Midkine Regulation of the Renin-Angiotensin System

被引:11
作者
Kadomatsu, Kenji [1 ]
机构
[1] Nagoya Univ, Dept Biochem, Grad Sch Med, Showa Ku, Nagoya, Aichi 4668550, Japan
关键词
Chronic kidney disease; Hypertension; Midkine; Renin-angiotensin system; CHRONIC KIDNEY-DISEASE; RENAL-FAILURE; HYPERTENSION; INHIBITORS; RATIONALE; INJURY;
D O I
10.1007/s11906-010-0092-8
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Hypertension and chronic kidney disease are often associated. The pathogenesis of these diseases involves the renin-angiotensin system. We have recently reported that the growth factor midkine is a novel regulator of the renin-angiotensin system. Midkine is a heparin-binding growth factor so far implicated in neuronal differentiation, neuroprotection, cardioprotection, inflammation, and cancer development. In a mouse model of chronic kidney disease induced by 5/6 nephrectomy, midkine is produced in the lung and in turn upregulates angiotensin-converting enzyme expression. Hypertension associated with 5/6 nephrectomy is not observed in midkine-deficient mice. Conversely, supplemental administration of midkine to the deficient mice induces hypertension. This review describes the molecular characteristics of midkine and its significance in the renin-angiotensin system and the kidney-lung interaction.
引用
收藏
页码:74 / 79
页数:6
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