Wnt/-catenin signaling mediates renal fibrosis in several model systems including diabetic nephropathy. Dickkopf-1 (DKK-1) is an endogenous inhibitor of Wnt/-catenin signaling, but whether DKK-1 modulates diabetic nephropathy is unknown. Here, we studied whether DKK-1 participates in high glucose (HG)-induced expression of profibrotic factors and renal damage. In vitro, HG increased expression of DKK1, receptor Kremen-2, TGF-1, and fibronectin in mesangial cells. Loss and gain of DKK1 function modulated HG-mediated c-Jun, TGF-1, and fibronectin expression. DKK1 mediated HG-induced phosphorylation of Ser45--catenin and reduction of nuclear -catenin levels, but not phosphorylation of ERK kinase. Wnt3a protein and the -catenin (⌬45) mutation increased nuclear -catenin but abrogated HG-induced DKK1 and fibronectin expression. Exogenous DKK1 antisense oligonucleotide attenuated the increase in both serum DKK1 and urinary protein excretion in streptozotocin-induced diabetic rats. Knocking down DKK1 inhibited mesangial expression of TGF-1 and fibronectin and reduced both the glomerular volume and deposition of mesangial matrix in diabetic kidneys. Taken together, DKK1 mediates HG-induced destabilization of -catenin and matrix accumulation in mesangial cells. Knocking down DKK1 prevents diabetes-induced renal dysfunction and microstructure deterioration, suggesting that inhibition of DKK1offers therapeutic potential for diabetic nephropathy. 21: 124 -135, 201021: 124 -135, . doi: 10.1681 Diabetes-mediated renal fibrosis is one of the leading causes of ESRD. High glucose (HG) concentration increases remodeling of glomerular microarchitecture by promoting accumulation of extracellular matrix (ECM) 1 and expression of fibrotic factor in mesangial cells, 2 which leads to renal dysfunction and subsequent diabetic renal injury. 3,4 Induction of fibrotic matrix deposition in mesangial cells by TGF-1 is an important pathogenic reaction in diabetic renal injury. 5 Wnt proteins interact with receptor Frizzled and co-receptor LDL receptor-related protein 5 (LRP5) and stabilize downstream transcription regulator -catenin by inhibiting -catenin phosphorylation toward proteasome degradation, 6 which reportedly participates in nephrogenesis and renal disorders. Modulation of Wnt protein secretion, -catenin stabilization, and glycogen synthesis kinase-3 activa-
J Am Soc Nephrol