Key result
SDF-1α drives cardiac and renal cell remodeling, augmented by DPP4 inhibition and blocked by CXCR4 antagonism.
The SDF-1α/CXCR4 axis promotes fibrotic and hypertrophic responses in cardiac and renal cells, which are exacerbated by DPP4 inhibition and hypertension.
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SDF-1α/CXCR4 may promote cardiac-renal fibrosis exacerbated by DPP4 inhibition; hypothesis-generating for clinical translation.
Background Activated cardiac fibroblasts ( CF s), preglomerular vascular smooth muscle cells ( PGVSMC s), and glomerular mesangial cells ( GMC s) proliferate, cause hypertrophy, and produce collagen; in this way, activated CF s contribute to cardiac fibrosis, and activated PGVSMC s and GMC s promote renal fibrosis. In heart and kidney diseases, SDF ‐1α (stromal cell‐derived factor 1α; endogenous CXCR 4 [C‐X‐C motif chemokine receptor 4] receptor agonist) levels are often elevated; therefore, it is important to know whether and how the SDF ‐1α/ CXCR 4 axis activates CF s, PGVSMC s, or GMC s. Methods and Results Here we investigated whether SDF ‐1α activates CF s, PGVSMC s, and GMC s to proliferate, hypertrophy, or produce collagen. DPP4 (dipeptidyl peptidase 4) inactivates SDF ‐1α and previous experiments show that growth‐promoting peptides have greater effects in cells from genetically‐hypertensive animals. Therefore, we performed experiments in the absence and presence of sitagliptin ( DPP 4 inhibitor) and in cells from normotensive Wistar–Kyoto rats and spontaneously hypertensive rats. Our studies show (1) that spontaneously hypertensive and Wistar–Kyoto rat CF s, PGVSMC s, and GMC s express CXCR 4 receptors and DPP 4 activity; (2) that chronic treatment with physiologically relevant concentrations of SDF ‐1α causes concentration‐dependent increases in the proliferation (cell number) and hypertrophy ( 3 H‐leucine incorporation) of and collagen production ( 3 H‐proline incorporation) by CF s, PGVSMC s, and GMC s; (3) that sitagliptin augments these effects of SDF ‐1α; (4) that interactions between SDF ‐1α and sitagliptin are greater in spontaneously hypertensive rat cells; (5) that CXCR 4 antagonism ( AMD 3100) blocks all effects of SDF ‐1α; and (6) that SDF ‐1α/ CXCR 4 signal transduction likely involves the RACK 1 (receptor for activated C kinase 1)/Gβγ/PLC (phospholipase C)/PKC (protein kinase C) signaling complex. Conclusions The SDF ‐1α/ CXCR 4 axis drives proliferation and hypertrophy of and collagen production by CF s, PGVSMC s, and GMC s, particularly in cells from genetically hypertensive animals and when DPP 4 is inhibited.
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Jackson et al. (2017) studied Cardiac and renal fibrosis. SDF-1α (Stromal Cell-Derived Factor 1α) vs. Control / CXCR4 antagonism (AMD3100) was evaluated on Proliferation (cell number), hypertrophy (3H-leucine incorporation), and collagen production (3H-proline incorporation). SDF-1α drives proliferation, hypertrophy, and collagen production in cardiac and renal cells, effects that are augmented by DPP4 inhibition and blocked by CXCR4 antagonism.
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