%) had a past medical history of kidney stones. Five of six computed tomography scans performed showed evidence of massive papillary calcifications (Randall plaques). Abcc6-/- mice spontaneously developed kidney interstitial apatite calcifications with aging. These calcifications appeared specifically at the tip of the papilla and formed Randall plaques similar to those observed in human kidneys. Compared with controls, Abcc6-/- mice had low urinary excretion of pyrophosphate. CONCLUSIONS: The frequency of kidney stones and probably, Randall plaque is extremely high in patients with PXE, and Abcc6-/- mice provide a new and useful model in which to study Randall plaque formation. Our findings also suggest that pyrophosphate administration should be evaluated for the prevention of Randall plaque and kidney stones.


Assuntos
Transportadores de Cassetes de Ligação de ATP/genética , Cálculos Renais/etiologia , Proteínas Associadas à Resistência a Múltiplos Medicamentos/genética , Pseudoxantoma Elástico/genética , Pseudoxantoma Elástico/patologia , Animais , Biópsia por Agulha , Calcinose/genética , Calcinose/patologia , Estudos de Coortes , Modelos Animais de Doenças , Feminino , Humanos , Imuno-Histoquímica , Incidência , Cálculos Renais/epidemiologia , Cálculos Renais/patologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Prognóstico , Pseudoxantoma Elástico/complicações , Pseudoxantoma Elástico/diagnóstico por imagem , Estudos Retrospectivos , Medição de Risco , Tomografia Computadorizada por Raios X/métodos , Urinálise
7.
Urolithiasis ; 46(4): 333-341, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29234857

RESUMO

Most of kidney stones are supposed to originate from Randall's plaque at the tip of the papilla or from papillary tubular plugs. Nevertheless, the frequency and the composition of crystalline plugs remain only partly described. The objective was to assess the frequency, the composition and the topography of papillary plugs in human kidneys. A total of 76 papillae from 25 kidneys removed for cancer and without stones were analysed by immunohistochemistry combined with Yasue staining, field emission-scanning electron microscopy and Fourier transformed infrared micro-spectroscopy. Papillary tubular plugs have been observed by Yasue staining in 23/25 patients (92%) and 52/76 papillae (68%). Most of these plugs were made of calcium phosphate, mainly carbonated apatite and amorphous calcium phosphate, and rarely octacalcium phosphate pentahydrate. Calcium and magnesium phosphate (whitlockite) have also been observed. Based upon immunostaining coupled to Yasue coloration, most of calcium phosphate plugs were located in the deepest part of the loop of Henle. Calcium oxalate monohydrate and dihydrate tubular plugs were less frequent and stood in collecting ducts. At last, we observed calcium phosphate plugs deforming and sometimes breaking adjacent collecting ducts. Papillary tubular plugging, which may be considered as a potential first step toward kidney stone formation, is a very frequent setting, even in kidneys of non-stone formers. The variety in their composition and the distal precipitation of calcium oxalate suggest that plugs may occur in various conditions of urine supersaturation. Plugs were sometimes associated with collecting duct deformation.


Assuntos
Cálculos Renais/etiologia , Túbulos Renais Coletores/patologia , Alça do Néfron/patologia , Idoso , Fosfatos de Cálcio/análise , Humanos , Cálculos Renais/química , Cálculos Renais/epidemiologia , Cálculos Renais/ultraestrutura , Túbulos Renais Coletores/química , Túbulos Renais Coletores/diagnóstico por imagem , Alça do Néfron/química , Alça do Néfron/diagnóstico por imagem , Microscopia Eletrônica de Varredura , Pessoa de Meia-Idade , Espectroscopia de Infravermelho com Transformada de Fourier
8.
Sci Rep ; 7(1): 8016, 2017 08 14.
Artigo em Inglês | MEDLINE | ID: mdl-28808241

