Mechanistic study of ADAM17 regulation of endoplasmic reticulum stress in cyclosporine A-induced renal fibrosis in SD rats
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1. First Clinical Medical School, Shandong University of Traditional Chinese Medicine, Jinan 250014, China.2. Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014.3. Shandong University of Traditional Chinese Medicine, Jinan 250014

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R692; R96; R363. 1

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    Abstract:

    Objective To investigate the regulatory mechanisms of a disintegrin and metalloproteinase 17 (ADAM17) on endoplasmic reticulum stress (ERS) in cyclosporine A (CsA)-induced renal fibrosis (RF), and to identify potential novel therapeutic targets in the progression of RF. Methods A CsA-induced RF model was established in SD rats through gavage. Plasmid transfection and siRNA were employed to overexpress or knock down ADAM17 in vivo. Indices including body weight, urine protein / creatinine ratio (UPCR), serum blood urea nitrogen (BUN), serum creatinine ( SCR), cystatin C (Cys-C), transforming growth factor-β1 ( TGF-β1), and ADAM17 were measured. Pathological changes in kidney tissues were observed with hematoxylin-eosin staining and Masson trichrome staining. Ultrastructural alterations were examined using transmission electron microscopy. Co-expression of ADAM17 and glucose-regulated protein 78 (GRP78) was detected by immunofluorescence. mRNA expression of TGF-β1, Smad3, α-smooth muscle actin (α-SMA), collagen typeⅠalpha 1 chain (COL1A1), ADAM17, GRP78,inositol-requiring enzyme 1(IRE1)and activating transcription factor 6 (ATF6) RT-qPCR. Protein expressions of ADAM17, Smad3, TGF-β1, α-SMA, COL1A1, and GRP78 were measured by Western blot. Results Compared with the Control-1 group, rats in the Model-1 group exhibited decreased weight(P<0. 01), increased UPCR, and significantly higher levels of serum renal function markers ( P<0. 0001 ).Morphological examinations revealed pathological changes such as renal interstitial fibrosis. The expression of RF-related indicators TGF-β1 and Smad3 was upregulated (P<0. 001), accompanied by abnormal expression of ADAM17 and GRP78 (P<0. 01). Overexpression of ADAM17 (P<0. 0001) also led to a decrease in body weight, increased UPCR,and significant increases in serum renal function markers (P<0. 01), and pathological changes associated with RF in rats. The expression levels of RF-related indicators, including TGF-β1, Smad3, α-SMA, and COL1A1, were elevated to varying degrees (P<0. 05). Meanwhile, the expression of ERS-related factors GRP78, ATF6, and PERK was upregulated to varying degrees (P<0. 05). Conversely, knockdown of the ADAM17 alleviated the aberrant expression of the aforementioned indicators to varying degrees (P<0. 05). Conclusions ADAM17 significantly promotes fibrosis progression; its dysregulation of ERS may serve as a critical mechanism underlying this pro-fibrotic process.

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  • Received:September 06,2025
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  • Online: April 01,2026
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