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Publication : CCAAT-enhancer binding protein delta (C/EBPδ) attenuates tubular injury and tubulointerstitial fibrogenesis during chronic obstructive nephropathy.

First Author  Duitman J Year  2014
Journal  Lab Invest Volume  94
Issue  1 Pages  89-97
PubMed ID  24247561 Mgi Jnum  J:206317
Mgi Id  MGI:5550019 Doi  10.1038/labinvest.2013.127
Citation  Duitman J, et al. (2014) CCAAT-enhancer binding protein delta (C/EBPdelta) attenuates tubular injury and tubulointerstitial fibrogenesis during chronic obstructive nephropathy. Lab Invest 94(1):89-97
abstractText  CCAAT-enhancer-binding protein delta (C/EBPdelta) is a transcription factor mainly known for its role in inflammation and apoptosis/proliferation. Considering that these are key processes in renal fibrosis, we hypothesized that C/EBPdelta would potentiate renal fibrosis. In line with this hypothesis, C/EBPdelta has recently been suggested to regulate the fibrotic response during glomerulonephritis. Here we determined the importance of C/EBPdelta in the development of renal tubulointerstitial fibrosis by subjecting 8- to 12-week-old C/EBPdelta-deficient mice and age- and sex-matched wild-type controls to the unilateral ureteral obstruction model. Mice were killed at 1, 3, or 7 days post surgery, and renal tissues were obtained for RNA, protein, and immunohistochemical analysis. We show that C/EBPdelta deficiency resulted in a more profound fibrotic response as evident from enhanced tubular injury, collagen deposition in the interstitial area, and higher expression of transforming growth factor-beta. Moreover, we show that the increase in renal fibrosis in C/EBPdelta-deficient mice does not depend on an altered proliferation/apoptosis balance or on a differential inflammatory response in the obstructed kidney. In conclusion, our study provides direct evidence that C/EBPdelta is a novel mediator of renal fibrosis. Modulating C/EBPdelta expression could consequently be a potential antifibrotic strategy in patients with chronic kidney disease.
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