Expression of XBP1s in peritoneal mesothelial cells is critical for inflammation-induced peritoneal fibrosis

Sci Rep. 2019 Dec 13;9(1):19043. doi: 10.1038/s41598-019-55557-1.

Abstract

Intraperitoneal inflammation is the most important determinant of peritoneal fibrosis in patients with long-term peritoneal dialysis (PD). Spliced x-box binding protein-1 (XBP1s), a major proximal effector of unfolded protein response (UPR) signaling, plays an indispensable role in inflammation. Our study demonstrated that the inflammatory factor interleukin-1β (IL-1β) dose- and time-dependently induced XBP1s upregulation and interleukin-6 (IL-6) secretion, as well as the expression of the fibrotic marker fibronectin. However, these effects were prevented by the IRE1 endonuclease inhibitor STF083010 since it time-dependently reduced IL-1β-induced Xbp1 mRNA splicing, XBP1s protein expression, inflammatory factor IL-6 secretion and the expression of the fibrotic marker fibronectin in human peritoneal mesothelial cells (HPMCs). The overexpression and knockdown of XBP1s in HPMCs had a similar effect on fibronectin expression. In a rat model of peritoneal inflammation, STF083010 significantly attenuated chlorhexidine digluconate-induced XBP1s and α-smooth muscle actin expression, as well as fibrotic tissue proliferation, in the peritoneum. Our results suggest that XBP1s is a strong pathogenic factor that mediates inflammation-induced peritoneal fibrosis in peritoneal dialysis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Line
  • Chlorhexidine / analogs & derivatives
  • Epithelium / pathology*
  • Humans
  • Inflammation / complications*
  • Inflammation Mediators / metabolism
  • Interleukin-1beta / toxicity
  • Male
  • Neovascularization, Pathologic / metabolism
  • Neovascularization, Pathologic / pathology
  • Peritoneal Fibrosis / etiology*
  • Peritoneal Fibrosis / pathology*
  • Peritoneum / pathology*
  • Rats, Sprague-Dawley
  • X-Box Binding Protein 1 / metabolism*

Substances

  • Inflammation Mediators
  • Interleukin-1beta
  • X-Box Binding Protein 1
  • chlorhexidine gluconate
  • Chlorhexidine