Kidney Fibrosis: AZGP1 inhibits TGF-β–induced epithelial dedifferentiation and fibroblast activation. In murine unilateral ureteral obstruction (UUO) models, recombinant AZGP1 reduced collagen deposition by 40% and preserved tubular integrity .
Cardiac Fibrosis: AZGP1-deficient mice developed 30% more extracellular matrix in hearts after thoracic aortic constriction (TAC). Recombinant AZGP1 attenuated Smad2/3 phosphorylation, a key TGF-β signaling pathway .
Stimulates lipolysis via β3-adrenoceptors in adipocytes, reducing lipid droplets in tubular cells by 50% in UUO models .
Upregulates fatty acid oxidation genes (CPT1, PPARα) in kidney tissues .
Suppresses LPS-induced IL-1β, IL-6, and TNF-α secretion in macrophages by inhibiting JNK/AP-1 signaling .
Preclinical Data:
Serum AZGP1 levels inversely correlate with Gensini scores (atherosclerosis severity) in patients. Low AZGP1 predicts CHD risk independently (OR: 2.1, P = 0.021) .
Acts as a lipid-mobilizing factor (LMF), linked to adipose loss in advanced cancers. Recombinant AZGP1 binds polyunsaturated fatty acids, though clinical trials are pending .
Reduces Smad2/3 phosphorylation by 60% and ERK activation by 45% in fibroblasts .
Internalized via caveolin-1–dependent endocytosis to exert intracellular effects .
Colocalizes with β3-AR in atherosclerotic plaques. Anti-inflammatory effects are blocked by β3-AR antagonists (e.g., SR59230A) .
Biomarker Potential: Elevated serum AZGP1 in ESRD patients correlates with TGF-β inhibition, suggesting prognostic value .
Therapeutic Challenges: Half-life, delivery methods, and optimal dosing require further study.
Clinical Trials: Evaluate AZGP1 in CKD and CHD cohorts.
Mechanistic Studies: Clarify lipid-binding partners and β3-AR interactions.
AZGP1 is a 40-kDa single-chain polypeptide secreted in various body fluids, including seminal plasma and breast cyst fluid. Its structural similarity to HLA class I molecules suggests evolutionary conservation of immune-related functions . The protein consists of 278 amino acids (positions 22-298 in the mature protein) with several significant structural features:
Contains an MHC class I-like domain organization
Features N-glycosylation sites, particularly at Asn-128 (Hex5HexNAc4)
Structurally capable of binding polyunsaturated fatty acids, suggesting a functional role in lipid metabolism
Crystallographic data (PDB: 1T7W) reveals structural elements that contribute to its multiple biological functions, including immune regulation and adipocyte lipolysis . The protein's tertiary structure enables interactions with various molecular partners, explaining its diverse physiological roles.
Research methods for structural characterization typically include:
X-ray crystallography for high-resolution structure determination
Circular dichroism for secondary structure analysis
Molecular docking studies to predict protein-protein interactions
Mass spectrometry for post-translational modification mapping
For researchers pursuing structural studies, recombinant AZGP1 produced in wheat germ expression systems provides a reliable source for in vitro characterization .
Several experimental models have proven effective for investigating different aspects of AZGP1 biology:
In vivo models:
ob/ob mice: Particularly useful for studying metabolic functions and anti-diabetic properties
Unilateral ureteric obstruction (UUO) mouse models: Ideal for investigating AZGP1's role in kidney fibrosis
Orthotopic xenograft models: Effective for studying AZGP1's role in tumor progression using cells with manipulated AZGP1 expression
In vitro models:
Human peripheral blood mononuclear cell (PBMC)-derived macrophages: Used to study M1/M2 polarization effects of AZGP1
Primary adipose-derived stem/progenitor cells (ASPCs): Valuable for examining AZGP1's effects on adipogenic differentiation and fibrotic gene expression
Cancer cell lines with variable AZGP1 expression: Useful for studying cell-autonomous and non-autonomous effects
Transgenic approaches:
Conditional AZGP1 overexpression models (e.g., AZGP1-SLC34a1-CreERT2 mice): Allow tissue-specific and temporally controlled AZGP1 expression
AZGP1 knockout models: Demonstrate loss-of-function effects across multiple systems
| Experimental Model | Applications | Advantages | Limitations |
|---|---|---|---|
| ob/ob mice | Metabolic studies | Well-characterized obesity model | Limited to metabolic phenotypes |
| UUO model | Kidney fibrosis research | Reproducible fibrosis induction | Acute rather than chronic model |
| PBMC macrophages | Immune function studies | Human-derived primary cells | Donor variability |
| Conditional transgenic mice | Tissue-specific functions | Temporal control of expression | Technical complexity |
| Cancer cell xenografts | Tumor progression | In vivo microenvironment | Species differences in stroma |
Multiple complementary techniques have been established for reliable AZGP1 detection:
Protein-level detection:
Immunohistochemistry (IHC): Effectively used for tissue localization and semi-quantitative analysis in breast cancer and prostate cancer specimens
Western blotting: Suitable for quantitative analysis in cell and tissue lysates
ELISA: Optimal for measuring AZGP1 concentrations in serum, plasma, and other body fluids
Flow cytometry: Used for cellular-level quantification in immune cell studies
Gene expression analysis:
Quantitative RT-PCR: Common approach for AZGP1 mRNA quantification using validated primers
Microarray analysis: Used for comprehensive expression analysis in large cohorts
RNA sequencing: Provides comprehensive transcriptomic context for AZGP1 expression
For exosomal AZGP1 detection, which has emerging diagnostic relevance in pancreatic cancer, specialized isolation protocols followed by qRT-PCR have been validated . The primer sequences that have shown high specificity are:
| Target | Forward Primer (5'-3') | Reverse Primer (5'-3') | Annealing Temperature (°C) |
|---|---|---|---|
| AZGP1 | AAATATCCTGGACCGGCAAG | GACTGGTAAGTGCCATTTCC | 55.9/54.5 |
| GAPDH (control) | GTGAAGGTCGGAGTCAACG | TGAGGTCAATGAAGGGTC | 57.1/55.3 |
AZGP1 demonstrates context-dependent roles in cancer, with expression patterns varying by cancer type and subtype:
Breast cancer:
Expression varies by molecular subtype, with unique implications in triple-negative breast cancer (TNBC)
In TNBC, AZGP1 secretion inhibits adipogenesis and promotes transdifferentiation of adipose-derived stem/progenitor cells (ASPCs) into cancer-associated fibroblasts, facilitating tumor growth
Gene set enrichment analysis (GSEA) reveals AZGP1 correlates with immune cell composition in breast cancer tissues
Prostate cancer:
Serves as an independent prognostic biomarker, with absent/low AZGP1 expression predicting earlier PSA recurrence
Validated in a prospective multicenter phase III study as a prognostic indicator
Pancreatic cancer:
Colorectal cancer:
Upregulated in radioresistant tissue, potentially serving as a target for andrographolide to overcome radiation resistance
Methodological approaches:
Loss-of-function studies: siRNA or CRISPR-Cas9 targeting of AZGP1 in cancer cell lines demonstrates functional outcomes (e.g., MDA-MB-468 cells with AZGP1 depletion show reduced tumor growth)
Orthotopic models: Injection of AZGP1-manipulated cancer cells into relevant anatomical sites (e.g., mammary fat pad for breast cancer studies)
Microenvironment analysis: Assessment of tumor-adjacent stroma using markers like Picro Sirius Red staining and α-SMA expression to evaluate AZGP1-mediated effects on fibrosis
Receptor binding studies: Investigation of potential signaling mechanisms through receptor identification
Research has shown that AZGP1 depletion in MDA-MB-468 cells significantly reduces tumor growth in orthotopic xenografts, with corresponding decreases in fibrosis markers in surrounding adipose tissue (Picro Sirius Red and α-SMA staining) . This effect appears to be mediated through paracrine rather than cell-autonomous mechanisms, as AZGP1 depletion does not affect proliferation of these cells in vitro .
