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Extracellular matrix protein 1 shapes metabolic and spatial dynamics of the kidney fibrotic microenvironment


ABSTRACT: The fibrotic kidney microenvironment is a battlefield shaped by cellular crosstalk, ECM remodeling, metabolic shifts, and spatial heterogeneity, all fueling fibrosis. In late-stage kidney disease, myofibroblast-produced ECM dominates organ function by altering bioenergetics and metabolite signaling. However, the role of early-activated matrix proteins remains unclear. This study identifies four expression patterns of core matrisome proteins, with Ecm1 emerging as a key early player in kidney remodeling. Ecm1 knockout in mice leads to spontaneous kidney fibrosis and early death, yet serum Ecm1 levels rise in CKD patients. Targeting Ecm1 via adeno-associated virus-mediated knockdown or fibroblast-specific deletion substantially reduces kidney fibrosis. Mechanistically, proteomics and spatial transcriptomics show that fibroblast-Ecm1 ablation disrupts Hippo-Yap signaling via integrin α2β1 and RhoC in tubules, enhancing OXPHOS in tubular cells and promoting repair, as validated across pharmacological, in vivo, ex vivo, and in vitro models. Notably, diminished Hippo-Yap in fibroblasts silenced their aberrant activation without crippling their own OXPHOS. This selective ECM-mitochondrial crosstalk uncovers a mechano-metabolic pathway where mitochondrial shifts drive defense against kidney fibrosis.

ORGANISM(S): Mus musculus

PROVIDER: GSE281998 | GEO | 2025/12/22

REPOSITORIES: GEO

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