RESUMO

Calpains are ubiquitous pro-inflammatory proteases, whose activity is controlled by calpastatin, their specific inhibitor. Transgenic mice over-expressing rabbit calpastatin (CalpTG) are protected against vascular remodelling and angiotensin II-dependent inflammation. We hypothesized that specific calpain inhibition would protect against aging-related lesions in arteries and kidneys. We analysed tissues from 2-months and 2-years-old CalpTG and wild-type mice and performed high throughput RNA-Sequencing of kidney tissue in aged mice. In addition, we analysed inflammatory response in the kidney of aged CalpTG and wild-type mice, and in both in vivo (monosodium urate peritonitis) and in vitro models of inflammation. At two years, CalpTG mice had preserved kidney tissue, less vascular remodelling and less markers of senescence than wild-type mice. Nevertheless, CalpTG mice lifespan was not extended, due to the development of lethal spleen tumors. Inflammatory pathways were less expressed in aged CalpTG mice, especially cytokines related to NF-κB and NLRP3 inflammasome activation. CalpTG mice had reduced macrophage infiltration with aging and CalpTG mice produced less IL-1α and IL-1ß in vivo in response to inflammasome activators. In vitro, macrophages from CalpTG mice produced less IL-1α in response to particulate activators of inflammasome. Calpains inhibition protects against inflammaging, limiting kidney and vascular lesions related to aging.


Assuntos
Envelhecimento/efeitos dos fármacos , Proteínas de Ligação ao Cálcio/farmacologia , Calpaína/antagonistas & inibidores , Inibidores de Cisteína Proteinase/farmacologia , Peritonite/tratamento farmacológico , Animais , Artérias/efeitos dos fármacos , Artérias/crescimento & desenvolvimento , Proteínas de Ligação ao Cálcio/uso terapêutico , Calpaína/metabolismo , Células Cultivadas , Inibidores de Cisteína Proteinase/uso terapêutico , Citocinas/metabolismo , Inflamassomos/metabolismo , Rim/efeitos dos fármacos , Rim/crescimento & desenvolvimento , Camundongos , Camundongos Endogâmicos C57BL , NF-kappa B/metabolismo , Proteína 3 que Contém Domínio de Pirina da Família NLR/metabolismo , Coelhos
9.
Sci Rep ; 7: 40156, 2017 01 10.
Artigo em Inglês | MEDLINE | ID: mdl-28071761

RESUMO

Severe hypertension can lead to malignant hypertension (MH) with renal thrombotic microangiopathy and hemolysis. The role of plasma heme release in this setting is unknown. We aimed at evaluating the effect of a mild plasma heme increase by hemin administration in angiotensin II (AngII)-mediated hypertensive rats. Prevalence of MH and blood pressure values were similar in AngII and AngII + hemin groups. MH rats displayed a decreased renal blood flow (RBF), increased renal vascular resistances (RVR), and increased aorta and interlobar arteries remodeling with a severe renal microcirculation assessed by peritubular capillaries (PTC) rarefaction. Hemin-treated rats with or without AngII displayed also a decreased RBF and increased RVR explained only by PCT rarefaction. In AngII rats, RBF was similar to controls (with increased RVR). PTC density appeared strongly correlated to tubular damage score (rho = -0.65, p < 0.0001) and also renal Heme Oygenase-1 (HO-1) mRNA (rho = -0.67, p < 0.0001). HO-1 was expressed in PTC and renal tubules in MH rats, but only in PTC in other groups. In conclusion, though increased plasma heme does not play a role in triggering or aggravating MH, heme release appears as a relevant toxic mediator leading to renal impairment, primarily through PTC endothelial dysfunction rather than direct tubular toxicity.


Assuntos
Heme/toxicidade , Hipertensão/complicações , Nefropatias/induzido quimicamente , Nefropatias/patologia , Rarefação Microvascular/patologia , Plasma/química , Animais , Hemina/administração & dosagem , Ratos Sprague-Dawley , Circulação Renal
10.
PLoS One ; 8(4): e60469, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23565252

