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Publication : Complement 3 activates the renal renin-angiotensin system by induction of epithelial-to-mesenchymal transition of the nephrotubulus in mice.

First Author  Zhou X Year  2013
Journal  Am J Physiol Renal Physiol Volume  305
Issue  7 Pages  F957-67
PubMed ID  23926185 Mgi Jnum  J:202043
Mgi Id  MGI:5516534 Doi  10.1152/ajprenal.00344.2013
Citation  Zhou X, et al. (2013) Complement 3 activates the renal renin-angiotensin system by induction of epithelial-to-mesenchymal transition of the nephrotubulus in mice. Am J Physiol Renal Physiol 305(7):F957-67
abstractText  We have demonstrated that mesenchymal cells from spontaneously hypertensive rats genetically express complement 3 (C3). Mature tubular epithelial cells can undergo epithelial-to-mesenchymal transition (EMT) that is linked to the pathogenesis of renal fibrosis and injury. In this study, we investigated the contribution of C3 in EMT and in the renal renin-angiotensin (RA) systems associated with hypertension. C3a induced EMT in mouse TCMK-1 epithelial cells, which displayed increased expression of renin and Kruppel-like factor 5 (KLF5) and nuclear localization of liver X receptor alpha (LXRalpha). C3 and renin were strongly stained in the degenerated nephrotubulus and colocalized with LXRalpha and prorenin receptor in unilateral ureteral obstruction (UUO) kidneys from wild-type mice. In C3-deficient mice, hydronephrus and EMT were suppressed, with no expression of renin and C3. After UUO, systolic blood pressure was increased in wild-type but not C3-deficient mice. In wild-type mice, intrarenal angiotensin II (ANG II) levels were markedly higher in UUO kidneys than normal kidneys and decreased with aliskiren. There were no increases in intrarenal ANG II levels after UUO in C3-deficient mice. Thus C3 induces EMT and dedifferentiation of epithelial cells, which produce renin through induction of LXRalpha. These data indicate for the first time that C3 may be a primary factor to activate the renal RA systems to induce hypertension.
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