Gene transfer and kidney disease

J Nephrol. 1998 Jan-Feb;11(1):16-9.

Abstract

There is little doubt that molecular biological intervention therapy has come of age and its potential is arousing tremendous excitement. A gene transfer technique, the HVJ-liposome method, is now applicable as a tool for the dissection of molecular aspects in the pathophysiology of renal diseases, and for gene therapy in experimental glomerulonephritis. Overexpressed transforming growth factor (TGF)-beta in the normal rat glomeruli, by gene transfer of TGF-beta cDNA, leads to glomerulosclerosis. However, inhibition of the TGF-beta action by antisense oligonucleotides can suppress the development of the experimental glomerulonephritis. We investigated whether in vivo gene transfer of chimeric proteins, composed of the extracellular domain of TGF-beta type II receptor fused with IgC-Fc, suppresses experimental glomerulonephritis. The expression of TGF-beta in glomeruli was suppressed and so was the extracellular matrix expansion. Taken together with clinical observation of up-regulation of TGF-beta in various glomerulopathies, the dys-regulation of the TGF-beta is important in the development of glomerulosclerosis, and manipulation of this overexpression may prove a novel therapeutic approach for slowing the progression of the disease.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Gene Transfer Techniques*
  • Genetic Therapy*
  • Humans
  • Kidney Diseases / therapy*
  • Oligonucleotides, Antisense / therapeutic use
  • Platelet-Derived Growth Factor / genetics
  • Receptors, Transforming Growth Factor beta / genetics
  • Respirovirus / genetics
  • Transforming Growth Factor beta / genetics*

Substances

  • Oligonucleotides, Antisense
  • Platelet-Derived Growth Factor
  • Receptors, Transforming Growth Factor beta
  • Transforming Growth Factor beta