AZGP1 demonstrates significant metabolic effects that position it as a potential therapeutic target for metabolic disorders:
Anti-diabetic properties:
Recombinant human ZAG administration (50 μg daily, intravenous) in ob/ob mice induces:
Progressive body weight loss (3.5g in 5 days)
0.4°C rise in body temperature (suggesting increased energy expenditure)
17% decrease in glucose levels
25% decrease in triglycerides
62% decrease in non-esterified fatty acids
36% reduction in plasma insulin levels
4-fold increase in pancreatic insulin
Mechanisms of action:
Increases glucose and lipid utilization by muscle and brown adipose tissue
Induces 2-fold increase in brown adipose tissue weight
Enhances expression of uncoupling proteins-1 and -3
Increases skeletal muscle mass through enhanced protein synthesis and decreased degradation
Cardiovascular implications:
Higher AZGP1 levels associate with lower risk of mortality and cardiovascular events in older adults
Has been incorporated into prediction models for mortality and cardiovascular outcomes
Research methodologies:
Metabolic phenotyping: Glucose tolerance tests, insulin measurements, and lipid profiling
Tissue-specific analyses: Assessment of brown adipose tissue activation and skeletal muscle metabolism
Protein turnover studies: Measuring rates of protein synthesis and degradation
Transgenic approaches: Conditional overexpression or knockout models
Prospective cohort studies: Evaluation of AZGP1 as a predictive biomarker for cardiovascular outcomes
AZGP1 demonstrates protective effects against kidney fibrosis through several mechanisms:
Experimental evidence:
In unilateral ureteric obstruction (UUO) mouse models, two therapeutic approaches have been validated:
Mechanistic insights:
AZGP1 appears to influence tubular cell lipid metabolism, establishing a novel link between metabolic regulation and fibrotic processes
AZGP1-deficient mice show enhanced susceptibility to fibrosis, confirming its protective role
Experimental designs for studying AZGP1 in kidney fibrosis:
UUO model: The standard approach involving surgical ligation of one ureter to induce progressive fibrosis
Conditional expression systems: Using Cre/loxP technology with tamoxifen induction (e.g., SLC34a1-CreERT2 system for proximal tubule specificity)
Histological assessments: Quantification of fibrotic markers through histochemical staining and immunohistochemistry
Molecular analyses: Evaluation of fibrotic gene expression profiles and pathway activation
Metabolomic profiling: Assessment of lipid metabolism alterations in response to AZGP1 manipulation
For successful conditional overexpression, the following protocol has been validated:
Tamoxifen administration 14 days before UUO surgery
Intraperitoneal injection of tamoxifen (20 mg/mL) every other day, 4 times total
Confirmation of recombination using reporter systems (e.g., crossing with Ai14 reporter mice)
AZGP1's structural similarity to HLA class I molecules suggests an evolutionary role in immune regulation, which has been explored through various methodological approaches:
Established immune functions:
Influences macrophage polarization, affecting the balance between pro-inflammatory M1 and anti-inflammatory M2 phenotypes
Potentially modulates HLA class I/II expression on immune cells
May influence PD-L1 expression on immune cells, affecting immune checkpoint regulation
Research methodologies:
Flow cytometry analysis: Evaluating M1/M2 polarization markers (CD86, CD80/CD163, MRC1) and HLA class I/II expression on macrophages
CIBERSORTx analysis: Digital cytometry tool used to estimate immune cell composition in tissues based on gene expression data
Gene set enrichment analysis (GSEA): Identification of biological processes associated with AZGP1 expression
In vitro polarization models: Using primary PBMC-derived macrophages to study direct effects of AZGP1 on immune cell phenotypes
The gating strategy for assessing PD-L1 or CD86 positivity has been described in studies investigating AZGP1's role in breast cancer immunity . This approach allows for measurement of percentage of positive cells within specific immune cell fractions.
Flow cytometry has also been used to evaluate the action of AZGP1 in M1, M2, and non-polarization models based on the expression of surface antigens, providing a means to assess immunomodulatory functions .
AZGP1 expression in tumors demonstrates complex relationships with immune infiltration patterns:
Observed correlations:
AZGP1 expression correlates with specific immune cell compositions in breast cancer tissues
May influence the recruitment and functional phenotype of tumor-infiltrating immune cells
In triple-negative breast cancer (TNBC), AZGP1 secretion indirectly shapes the immune microenvironment by promoting fibrosis and cancer-associated fibroblast development
Research techniques:
Computational deconvolution methods:
Flow cytometry approaches:
Spatial analysis techniques:
Immunohistochemistry for co-localization studies of AZGP1 with immune markers
Multiplex immunofluorescence for higher-dimensionality immune profiling
Spatial transcriptomics for integrated analysis of AZGP1 and immune signatures
Functional assays:
Co-culture systems to assess AZGP1's effects on immune cell migration and function
Cytokine profiling to characterize secretory phenotypes associated with AZGP1 expression
These techniques can be integrated to provide a comprehensive view of how AZGP1 shapes the tumor immune microenvironment, potentially identifying new therapeutic targets or prognostic indicators.
