title: [The antagonistic effects of adrenomedullin on biological events governed by transforming growth factor beta in HK-2 cell line].
abstract: OBJECTIVE
  To investigate the influence of adrenomedullin (AM) on the biological events governed by transforming growth factorbeta (TGF-beta) in human tubular epithelial cell line (HK-2).
  
  
  METHODS
  Cell proliferation was determined by (3)H-TdR incorporation; ELISA method was used to detect the level of secreted fibronectin (FN); total collagen synthesis and secretion were reflected by (3)H-proline incorporation and the radioactivity of (3)H-hydroproline in the culture medium; the expression of FN mRNA, collagen IV mRNA and TIMP-1mRNA was determined by RT-PCR; plasma AM was measured by radioimmunoassay.
  
  
  RESULTS
  (1) AM had no effect on cell growth inhibition of TGF-beta(1) (P > 0.05); (2) AM dose-dependently inhibited collagen synthesis and secretion stimulated by TGF-beta(1). As compared with those in TGF-beta group, collagen synthesis and secretion in AM (10(-8) mol/L group were inhibited by 8% (P > 0.05) and 30% (P < 0.05), respectively; and the collagen synthesis and secretion in AM (10(-7) mol/L) group were inhibited by 57% (P < 0.05) and 64% (P < 0.01), respectively in AM (10(-7) mol/L) group. Similarly, AM (10(-8) mol/L) inhibited the FN secretion (20 ng/microliter +/- 5 ng/microliter) stimulated by TGF-beta(1) (28 ng/microliter +/- 6 ng/microliter) (P < 0.05). RT-PCR showed that AM significantly down-regulated the expression of collagen IV, FN and TIMP-1 mRNA stimulated by TGF-beta(1). (3) The plasma AM in patients with mild tubulointerstitial lesion was 1. 2 times higher than that in normal controls. the plasma AM in patients with severe tubulointerstitial lesion was 2.2 times higher than that in normal controls. The plasma AM in patients with severe tubulointerstitial lesion was 50% higher than that in patients with mild tubulointerstitial lesion (P < 0.01).
  
  
  CONCLUSIONS
  AM antagonizes the biological action of TGF-beta(1) on extracellular matrix accumulation; plasma AM increases in glomerulonephritis patients and correlates with the degree of tubulointerstitial lesion.
authors.affiliation: Institute of Nephrology, First Hospital, Peking University, Beijing 100034, China.
authors.forename: C
authors.initials: C
authors.lastname: Ma
authors.forename: H
authors.initials: H
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D053607:Adrenomedullin; D000328:Adult; D002455:Cell Division / Q000187:drug effects; D002460:Cell Line; D024141:Collagen Type IV / Q000187:drug effects / Q000235:genetics / Q000378:metabolism; D005260:Female; D005353:Fibronectins / Q000187:drug effects / Q000235:genetics / Q000378:metabolism; D005921:Glomerulonephritis / Q000097:blood / Q000473:pathology; D006801:Humans; D007684:Kidney Tubules / Q000166:cytology / Q000187:drug effects* / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D010455:Peptides / Q000097:blood / Q000494:pharmacology*; D012333:RNA, Messenger / Q000187:drug effects / Q000235:genetics / Q000378:metabolism; D019715:Tissue Inhibitor of Metalloproteinase-1 / Q000187:drug effects / Q000235:genetics / Q000378:metabolism; D016212:Transforming Growth Factor beta / Q000494:pharmacology*; D053773:Transforming Growth Factor beta1
chemical_list: D024141:Collagen Type IV; D005353:Fibronectins; D010455:Peptides; D012333:RNA, Messenger; C508960:TGFB1 protein, human; D019715:Tissue Inhibitor of Metalloproteinase-1; D016212:Transforming Growth Factor beta; D053773:Transforming Growth Factor beta1; D053607:Adrenomedullin