Angiotensin II and EGF receptor cross-talk in chronic kidney diseases: A new therapeutic approach

Alexandre Lautrette, Shunqiang Li, Rohia Alili, Susan W. Sunnarborg, Martine Burtin, David C. Lee, Gérard Friedlander, Fabiola Terzi

Research output: Contribution to journalArticlepeer-review

304 Scopus citations

Abstract

Mechanisms of progression of chronic renal diseases, a major healthcare burden, are poorly understood. Angiotensin II (AngII), the major renin-angiotensin system effector, is known to be involved in renal deterioration, but the molecular pathways are still unknown. Here, we show that mice overexpressing a dominant negative isoform of epidermal growth factor receptor (EGFR) were protected from renal lesions during chronic AngII infusion. Transforming growth factor-α (TGF-α) and its sheddase, TACE (also known as ADAM17), were induced by Angll treatment, TACE was redistributed to apical membranes and EGFR was phosphorylated. AngII-induced lesions were substantially reduced in mice lacking TGF-α or in mice given a specific TACE inhibitor. Pharmacologic inhibition of AngII prevented TGF-α and TACE accumulation as well as renal lesions after nephron reduction. These findings indicate a crucial role for AngII-dependent EGFR transactivation in renal deterioration and identify in TACE inhibitors a new therapeutic strategy for preventing progression of chronic renal diseases.

Original languageEnglish
Pages (from-to)867-874
Number of pages8
JournalNature medicine
Volume11
Issue number8
DOIs
StatePublished - Aug 2005

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