RESUMO

Conventional calpains are ubiquitous cysteine proteases whose activity is promoted by calcium signaling and specifically limited by calpastatin. Calpain expression has been shown to be increased in human malignant cells, but the contribution of the calpain/calpastatin system in tumorigenesis remains unclear. It may play an important role in tumor cells themselves (cell growth, migration, and a contrario cell death) and/or in tumor niche (tissue infiltration by immune cells, neo-angiogenesis). In this study, we have used a mouse model of melanoma as a tool to gain further understanding of the role of calpains in tumor progression. To determine the respective importance of each target, we overexpressed calpastatin in tumor and/or host in isolation. Our data demonstrate that calpain inhibition in both tumor and host blunts tumor growth, while paradoxically increasing metastatic dissemination to regional lymph nodes. Specifically, calpain inhibition in melanoma cells limits tumor growth in vitro and in vivo but increases dissemination by amplifying cell resistance to apoptosis and accelerating migration process. Meanwhile, calpain inhibition restricted to host cells blunts tumor infiltration by immune cells and angiogenesis required for antitumor immunity, allowing tumor cells to escape tumor niche and disseminate. The development of highly specific calpain inhibitors with potential medical applications in cancer should take into account the opposing roles of the calpain/calpastatin system in initial tumor growth and subsequent metastatic dissemination.


Assuntos
Proteínas de Ligação ao Cálcio/metabolismo , Calpaína/metabolismo , Melanoma/metabolismo , Animais , Proteínas de Ligação ao Cálcio/genética , Calpaína/genética , Linhagem Celular Tumoral , Modelos Animais de Doenças , Masculino , Melanoma/genética , Melanoma/patologia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos
11.
Cardiovasc Res ; 96(1): 38-45, 2012 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-22425901

RESUMO

Calpains are cytosolic calcium-activated cysteine proteases. Recently, they have been proposed to influence signal transduction processes leading to myocardial remodelling and heart failure. In this review, we will first describe some of these molecular mechanisms. Calpains may contribute to myocardial hypertrophy and inflammation, mainly through the activation of transcription factors such as NF-κB. They play an important role in the fibrosis process partly by activating transforming growth factor ß. They are also implicated in cell death as they cause the breakdown of sarcolemma and sarcomeres. Nevertheless, a key to understanding the molecular basis of calpain-mediated myocardial remodelling likely lies in the identification of mechanisms involved in calpain secretion, since cytosolic and extracellular proteases would have different functions. Finally, we will provide an overview of the available evidence that calpains are indeed actively involved in the common causes of heart failure, including hypertension, diabetes, atherosclerosis, ischaemia-reperfusion, atrial fibrillation, congestive failure, and mechanical unloading.


Assuntos
Calpaína/fisiologia , Insuficiência Cardíaca/enzimologia , Remodelação Ventricular , Animais , Apoptose , Cardiomegalia/enzimologia , Fibrose/fisiopatologia , Humanos , Inflamação/fisiopatologia , Necrose/fisiopatologia , Fatores de Transcrição/fisiologia
12.
Am J Respir Crit Care Med ; 185(7): 744-55, 2012 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-22268136

RESUMO

RATIONALE: Sepsis, a leading cause of death worldwide, involves widespread activation of inflammation, massive activation of coagulation, and lymphocyte apoptosis. Calpains, calcium-activated cysteine proteases, have been shown to increase inflammatory reactions and lymphocyte apoptosis. Moreover, calpain plays an essential role in microparticle release. OBJECTIVES: We investigated the contribution of calpain in eliciting tissue damage during sepsis. METHODS: To test our hypothesis, we induced polymicrobial sepsis by cecal ligation and puncture in wild-type (WT) mice and transgenic mice expressing high levels of calpastatin, a calpain-specific inhibitor. MEASUREMENTS AND MAIN RESULTS: In WT mice, calpain activity increased transiently peaking at 6 hours after cecal ligation and puncture surgery. Calpastatin overexpression improved survival, organ dysfunction (including lung, kidney, and liver damage), and lymphocyte apoptosis. It decreased the sepsis-induced systemic proinflammatory response and disseminated intravascular coagulation, by reducing the number of procoagulant circulating microparticles and therefore delaying thrombin generation. The deleterious effect of microparticles in this model was confirmed by transferring microparticles from septic WT to septic transgenic mice, worsening their survival and coagulopathy. CONCLUSIONS: These results demonstrate an important role of the calpain/calpastatin system in coagulation/inflammation pathways during sepsis, because calpain inhibition is associated with less severe disseminated intravascular coagulation and better overall outcomes in sepsis.


