PDIA3 A KEY REGULATOR IN TGFß-1 SIGNALING AND A NOVEL THERAPY TARGET AGAINST PROGRESSIVE RENAL FIBROSIS

 

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PDIA3 A KEY REGULATOR IN TGFß-1 SIGNALING AND A NOVEL THERAPY TARGET AGAINST PROGRESSIVE RENAL FIBROSIS

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Hassan
Dihazi
Gry H. Dihazi gryhelene.dihazi@med.uni-goettingen.de University Medical Center Göttingen Institute for Clinical Chemistry Göttingen Germany -
Michael Zeisberg michael.zeisberg@med.uni-goettingen.de University Medical Center Göttingen Department of Nephrology and Rheumatology Göttingen Germany -
Björn Tampe bjoern.tampe@med.uni-goettingen.de University Medical Center Göttingen Department of Nephrology and Rheumatology Göttingen Germany -
Hassan Dihazi dihazi@med.uni-goettingen.de University Medical Center Göttingen Department of Nephrology and Rheumatology Göttingen Germany *
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Progressive renal fibrosis represents a final common pathway of chronic kidney disease, often driven by maladaptive epithelial repair and senescence. We previously identified Protein Disulfide Isomerase Family A Member 3 (PDIA3) as a key regulator of extracellular matrix (ECM) turnover and fibroblast activation. Here, we explored the mechanistic connection between PDIA3, epithelial senescence, and fibrotic remodeling, and assessed the therapeutic potential of PDIA3 inhibition in vivo.

Unilateral ureteral obstruction (UUO) was induced in 12 mice to model renal fibrosis. Six animals received the PDIA3 inhibitor Loc14 (15 mg/kg, intraperitoneally in 10% DMSO) for 10 days post-surgery; six controls received vehicle only. Fibrosis was evaluated by histochemistry, immunofluorescence, and Western blotting. RT-qPCR assessed gene expression of profibrotic markers (Col1a1FSP1). Single-slide quantitative proteomics was applied to identify pathways modulated by PDIA3 inhibition. Transcriptomic datasets from murine and human renal injury models were integrated to evaluate PDIA3 expression in senescent epithelial populations.

Loc14 treatment markedly attenuated tubular injury, collagen deposition, and glomerular fibrosis. Immunofluorescence confirmed reduced collagen-I accumulation, while Col1a1 and FSP1 were significantly downregulated. Proteomic profiling demonstrated suppression of TGFβ-1–dependent pathways and senescence-associated signaling cascades. Cross-species transcriptomic comparison revealed that PDIA3 is consistently overexpressed in senescent epithelial cells and augments TGFβ-mediated fibroblast activation. Pharmacologic PDIA3 inhibition disrupted this profibrotic crosstalk and promoted adaptive tissue repair.

PDIA3 acts as a central molecular mediator linking epithelial senescence to fibrogenic signaling and ECM remodeling. In vivo inhibition of PDIA3 with Loc14 effectively mitigates ongoing renal fibrosis by modulating TGFβ-1 and other fibrosis-associated pathways. These findings identify PDIA3 as a promising therapeutic target for the prevention and treatment of progressive kidney fibrosis.

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