CCAAT-enhancer-binding protein delta (C/EBPδ) is a
transcription factor mainly known for its role in
inflammation and apoptosis/proliferation. Considering that these are key processes in renal
fibrosis, we hypothesized that C/EBPδ would potentiate renal
fibrosis. In line with this hypothesis, C/EBPδ has recently been suggested to regulate the fibrotic response during
glomerulonephritis. Here we determined the importance of C/EBPδ in the development of renal tubulointerstitial
fibrosis by subjecting 8- to 12-week-old C/EBPδ-deficient mice and age- and sex-matched wild-type controls to the unilateral
ureteral obstruction model. Mice were killed at 1, 3, or 7 days post surgery, and renal tissues were obtained for
RNA,
protein, and immunohistochemical analysis. We show that C/EBPδ deficiency resulted in a more profound fibrotic response as evident from enhanced tubular injury,
collagen deposition in the interstitial area, and higher expression of
transforming growth factor-β. Moreover, we show that the increase in renal
fibrosis in C/EBPδ-deficient mice does not depend on an altered proliferation/apoptosis balance or on a differential inflammatory response in the obstructed kidney. In conclusion, our study provides direct evidence that C/EBPδ is a novel mediator of renal
fibrosis. Modulating C/EBPδ expression could consequently be a potential antifibrotic strategy in patients with
chronic kidney disease.