2016
DOI: 10.1038/srep26740
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C-Reactive Protein Promotes Diabetic Kidney Disease in db/db Mice via the CD32b-Smad3-mTOR signaling Pathway

Abstract: C-reactive protein (CRP) is associated with progressive diabetic nephropathy in patients with type-2 diabetes (T2DN). However, role of CRP in T2DN remains unclear. We report here that CRP is pathogenic in T2DN in db/db mice that express human CRP (CRPtg-db/db). Compared to the littermate db/db mice, CRPtg-db/db developed more severe T2DN, showing higher levels of fasting blood glucose and microalbuminuria and more progressive renal inflammation and fibrosis. Enhanced T2DN in CRPtg-db/db mice were associated wi… Show more

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Cited by 48 publications
(83 citation statements)
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References 49 publications
(76 reference statements)
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“…As demonstrated in our previous studies, CRP can activate ERK/p38 MAPK and NF‐κB signalling to promote inflammation in kidney tissue . Other studies have shown that CRP can induce plasminogen activator inhibitor‐1 (PAI‐1) expression via p38 MAPK in endothelial cells, suggesting its pathogenic role in disturbing the delicate balance in thrombosis and inflammation.…”
Section: Pathogenic Mechanisms Of Crp In Ageingsupporting
confidence: 57%
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“…As demonstrated in our previous studies, CRP can activate ERK/p38 MAPK and NF‐κB signalling to promote inflammation in kidney tissue . Other studies have shown that CRP can induce plasminogen activator inhibitor‐1 (PAI‐1) expression via p38 MAPK in endothelial cells, suggesting its pathogenic role in disturbing the delicate balance in thrombosis and inflammation.…”
Section: Pathogenic Mechanisms Of Crp In Ageingsupporting
confidence: 57%
“…Importantly, CRP also activated mTOR signalling at 30 minutes via a Smad3‐dependent mechanism as Smad3‐bound mTOR and CRP‐induced mTOR signalling was abolished by a specific Smad3 inhibitor. Finally, we found that CRP‐induced renal fibrosis through a CD32b‐Smad3‐mTOR pathway, as blockade of mTOR signalling with rapamycin inhibited CRP‐induced connective tissue growth factor (CTGF) and collagen I expression …”
Section: Pathogenic Mechanisms Of Crp In Ageingmentioning
confidence: 93%
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“…Total RNA was isolated from the renal tissues and cultured HK‐2 cells using TRIzol reagent from Invitrogen according to the manufacturer's instructions, and real‐time PCR was performed using Bio‐Rad IQ SYBR Green Supermix with Option 2 (Bio‐Rad, Hercules, CA) as previously described . The primers used in this study for mouse IL‐1β, TNF‐a, TGF‐β1, a‐SMA, collagen I and fibronectin mRNAs have been described previously . The housekeeping gene β‐actin was used as an internal control.…”
Section: Methodsmentioning
confidence: 99%
“…To examine the changes in renal morphology, we stained formalinfixed, paraffin-embedded sections (3 µm) with haematoxylin and eosin or a Masson's trichrome staining kit (ScyTek Laboratories, West Logan, UT) according to the manufacturer's instructions and as previously described. 29,30 Immunohistochemistry was performed in paraffin sections using a microwave-based antigen retrieval method. 31 The primary antibodies used in this study included antibodies against Cybernetics, Bethesda, MD) as described previously.…”
Section: Morphological and Immunohistochemical Analysismentioning
confidence: 99%