35Emodin has a variety of pharmacological functions including anti-bacterial infection, 36 anti-inflammatory, anti-oxidation, anti-tumor, regulation of gastrointestinal activities 37 and anti-hepatic and lung fibrosis. However, the role of emodin in the regulation of 38 renal interstitial fibrosis(RIF) remains poorly understood. In this study, we 39 investigated the regulation of emodin in RIF and revealed the underlying molecular 40 mechanisms. We established a unilateral ureter obstruction(UUO) model to simulate 41 renal interstitial fibrosis in rats. We found that UUO rats were observed a large 42 amount of inflammatory cell infiltration, more fibroblast proliferation, collagen fiber 43 proliferation. Furthermore, we demonstrated that the up-regulation of TIMP1 and 44 down-regulation of MMP9 were related to renal fibrosis. However, those phenomena 45 in emodin-treated UUO rats were ameliorated. Collectively, our results provide new 46 insights into the treatment of RIF and suggest that the TIMP1/MM9 signaling axis 47 may be a potential therapeutic target for RIF. 48 49 Introduction 53 Renal Interstitial Fibrosis(RIF) is a hallmark of pathological progression from to renal 54 injuries to a variety of Chronic Kidney Disease(CDK)[1, 2]. CKD affects over 10% of 55 the worldwide population with high mortality, due to limited available or affordable 56 treatment partly. What's more, the number will further increase according to the 57 increased number of elderly people and increased prevalence of major disease which 58 leads to CKD like obesity, diabetes, atherosclerosis and hypertension[3-5]. Because 59 RIF is considered as the underlying pathological process of chronic CKD, therefore, it 60 is necessary to discover and identify the novel and specific treatment to inhibit 61 3 fibrosis and ameliorates CDK. 62 63 Fibrosis is defined by excessive accumulation of extracellular matrix(ECM) mainly 64 produced by tissue resident mesenchymal cells, accompany with tissue regeneration 65 and inflammation. In normal kidney, the production and degradation of ECM are 66 dynamic and in balance, but the balance is broken in fibrotic ECM[2]. The ECM is 67 controlled by matrix metalloproteinases (MMPs) and tissue inhibitors of 68 metalloproteinases (TIMPs). MMPs are the major enzymes implicated in ECM 69 degradation. It is reported that four forms of TIMPs all are expressed in kidney, but 70 only TIMP1/2 inhibits MMPs expression. MMP9 is an important member of the 71 MMPs family. It participates in the degradation of ECM, regulation the synthesis and 72 metabolic balance of ECM under physiological and pathological conditions. TIMP1 73 specifically blocks MMP-9 activity, which plays a key role in ECM accumulation and 74 degradation while TIMP-2 involves in regulation of MMP-2 activity[6-8]. 75 76 Emodin is an anthraquinone compound extracted from rhubarb and has a wide range 77 of pharmacological effects. In liver fibrosis, recent studies showed that Emodin 78 alleviates CCl4-induced by suppressing EMT and transforming growth fa...