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Süß, Lena Marie ; Petzendorfer, Anna ; Tran, Minh Linh ; Firmke, Bettina ; Süß, Anja ; Warth, Richard ; Broeker, Katharina Anna-Elisabeth ; Forst, Anna-Lena

Inhibition of (interstitial) P2Y6 receptors attenuates fibrosis progression

Süß, Lena Marie, Petzendorfer, Anna, Tran, Minh Linh, Firmke, Bettina , Süß, Anja, Warth, Richard , Broeker, Katharina Anna-Elisabeth and Forst, Anna-Lena (2026) Inhibition of (interstitial) P2Y6 receptors attenuates fibrosis progression. Pflügers Archiv - European Journal of Physiology 478 (7).

Date of publication of this fulltext: 23 Jun 2026 05:03
Article
DOI to cite this document: 10.5283/epub.79684


Abstract

Chronic kidney disease (CKD) affects over 850 million people worldwide and is characterized by progressive renal fibrosis driven by activated interstitial fibroblasts. Signaling by extracellular nucleotides and P2 receptors plays an important role in renal pathophysiology, yet its contribution to fibroblast activation and fibrosis remains poorly understood. Here, we investigated the expression ...

Chronic kidney disease (CKD) affects over 850 million people worldwide and is characterized by progressive renal fibrosis driven by activated interstitial fibroblasts. Signaling by extracellular nucleotides and P2 receptors plays an important role in renal pathophysiology, yet its contribution to fibroblast activation and fibrosis remains poorly understood. Here, we investigated the expression and function of Gq/11-coupled P2Y receptors in renal interstitial fibroblasts and their involvement in experimental kidney fibrosis. Using highly selective RNA in situ hybridization, we detected P2Y1 (P2ry1) and P2Y6 (P2ry6) receptor expression in interstitial fibroblasts. Notably, P2Y6 expression was markedly upregulated in several experimental mouse models of renal fibrosis. Functional assays in primary cultured renal fibroblasts confirmed Gq/11-coupled P2Y receptor activity, as evidenced by transient intracellular Ca²⁺ elevations upon nucleotide stimulation. Primary cultured renal fibroblasts exhibited enhanced migration in response to extracellular uridine diphosphate (UDP). To assess the contribution of interstitial P2Y6 receptors to fibrosis progression, we employed an adenine-induced nephropathy model with or without the selective P2Y6 antagonist MRS2578. Pharmacological inhibition of P2Y6 significantly reduced the mRNA expression of the myofibroblast marker α-smooth muscle actin and collagen I. Collectively, these findings suggest that upregulated P2Y6 receptor signaling promotes the transition of resident interstitial cells into myofibroblasts during renal fibrosis, likely by modulating fibroblast migration. Inhibition of P2Y6 signaling could represent a new strategy for reducing excessive renal fibrosis.



Involved Institutions


Details

Item typeArticle
Journal or Publication TitlePflügers Archiv - European Journal of Physiology
Publisher:Springer
Open Access Type:DEAL (Springer)
Volume:478
Number of Issue or Book Chapter:7
Date17 June 2026
InstitutionsBiology, Preclinical Medicine > Institut für Physiologie
Biology, Preclinical Medicine > Institut für Physiologie > Prof. Dr. Richard Warth
Projects
Funded by: Deutsche Forschungsgemeinschaft (DFG) (471535567)
Funded by: Deutsche Forschungsgemeinschaft (DFG) (509149993)
Identification Number
ValueType
10.1007/s00424-026-03187-8DOI
KeywordsP2Y6 (P2ry6) receptor · Interstitial fibroblasts · Renal fibrosis · MRS2578
Dewey Decimal Classification500 Science > 570 Life sciences
600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-796845
Item ID79684

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