Assuntos
Proteínas de Ligação ao Cálcio/fisiologia , Sepse/fisiopatologia , Animais , Apoptose/fisiologia , Calpaína/fisiologia , Micropartículas Derivadas de Células/fisiologia , Citocinas/fisiologia , Modelos Animais de Doenças , Coagulação Intravascular Disseminada/fisiopatologia , Linfócitos/fisiologia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Insuficiência de Múltiplos Órgãos/fisiopatologia , NF-kappa B/fisiologia , Sepse/mortalidade , Tromboplastina/fisiologia
13.
Nephrol Dial Transplant ; 24(2): 630-8, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18927120

RESUMO

BACKGROUND: The specific mTor inhibitor sirolimus has been implicated in the pathogenesis of renal glomerular lesions and nephrotic syndrome appearance after transplantation. Podocyte injury and focal segmental glomerulosclerosis have been related to sirolimus therapy in some patients but the pathways underlying these lesions remain hypothetical. METHODS: To go further in the comprehension of these mechanisms, primary cultures of human podocytes were exposed to therapeutic-range concentrations of sirolimus. RESULTS: Cell viability was not affected after 2 days' exposure to the drug but changes in cell phenotype and cytoskeleton reorganization were observed. We also evidenced that vascular endothelial growth factor (VEGF) synthesis and Akt phosphorylation were decreased by sirolimus addition. We did not observe any loss of podocyte differentiation markers with the notable exception of WT1, a transcription factor essential for maintaining podocyte integrity. WT1 gene and protein expression in podocytes were decreased in a dose-dependent manner after incubation with sirolimus. CONCLUSION: Taken together, these data suggest that sirolimus could impair pathways essential for podocyte integrity and therefore predisposes to glomerular injury.


Assuntos
Podócitos/efeitos dos fármacos , Podócitos/metabolismo , Sirolimo/efeitos adversos , Sequência de Bases , Diferenciação Celular/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Citoesqueleto/efeitos dos fármacos , Primers do DNA/genética , Genes do Tumor de Wilms/efeitos dos fármacos , Humanos , Imunossupressores/efeitos adversos , Modelos Biológicos , Fenótipo , Podócitos/patologia , Reação em Cadeia da Polimerase , Proteínas Quinases/efeitos dos fármacos , Proteínas Proto-Oncogênicas c-akt/metabolismo , Transdução de Sinais/efeitos dos fármacos , Serina-Treonina Quinases TOR , Fator A de Crescimento do Endotélio Vascular/biossíntese , Proteínas WT1/genética , Proteínas WT1/metabolismo
14.
Circ Res ; 102(6): 720-8, 2008 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-18258859

RESUMO

In hypertension, angiotensin (Ang) II is a critical mediator of cardiovascular remodeling, whose prominent features include myocardial and vascular media hypertrophy, perivascular inflammation, and fibrosis. The signaling pathways responsible for these alterations are not completely understood. Here, we investigated the importance of calpains, calcium-dependent cysteine proteases. We generated transgenic mice constitutively expressing high levels of calpastatin, a calpain-specific inhibitor. Chronic infusion of Ang II led to similar increases in systolic blood pressure in wild-type and transgenic mice. In contrast, compared with wild-type mice, transgenic mice displayed a marked blunting of Ang II-induced hypertrophy of left ventricle. Ang II-dependent vascular remodeling, ie, media hypertrophy and perivascular inflammation and fibrosis, was also limited in both large arteries (aorta) and small kidney arteries from transgenic mice as compared with wild type. In vitro experiments using vascular smooth muscle cells showed that calpastatin transgene expression blunted calpain activation by Ang II through epidermal growth factor receptor transactivation. In vivo and in vitro models of inflammation showed that impaired recruitment of mononuclear cells in transgenic mice was attributable to a decrease in both the release of and the chemotactic response to monocyte chemoattractant protein-1. Finally, results from collagen synthesis assay and zymography suggested that limited fibrogenesis was attributable to a decrease in collagen deposition rather than an increase in collagen degradation. These results indicate a critical role for calpains as downstream mediators in Ang II-induced cardiovascular remodeling and, thus, highlight an attractive therapeutic target.


