Key result
Treatment with the chymase inhibitor TY-51469 significantly suppressed fibrosis formation and the expression of renal chymase and TGF-β1 in a mouse model of renal ischemia-reperfusion injury.
Why the study?
No clinically effective pharmacological treatment is established to prevent the transition from acute kidney injury to chronic kidney disease.
Does TY-51469 reduce renal fibrosis in a mouse model of renal ischemia-reperfusion injury?
Does TY-51469 reduce renal fibrosis in a mouse model of renal ischemia-reperfusion injury?
Chymase inhibition with TY-51469 attenuates renal fibrosis in a mouse model of ischemia-reperfusion injury, suggesting a potential strategy to prevent the transition from acute kidney injury to chronic kidney disease.
Chymase inhibition merits testing in additional models; leaves open translation to human AKI-to-CKD prevention.
Although various factors contribute to the transition from acute kidney injury (AKI) to chronic kidney disease (CKD), no clinically effective pharmacological treatment has been established. We investigated whether chymase inhibition is effective in preventing renal fibrosis, a key process in the transition from AKI to CKD. Male BALB/c mice were subjected to unilateral ischemia-reperfusion (I/R) injury, and TY-51469, a chymase-specific inhibitor, was administered intraperitoneally at a dose of 10 mg/kg/day for 6 weeks. The 45 min ischemic period followed by 6 weeks of reperfusion resulted in severe renal atrophy. Renal fibrosis was particularly pronounced in the transition region between the cortex and medulla in placebo-treated mice. The expression of mouse mast cell protease 4 (MMCP-4, a mouse chymase) mRNA, the number of chymase-positive mast cells, and fibrosis-related factors, such as transforming growth factor (TGF)-β1 and collagen I, were all significantly increased in I/R-injured kidneys. However, treatment with TY-51469 significantly suppressed fibrosis formation, along with the inhibition of renal chymase and TGF-β1 expression. These findings suggest that chymase inhibition may be a potential therapeutic strategy for preventing the transition from AKI to CKD by reducing fibrosis.
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Toba et al. (2025) studied Renal ischemia-reperfusion injury. TY-51469 vs. Placebo was evaluated on Renal fibrosis formation and expression of renal chymase and TGF-β1. Treatment with the chymase inhibitor TY-51469 significantly suppressed fibrosis formation and the expression of renal chymase and TGF-β1 in a mouse model of renal ischemia-reperfusion injury.
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