- 
          
          Am. J. Physiol. Renal Physiol. · May 2014 Increasing cGMP-dependent protein kinase activity attenuates unilateral ureteral obstruction-induced renal fibrosis.- Wenpeng Cui, Hasiyeti Maimaitiyiming, Xinyu Qi, Heather Norman, Qi Zhou, Xiaojun Wang, Jian Fu, and Shuxia Wang.
- Graduate Center for Nutritional Sciences, Univ. of Kentucky, Wethington Bldg., Rm. 583, 900 S. Limestone St., Lexington, KY 40536. swang7@uky.edu.
- Am. J. Physiol. Renal Physiol. 2014 May 1; 306 (9): F996-1007.
 AbstractOur previous studies support the protective effect of cGMP and cGMP-dependent protein kinase I (PKG-I) pathway on the development of renal fibrosis. Therefore, in the present studies, we determined whether pharmacologically or genetically increased PKG activity attenuates renal fibrosis in a unilateral ureteral obstruction (UUO) model and also examined the mechanisms involved. To increase PKG activity, we used the phosphodiesterase 5 inhibitor sildenafil and PKG transgenic mice. UUO model was induced in wild-type or PKG-I transgenic mice by ligating the left lateral ureteral and the renal fibrosis was observed after 14 days of ligation. Sildenafil was administered into wild-type UUO mice for 14 days. In vitro, macrophage and proximal tubular cell function was also analyzed. We found that sildenafil treatment or PKG transgenic mice had significantly reduced UUO-induced renal fibrosis, which was associated with reduced TGF-β signaling and reduced macrophage infiltration into kidney interstitial. In vitro data further demonstrated that both macrophages and proximal tubular cells were important sources of UUO-induced renal TGF-β levels. The interaction between macrophages and tubular cells contributes to TGF-β-induced renal fibrosis. Taken together, these data suggest that increasing PKG activity ameliorates renal fibrosis in part through regulation of macrophage and tubular cell function, leading to reduced TGF-β-induced fibrosis. Notes
 Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes- Simple formatting can be added to notes, such as *italics*,_underline_or**bold**.
- Superscript can be denoted by <sup>text</sup>and subscript<sub>text</sub>.
- Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens-or asterisks*.
- Links can be included with: [my link to pubmed](http://pubmed.com)
- Images can be included with: 
- For footnotes use [^1](This is a footnote.)inline.
- Or use an inline reference [^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..