Assuntos
Proteínas de Ligação ao Cálcio/metabolismo , Calpaína/metabolismo , Inibidores de Cisteína Proteinase/metabolismo , Terapia Genética , Hipertensão/complicações , Hipertrofia Ventricular Esquerda/prevenção & controle , Remodelação Ventricular , Angiotensina II/administração & dosagem , Animais , Aorta/enzimologia , Aorta/patologia , Pressão Sanguínea , Proteínas de Ligação ao Cálcio/genética , Calpaína/antagonistas & inibidores , Inibidores de Cisteína Proteinase/genética , Modelos Animais de Doenças , Fibrose , Terapia Genética/métodos , Hipertensão/induzido quimicamente , Hipertensão/metabolismo , Hipertensão/fisiopatologia , Hipertensão/terapia , Hipertrofia , Hipertrofia Ventricular Esquerda/etiologia , Hipertrofia Ventricular Esquerda/metabolismo , Hipertrofia Ventricular Esquerda/fisiopatologia , Inflamação/etiologia , Inflamação/metabolismo , Inflamação/fisiopatologia , Bombas de Infusão Implantáveis , Camundongos , Camundongos Transgênicos , Músculo Liso Vascular/metabolismo , Músculo Liso Vascular/patologia , Miocárdio/enzimologia , Miocárdio/patologia , NF-kappa B/metabolismo , Fatores de Transcrição NFATC/metabolismo , Artéria Renal/enzimologia , Artéria Renal/patologia , Fatores de Tempo
15.
J Am Soc Nephrol ; 17(12): 3415-23, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-17082241

RESUMO

Glomerular injury and albuminuria in acute glomerulonephritis are related to the severity of inflammatory process. Calpain, a calcium-activated cysteine protease, has been shown to participate in the development of the inflammatory process. Therefore, for determination of the role of calpain in the pathophysiology of acute glomerulonephritis, transgenic mice that constitutively express high levels of calpastatin, a calpain-specific inhibitor protein, were generated. Wild-type mice that were subjected to anti-glomerular basement membrane nephritis exhibited elevated levels of calpain activity in kidney cortex at the heterologous phase of the disease. This was associated with the appearance in urine of calpain activity, which originated potentially from inflammatory cells, abnormal transglomerular passage of plasma proteins, and tubular secretion. In comparison with nephritic wild-type mice, nephritic calpastatin-transgenic mice exhibited limited activation of calpain in kidney cortex and limited secretion of calpain activity in urine. This was associated with less severe glomerular injury (including capillary thrombi and neutrophil activity) and proteinuria. There was a reduction in NF-kappaB activation, suggesting that calpain may participate in inflammatory lesions through NF-kappaB activation. There also was a reduction in nephrin disappearance from the surface of podocytes, indicating that calpain activity would enhance proteinuria by affecting nephrin expression. Exposure of cultured podocytes to calpain decreased nephrin expression, and, conversely, exposure of these cells to calpastatin prevented TNF-alpha from decreasing nephrin expression, demonstrating a role for the secreted form of calpain. Thus, both activation and secretion of calpains participate in the development of immune glomerular injury.


Assuntos
Proteínas de Ligação ao Cálcio/genética , Calpaína/metabolismo , Inibidores de Cisteína Proteinase/genética , Glomerulonefrite/metabolismo , Rim/metabolismo , Albuminúria/etiologia , Animais , Doença Antimembrana Basal Glomerular/induzido quimicamente , Calpaína/antagonistas & inibidores , Calpaína/urina , Modelos Animais de Doenças , Feminino , Inflamação/metabolismo , Rim/fisiopatologia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , NF-kappa B/metabolismo
16.
J Biol Chem ; 281(36): 26624-32, 2006 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-16822870

