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2014 Fiscal Year Final Research Report

Identification of the mechanisms and treatment of tubulointerstitial fibrosis via 5-HT - 5-HT receptor pathway

Research Project

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Project/Area Number 25860288
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Experimental pathology
Research InstitutionThe University of Tokyo

Principal Investigator

HAMASAKI Yoshifumi  東京大学, 医学部附属病院, 助教 (20617774)

Research Collaborator NOIRI Eisei  
DOI Kent  
OGASAWARA Emi  
Project Period (FY) 2013-04-01 – 2015-03-31
Keywords腎尿細管間質線維化 / 5-HT受容体拮抗薬 / PAI-1 / 近位尿細管上皮細胞 / L-FABP / 傍尿細管血流
Outline of Final Research Achievements

We investigated whether a selective 5-hydroxytryptamine (5-HT) 2A receptor antagonist sarpogrelate (SG) suppresses renal fibrosis. Mice fed an adenine-containing diet developed severe tubulointerstitial fibrosis with renal dysfunction. SG treatment improved these changes significantly accompanied with increasing peritubular blood flow, decreasing fibrin deposition, and improving inflammatory cells infiltration. Plasminogen activator inhibitor-1 (PAI-1) which is known to promote fibrosis was suppressed by SG treatment in the kidney. Urinary L-type fatty acid-binding protein was reduced by SG. In vitro experiments using cultured murine proximal tubular epithelial (mProx) cells revealed that incubation with TGF-1 and 5-HT increased PAI-1 expression; SG significantly reduced it. The receptor of SG was expressed both in the kidney and mProx cells. In conclusion, SG reduces renal fibrosis not only by the antithrombotic effect but also by suppressing PAI-1 in renal tubular epithelial cells.

Free Research Field

腎臓病学

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Published: 2016-06-03  

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