Restoration of Haemoglobin Level Using Hydrodynamic Gene Therapy with Erythropoietin Does Not Alleviate the Disease Progression in an Anaemic Mouse Model for TGFβ1-Induced Chronic Kidney Disease

PLoS One. 2015 Jun 5;10(6):e0128367. doi: 10.1371/journal.pone.0128367. eCollection 2015.

Abstract

Erythropoietin, Epo, is a 30.4 kDa glycoprotein hormone produced primarily by the fetal liver and the adult kidney. Epo exerts its haematopoietic effects by stimulating the proliferation and differentiation of erythrocytes with subsequent improved tissue oxygenation. Epo receptors are furthermore expressed in non-haematopoietic tissue and today, Epo is recognised as a cytokine with many pleiotropic effects. We hypothesize that hydrodynamic gene therapy with Epo can restore haemoglobin levels in anaemic transgenic mice and that this will attenuate the extracellular matrix accumulation in the kidneys. The experiment is conducted by hydrodynamic gene transfer of a plasmid encoding murine Epo in a transgenic mouse model that overexpresses TGF-β1 locally in the kidneys. This model develops anaemia due to chronic kidney disease characterised by thickening of the glomerular basement membrane, deposition of mesangial matrix and mild interstitial fibrosis. A group of age matched wildtype littermates are treated accordingly. After a single hydrodynamic administration of plasmid DNA containing murine EPO gene, sustained high haemoglobin levels are observed in both transgenic and wildtype mice from 7.5 ± 0.6 mmol/L to 9.4 ± 1.2 mmol/L and 10.7 ± 0.3 mmol/L to 15.5 ± 0.5 mmol/L, respectively. We did not observe any effects in the thickness of glomerular or tubular basement membrane, on the expression of different collagen types in the kidneys or in kidney function after prolonged treatment with Epo. Thus, Epo treatment in this model of chronic kidney disease normalises haemoglobin levels but has no effect on kidney fibrosis or function.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anemia / etiology
  • Anemia / therapy*
  • Animals
  • Collagen / metabolism
  • Disease Models, Animal
  • Disease Progression
  • Erythropoietin / genetics*
  • Erythropoietin / metabolism
  • Fibronectins / genetics
  • Fibronectins / metabolism
  • Genetic Therapy
  • Glomerular Basement Membrane / metabolism
  • Hemoglobins / metabolism*
  • Kidney / metabolism
  • Liver / metabolism
  • Male
  • Mice
  • Mice, Transgenic
  • Plasmids / genetics
  • Plasmids / metabolism
  • Renal Insufficiency, Chronic / complications
  • Renal Insufficiency, Chronic / metabolism
  • Renal Insufficiency, Chronic / pathology*
  • Transforming Growth Factor beta1 / genetics*
  • Transforming Growth Factor beta1 / metabolism

Substances

  • Fibronectins
  • Hemoglobins
  • Transforming Growth Factor beta1
  • Erythropoietin
  • Collagen

Grants and funding

This project is funded by ”Aase og Ejnar Danielsens Fond” (URL: http://www.danielsensfond.dk/Fonden_st%C3%B8tter/L%C3%A6gevidenskabelig_forskning.aspx) (Grant nr. 10881) and ”Fonden til Lægevidenskabens Fremme” (URL: http://www.apmollerfonde.dk/ansoegning/laegefonden.aspx) (Grant nr. 12091). Both of these funds have financially supported the project and made it possible to purchase material and reagents. The funding is based on a project description composed by the 1st author (LP). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.