RESUMO

Calpains are intracellular Ca2+-dependent cysteine proteases that are released in the extracellular milieu by tubular epithelial cells following renal ischemia. Here we show that externalized calpains increase epithelial cell mobility and thus are critical for tubule repair. In vitro, exposure of human tubular epithelial cells (HK-2 cells) to mu-calpain limited their adhesion to extracellular matrix and increased their mobility. Calpains acted primarily by promoting the cleavage of fibronectin, thus preventing fibronectin binding to the integrin alphavbeta3. Analyzing downstream integrin effects, we found that the cyclic AMP-dependent protein kinase A pathway was activated in response to alphavbeta3 disengagement and was essential for calpain-mediated increase in HK-2 cell mobility. In a murine model of ischemic acute renal failure, injection of a fragment of calpastatin, which specifically blocked calpain activity in extracellular milieu, markedly delayed tubule repair, increasing functional and histological lesions after 24 and 48 h of reperfusion. These findings suggest that externalized calpains are critical for tubule repair process in acute renal failure.


Assuntos
Calpaína/metabolismo , Movimento Celular/fisiologia , Células Epiteliais/metabolismo , Túbulos Renais Proximais , Isoformas de Proteínas/metabolismo , Traumatismo por Reperfusão/patologia , Animais , Proteínas de Ligação ao Cálcio/metabolismo , Calnexina/metabolismo , Calpaína/antagonistas & inibidores , Calpaína/genética , Células Cultivadas , AMP Cíclico/metabolismo , Proteínas Quinases Dependentes de AMP Cíclico/metabolismo , Inibidores de Cisteína Proteinase/metabolismo , Células Epiteliais/citologia , Fibronectinas/metabolismo , Humanos , Integrina alfaVbeta3/metabolismo , Túbulos Renais Proximais/citologia , Túbulos Renais Proximais/metabolismo , Túbulos Renais Proximais/patologia , Camundongos , Camundongos Endogâmicos C57BL , Isoformas de Proteínas/genética , Traumatismo por Reperfusão/metabolismo
17.
J Am Soc Nephrol ; 16(8): 2395-402, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15944338

RESUMO

Ischemic acute renal failure is characterized by damages to the proximal straight tubule in the outer medulla. Lesions include loss of polarity, shedding into the tubule lumen, and eventually necrotic or apoptotic death of epithelial cells. It was recently shown that peroxisome proliferator-activated receptor beta/delta (PPARbeta/delta) increases keratinocyte survival after an inflammatory reaction. Therefore, whether PPARbeta/delta could contribute also to the control of tubular epithelium death after renal ischemia/reperfusion was tested. It was found that PPARbeta/delta+/- and PPARbeta/delta-/- mutant mice exhibited much greater kidney dysfunction and injury than wild-type counterparts after a 30-min renal ischemia followed by a 36-h reperfusion. Conversely, wild-type mice that were given the specific PPARbeta/delta ligand L-165041 before renal ischemia were completely protected against renal dysfunction, as indicated by the lack of rise in serum creatinine and fractional excretion of Na+. This protective effect was accompanied by a significant reduction in medullary necrosis, apoptosis, and inflammation. On the basis of in vitro studies, PPARbeta/delta ligands seem to exert their role by activating the antiapoptotic Akt signaling pathway and, unexpectedly, by increasing the spreading of tubular epithelial cells, thus limiting potentially their shedding and anoikis. These results point to PPARbeta/delta as a remarkable new target for preconditioning strategies.


Assuntos
Isquemia , Rim/citologia , PPAR delta/fisiologia , PPAR beta/fisiologia , Insuficiência Renal/patologia , Acetatos/farmacologia , Animais , Apoptose , Western Blotting , Células Cultivadas , Creatinina/sangue , Relação Dose-Resposta a Droga , Células Epiteliais/citologia , Humanos , Marcação In Situ das Extremidades Cortadas , Inflamação , Queratinócitos/metabolismo , Rim/metabolismo , Rim/patologia , Túbulos Renais/metabolismo , Ligantes , Macrófagos/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Microscopia de Fluorescência , Necrose , Neutrófilos/patologia , PPAR delta/biossíntese , PPAR beta/biossíntese , Peroxidase/metabolismo , Fenóis/farmacologia , Fenótipo , Fenoxiacetatos , Proteínas Proto-Oncogênicas c-akt/metabolismo , Transdução de Sinais , Sódio/química , Fatores de Tempo
18.
J Immunol ; 172(12): 7677-83, 2004 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-15187150

