The epithelial-to-mesenchymal transition (EMT) is one of mechanisms that induce renal interstitial
fibrosis. Understanding EMT in renal
fibrosis has important therapeutic implications for patients with
kidney disease.
Alpha-lipoic acid (ALA) is a natural compound with
antioxidant properties. Studies for ALA are performed in
acute kidney injury with renal tubular apoptosis, renal
inflammation, and oxidative stress. We investigated the effects of ALA on EMT-mediated renal interstitial
fibrosis in mice with unilateral
ureteral obstruction (UUO). UUO mice developed severe tubular
atrophy and tubulointerstitial
fibrosis, with a robust EMT response and ECM deposition after 7 postoperative days. In contrast, ALA-treated UUO mice showed only moderate injury and minimal
fibrosis and also larger reductions in the expression of ECM
proteins, inflammatory factors, and EMT markers. ALA was shown to be involved in the suppression of infiltrating macrophages associated with EMT and the progression of interstitial
fibrosis. It also lessened the destruction of the tubular basement membrane, by reducing the expression of
matrix metalloproteinases. This is the first study to show that ALA modulates EMT in a UUO mouse model. Our results suggest that ALA merits further exploration as a therapeutic agent in the prevention and treatment of
chronic kidney disease.