The production of high-quality recombinant human AZGP1 requires careful consideration of expression systems and purification strategies:
Expression systems:
Wheat germ cell-free system: Produces full-length human AZGP1 (amino acids 22-298) suitable for multiple applications including SDS-PAGE, ELISA, and Western blotting
Mammalian expression systems: Provide proper post-translational modifications, particularly glycosylation, which may be critical for certain functional studies
E. coli-based systems: Higher yield but lacks glycosylation; may be suitable for structural studies requiring large quantities
Purification approaches:
Affinity chromatography using tagged constructs (His-tag, GST-tag)
Ion exchange chromatography
Size exclusion chromatography for final polishing
Quality control parameters:
SDS-PAGE analysis for purity assessment (typically visualized with Coomassie Blue staining)
Mass spectrometry for molecular weight confirmation and PTM mapping
Functional assays to confirm biological activity
For verification of purified recombinant AZGP1, researchers should consider:
Western blot confirmation using validated anti-AZGP1 antibodies
Activity assays (e.g., lipolysis induction in adipocytes)
Assessment of endotoxin levels for in vivo applications
Glycosylation analysis if studying immune functions
Recombinant AZGP1 shows therapeutic potential across multiple disease contexts:
Metabolic disorders:
Anti-diabetic properties in mouse models suggest applications in type 2 diabetes
Daily administration (50 μg, IV) demonstrated significant metabolic improvements in ob/ob mice:
Fibrotic kidney disease:
Systemic administration of recombinant AZGP1 shows anti-fibrotic effects in the UUO model
Reduces progression of kidney fibrosis, potentially through effects on tubular cell lipid metabolism
Cancer:
Context-dependent effects require careful consideration
Potential therapeutic applications in cancer types where AZGP1 has tumor-suppressive functions
In TNBC, targeting AZGP1 rather than supplementing it may be beneficial due to its promotion of a pro-tumorigenic microenvironment
Therapeutic delivery considerations:
Intravenous administration has been validated in mouse models
Potential for development of modified versions with improved half-life
Tissue-specific targeting strategies may enhance efficacy while reducing off-target effects
Challenges for therapeutic development:
Optimization of dosing regimens based on pharmacokinetic/pharmacodynamic studies
Assessment of potential immunogenicity of recombinant protein
Development of cost-effective production methods for clinical-grade material
Post-translational modifications (PTMs) of AZGP1, particularly glycosylation, may significantly impact its biological functions:
Known PTMs:
Potential variable glycosylation patterns between tissue sources and disease states
Research approaches:
Mass spectrometry-based methods:
LC-MS/MS for glycan profiling
Glycopeptide analysis for site-specific glycosylation mapping
Comparative glycomics between AZGP1 from different sources
Glycan engineering:
Site-directed mutagenesis of glycosylation sites
Expression in systems with different glycosylation capabilities
Enzymatic remodeling of glycans on purified protein
Functional assessment:
Binding studies comparing differently glycosylated forms
In vitro activity assays with glycosylation variants
In vivo studies comparing native vs. deglycosylated AZGP1
Research evidence:
AZGP1 from cancer patient samples may show altered glycosylation patterns compared to healthy individuals
In salivary AZGP1, 22 glycan structures have been identified, with five unique to lung cancer samples
Glycosylation may affect the immunomodulatory functions of AZGP1 due to its structural similarity to HLA class I
This area remains underexplored but represents a promising direction for understanding tissue-specific and disease-specific functions of AZGP1.
Molecular docking studies provide valuable insights into AZGP1's interaction partners and potential for therapeutic targeting:
Validated approaches:
Protein-protein docking:
Small molecule docking:
Methodology considerations:
Research applications:
Identification of AZGP1 as a target for andrographolide in overcoming radiation resistance in colorectal cancer
Investigation of protein-protein interactions between AZGP1 and other molecules like EGF
Structure-based design of molecules that could modulate AZGP1 functions
By combining computational approaches with experimental validation, researchers can develop a more comprehensive understanding of AZGP1's interaction network and identify novel therapeutic strategies.
Despite significant advances, several key knowledge gaps remain in AZGP1 research:
Receptor identification:
The cell surface receptor(s) for AZGP1 remain poorly characterized
Identification would enable better understanding of signaling mechanisms
Tissue-specific functions:
The diverse and sometimes contradictory effects of AZGP1 across different tissues need further clarification
Context-dependent functions in disease processes require more detailed investigation
PTM characterization:
Comprehensive mapping of AZGP1 glycosylation patterns across tissues and disease states
Functional significance of these modifications
Future research directions:
Single-cell approaches to delineate cell type-specific responses to AZGP1
Development of small molecule modulators of AZGP1 function
Systems biology approaches to integrate AZGP1 into broader metabolic and immune networks
Investigation of AZGP1 as a biomarker across multiple disease contexts
Structural biology studies to identify functional domains for targeted therapeutic development