Modulation of Wnt and Hedgehog Signaling Pathways Is Linked to Retinoic Acid‐Induced Amelioration of Chronic Allograft Dysfunction

Chronic renal allograft damage (CAD) is manifested by a smoldering inflammatory process that leads to transplant glomerulopathy, diffuse interstitial fibrosis and tubular atrophy with loss of tubular structures. Using a Fischer 344 (RT1lvl) to Lewis (RT1l) rat renal allograft model, transcriptomic p...

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Published inAmerican journal of transplantation Vol. 12; no. 1; pp. 55 - 68
Main Authors von Toerne, C., Bedke, J., Safi, S., Porubsky, S., Gretz, N., Loewe, R., Nelson, P. J., Gröne, H.‐J.
Format Journal Article
LanguageEnglish
Published Malden, USA Blackwell Publishing Inc 01.01.2012
Wiley
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Abstract Chronic renal allograft damage (CAD) is manifested by a smoldering inflammatory process that leads to transplant glomerulopathy, diffuse interstitial fibrosis and tubular atrophy with loss of tubular structures. Using a Fischer 344 (RT1lvl) to Lewis (RT1l) rat renal allograft model, transcriptomic profiling and pathway mapping, we have previously shown that dynamic dysregulation of the Wnt signaling pathways may underlie progressive CAD. Retinoic acid, an important regulator of differentiation during vertebrate embryogenesis, can moderate the damage observed in this experimental model of CAD. We show here that subsets of the Hedgehog (Hh) and canonical Wnt signaling pathways are linked to the pathophysiology of progressive fibrosis, loss of cilia in epithelia and chronic dysfunction. Oral treatment with 13cis retinoic acid (13cRA) was found to selectively ameliorate the dysregulation of the Hh and canonical Wnt pathways associated with CAD, and lead to a general preservation of cilial structures. Interplay between these pathways helps explain the therapeutic effects of retinoic acid treatment in CAD, and suggests future targets for moderating chronic fibrosing organ damage. Dysregulation of Wnt and Hedgehog signaling pathways may underlie important aspects of progressive experimental allograft damage, and explain the mollifying effects of retinoic acid treatment on chronic damage. See editorial by Fabian and Humphreys on page 5.
AbstractList Chronic renal allograft damage (CAD) is manifested by a smoldering inflammatory process that leads to transplant glomerulopathy, diffuse interstitial fibrosis and tubular atrophy with loss of tubular structures. Using a Fischer 344 (RT1lvl) to Lewis (RT1l) rat renal allograft model, transcriptomic profiling and pathway mapping, we have previously shown that dynamic dysregulation of the Wnt signaling pathways may underlie progressive CAD. Retinoic acid, an important regulator of differentiation during vertebrate embryogenesis, can moderate the damage observed in this experimental model of CAD. We show here that subsets of the Hedgehog (Hh) and canonical Wnt signaling pathways are linked to the pathophysiology of progressive fibrosis, loss of cilia in epithelia and chronic dysfunction. Oral treatment with 13cis retinoic acid (13cRA) was found to selectively ameliorate the dysregulation of the Hh and canonical Wnt pathways associated with CAD, and lead to a general preservation of cilial structures. Interplay between these pathways helps explain the therapeutic effects of retinoic acid treatment in CAD, and suggests future targets for moderating chronic fibrosing organ damage.
Chronic renal allograft damage (CAD) is manifested by a smoldering inflammatory process that leads to transplant glomerulopathy, diffuse interstitial fibrosis and tubular atrophy with loss of tubular structures. Using a Fischer 344 (RT1lvl) to Lewis (RT1l) rat renal allograft model, transcriptomic profiling and pathway mapping, we have previously shown that dynamic dysregulation of the Wnt signaling pathways may underlie progressive CAD. Retinoic acid, an important regulator of differentiation during vertebrate embryogenesis, can moderate the damage observed in this experimental model of CAD. We show here that subsets of the Hedgehog (Hh) and canonical Wnt signaling pathways are linked to the pathophysiology of progressive fibrosis, loss of cilia in epithelia and chronic dysfunction. Oral treatment with 13cis retinoic acid (13cRA) was found to selectively ameliorate the dysregulation of the Hh and canonical Wnt pathways associated with CAD, and lead to a general preservation of cilial structures. Interplay between these pathways helps explain the therapeutic effects of retinoic acid treatment in CAD, and suggests future targets for moderating chronic fibrosing organ damage. Dysregulation of Wnt and Hedgehog signaling pathways may underlie important aspects of progressive experimental allograft damage, and explain the mollifying effects of retinoic acid treatment on chronic damage. See editorial by Fabian and Humphreys on page 5.
Chronic renal allograft damage (CAD) is manifested by a smoldering inflammatory process that leads to transplant glomerulopathy, diffuse interstitial fibrosis and tubular atrophy with loss of tubular structures. Using a Fischer 344 (RT1lvl) to Lewis (RT1l) rat renal allograft model, transcriptomic profiling and pathway mapping, we have previously shown that dynamic dysregulation of the Wnt signaling pathways may underlie progressive CAD. Retinoic acid, an important regulator of differentiation during vertebrate embryogenesis, can moderate the damage observed in this experimental model of CAD. We show here that subsets of the Hedgehog (Hh) and canonical Wnt signaling pathways are linked to the pathophysiology of progressive fibrosis, loss of cilia in epithelia and chronic dysfunction. Oral treatment with 13cis retinoic acid (13cRA) was found to selectively ameliorate the dysregulation of the Hh and canonical Wnt pathways associated with CAD, and lead to a general preservation of cilial structures. Interplay between these pathways helps explain the therapeutic effects of retinoic acid treatment in CAD, and suggests future targets for moderating chronic fibrosing organ damage. Dysregulation of Wnt and Hedgehog signaling pathways may underlie important aspects of progressive experimental allograft damage, and explain the mollifying effects of retinoic acid treatment on chronic damage. See editorial by Fabian and Humphreys on page 5.
Author Gretz, N.
Gröne, H.‐J.
Bedke, J.
Nelson, P. J.
von Toerne, C.
Safi, S.
Porubsky, S.
Loewe, R.
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Issue 1
Keywords Protein wnt
renal transplantation
Retinoid
Homograft
Hedgehog signaling
Homotransplantation
Kidney
Signal transduction
Chronic
Wnt signaling
Treatment
Urinary system
Signaling pathway
Dysfunction
Hedgehog protein
Surgery
Modulation
Graft
Retinoic acid
Chronic allograft dysfunction
Kidney transplantation
Language English
License CC BY 4.0
Copyright 2011 The American Society of Transplantation and the American Society of Transplant Surgeons.
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Snippet Chronic renal allograft damage (CAD) is manifested by a smoldering inflammatory process that leads to transplant glomerulopathy, diffuse interstitial fibrosis...
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SubjectTerms Animals
Biological and medical sciences
Chronic allograft dysfunction
Hedgehog Proteins - metabolism
Hedgehog signaling
Medical sciences
Rats
Rats, Inbred F344
renal transplantation
retinoic acid
Signal Transduction
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Tretinoin - metabolism
Wnt Proteins - metabolism
Wnt signaling
Title Modulation of Wnt and Hedgehog Signaling Pathways Is Linked to Retinoic Acid‐Induced Amelioration of Chronic Allograft Dysfunction
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1600-6143.2011.03776.x
https://www.ncbi.nlm.nih.gov/pubmed/21992189
https://search.proquest.com/docview/1785237129
https://search.proquest.com/docview/916529786
Volume 12
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