RESUMO

15-deoxy-Delta(12,14)-PGJ(2) (15d-PGJ(2)) is involved in the control of inflammatory reaction. We tested the hypothesis that 15d-PGJ(2) would exert this control in part by modulating the sensitivity of inflammatory cells to glucocorticoids. Human U937cells and mouse RAW 264.7 cells were exposed to 15d-PGJ(2), and binding experiments were performed with [(3)H]dexamethasone as a glucocorticoid receptor (GR) ligand. 15d-PGJ(2) caused a transient and concentration-dependent decrease in [(3)H]dexamethasone-specific binding to either cells through a decrease in the number of GR per cell without significant modification of the K(d) value. These changes were related to functional alteration of the GR rather than to a decrease in GR protein. They did not require the engagement of peroxisome proliferator-activated receptor gamma (PPARgamma), because the response to 15d-PGJ(2) was neither mimicked by the PPARgamma agonist ciglitazone nor prevented by the PPARgamma antagonist bisphenol A diglycidyl ether. 15d-PGJ(2) altered GR possibly through the interaction of its cyclopentenone ring with GR cysteine residues because the cyclopentenone ring per se could mimic the effect of 15d-PGJ(2), and modification of GR cysteine residues with methyl methanethiosulfonate suppressed the response to 15d-PGJ(2). Finally, 15d-PGJ(2)-induced decreases in glucocorticoid binding to GR resulted in parallel decreases in the ability of GR to activate the transcription of a glucocorticoid-inducible reporter gene and to reduce the expression of monocyte chemoattractant protein-1. Together these data suggest that 15d-PGJ(2) limits glucocorticoid binding and signaling in monocytes/macrophages through a PPARgamma-independent and cyclopentenone-dependent mechanism. It provides a way in which 15d-PGJ(2) would exert proinflammatory activities in addition to its known anti-inflammatory activities.


Assuntos
Glucocorticoides/antagonistas & inibidores , Macrófagos/metabolismo , Prostaglandina D2/farmacologia , Receptores Citoplasmáticos e Nucleares , Transdução de Sinais/efeitos dos fármacos , Fatores de Transcrição , Animais , Linhagem Celular , Quimiocina CCL2/genética , Ciclopentanos/farmacologia , Dexametasona/antagonistas & inibidores , Dexametasona/metabolismo , Glucocorticoides/metabolismo , Humanos , Camundongos , Monócitos/metabolismo , Prostaglandina D2/análogos & derivados , Ensaio Radioligante , Receptores de Glucocorticoides/metabolismo , Receptores de Glucocorticoides/fisiologia , Transcrição Gênica/efeitos dos fármacos , Células U937
19.
Kidney Int ; 63(6): 2028-36, 2003 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-12753290

RESUMO

BACKGROUND: Renal inflammation is regulated by a network of local and systemic mediators. Of them, transforming growth factor-beta1 (TGF-beta 1) and glucocorticoids play an important role in deactivating monocytes/macrophages. We examined the hypothesis that TGF-beta 1 effects may be partially achieved through modulation of the sensitivity of these cells to glucocorticoids. METHODS: Human promonocytic U 937 cells differentiated to a mature macrophage-like phenotype were exposed to recombinant TGF-beta 1 before specific binding of [3H] dexamethasone was measured. The expression of glucocorticoid receptor (GR) was examined by RNase protection assay and Western blot analysis. The role of Smad 2/3 and activator protein 1 (AP-1) in the response to TGF-beta 1 was determined by introducing transdominant negative mutants and decoy oligodeoxynucleotides, respectively. RESULTS: U 937 cell exposure to TGF-beta 1 caused a dose- and time-dependent increase in [3H] dexamethasone binding to these cells, with a < or =twofold increase in the number of binding sites per cell, without modification of the affinity. The changes in glucocorticoid binding were associated with identical changes in GR protein and mRNA levels, that were explained by an increase in GR gene transcription rather than by posttranscriptional mechanisms. Functional inactivation of Smad 2/3 and AP-1 limited the response to TGF-beta 1, indicating a role for these transcription factors. Finally, increases in glucocorticoid binding to GR were responsible for increases in the ability of GR to transactivate minimal promoters containing glucocorticoid-responsive elements (GRE) [MMTV-Luc and (GRE)2 TK-Luc]. CONCLUSION: TGF-beta 1 increases glucocorticoid binding and signaling in inflammatory cells through a Smad 2/3- and AP-1-mediated process. This may represent a new target for intervention to increase glucocorticoid responsiveness.


Assuntos
Proteínas de Ligação a DNA/metabolismo , Glucocorticoides/metabolismo , Macrófagos/metabolismo , Transdução de Sinais/efeitos dos fármacos , Transativadores/metabolismo , Fator de Transcrição AP-1/metabolismo , Fator de Crescimento Transformador beta/farmacologia , Carcinógenos/farmacologia , Diferenciação Celular/efeitos dos fármacos , Expressão Gênica/efeitos dos fármacos , Expressão Gênica/imunologia , Humanos , Inflamação/metabolismo , Interleucina-8/metabolismo , Macrófagos/efeitos dos fármacos , Ligação Proteica/efeitos dos fármacos , Receptores de Glucocorticoides/genética , Transdução de Sinais/imunologia , Proteína Smad2 , Proteína Smad3 , Acetato de Tetradecanoilforbol/farmacologia , Transcrição Gênica/efeitos dos fármacos , Transcrição Gênica/imunologia , Fator de Crescimento Transformador beta1 , Células U937 , Regulação para Cima/efeitos dos fármacos
20.
J Neuroimmunol ; 138(1-2): 38-44, 2003 May.
Artigo em Inglês | MEDLINE | ID: mdl-12742651

RESUMO

Somatostatin (SRIF) exerts anti-inflammatory effects, in part by deactivating monocytes/macrophages. Thus, the objective of this study was to characterize specific receptors for SRIF on these cells. Macrophages isolated from mouse peritoneal cells bound [125I]Tyr(0), D-Trp(8) SRIF(14) specifically. Scatchard analysis of saturation binding data revealed two classes of binding sites with an affinity of 0.44+/-0.13 and 2.58+/-0.56 nM, respectively. By sensitive and specific RT-PCR, the mRNAs for the five SRIF receptors (SSTR1 to SSTR5) could be detected. Evidence for the involvement of SSTR1 and SSTR2 in the binding of SRIF to the high and low affinity sites, respectively, was obtained by the demonstration that (1) only SSTR1 and SSTR2 subtype-specific agonists were active in competing for [125I]Tyr(0), D-Trp(8) SRIF(14) binding to high and low affinity sites, respectively, and (2) [125I]Tyr(0), D-Trp(8) SRIF(14) bound to high but not low affinity sites on macrophages isolated from SSTR2 knock-out mice. In conclusion, we have identified and characterized two different SRIF receptor subtypes in murine macrophages.


Assuntos
Macrófagos Peritoneais/metabolismo , Receptores de Somatostatina/fisiologia , Somatostatina/análogos & derivados , Somatostatina/metabolismo , Adenilil Ciclases/metabolismo , Amidas/metabolismo , Animais , Ligação Competitiva/genética , Separação Celular , Colforsina/farmacologia , AMP Cíclico/antagonistas & inibidores , AMP Cíclico/metabolismo , Indóis/metabolismo , Macrófagos Peritoneais/efeitos dos fármacos , Macrófagos Peritoneais/enzimologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Naftalenos/metabolismo , Nitrobenzenos/metabolismo , Receptores de Somatostatina/agonistas , Receptores de Somatostatina/deficiência , Receptores de Somatostatina/genética , Somatostatina/agonistas
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