Ikezumi Yohei, Hurst Lyn, Atkins Robert C, Nikolic-Paterson David J
Department of Nephrology, Monash Medical Centre, Clayton, Victoria, Australia.
J Am Soc Nephrol. 2004 Jul;15(7):1775-84. doi: 10.1097/01.asn.0000131272.06958.de.
Macrophage accumulation is a prominent feature in most forms of human glomerulonephritis and correlates with renal dysfunction. Macrophages can directly mediate acute renal injury in animal models, but the mechanisms of macrophage activation required for mediating renal injury are unknown. This study examined whether activation of the Jun amino terminal kinase (JNK) signaling pathway is necessary for macrophage-mediated renal injury. An adoptive transfer model was used in which rats were immunized with sheep IgG (day -5), made leukopenic by administration of cyclophosphamide (CyPh) (day -2), and then injected with sheep anti-glomerular basement membrane (GBM) serum (day 0). Animals were then given an intravenous injection of bone marrow-derived macrophages (BMM) (day 1) and killed 24 h later (day 2). The induction of proteinuria and glomerular cell proliferation (PCNA+ cells) in CyPh-treated anti-GBM disease was dependent on transfer of BMM. Exposure of BMM to the specific JNK inhibitor, SP600125, for 3 h before adoptive transfer had no effect on glomerular accumulation of BMM in CyPh-treated anti-GBM disease. However, SP600125 treatment of BMM caused a 75% reduction in proteinuria and a 70% reduction in glomerular cell proliferation (P < 0.01 versus vehicle or untreated BMM). In conclusion, this study has defined a critical role for the JNK signaling pathway in macrophage-mediated renal injury.
巨噬细胞积聚是大多数人类肾小球肾炎的一个显著特征,并且与肾功能障碍相关。巨噬细胞可在动物模型中介导急性肾损伤,但其介导肾损伤所需的巨噬细胞激活机制尚不清楚。本研究探讨了Jun氨基末端激酶(JNK)信号通路的激活对于巨噬细胞介导的肾损伤是否必要。采用了一种过继转移模型,即给大鼠注射羊IgG进行免疫(第-5天),通过给予环磷酰胺(CyPh)使其白细胞减少(第-2天),然后注射羊抗肾小球基底膜(GBM)血清(第0天)。然后给动物静脉注射骨髓来源的巨噬细胞(BMM)(第1天),并在24小时后(第2天)处死。在CyPh处理的抗GBM疾病中,蛋白尿和肾小球细胞增殖(PCNA+细胞)的诱导依赖于BMM的转移。在过继转移前3小时,将BMM暴露于特异性JNK抑制剂SP600125,对CyPh处理的抗GBM疾病中BMM在肾小球的积聚没有影响。然而,用SP600125处理BMM可使蛋白尿减少百分之七十五,肾小球细胞增殖减少百分之七十(与载体或未处理的BMM相比,P<0.01)。总之,本研究确定了JNK信号通路在巨噬细胞介导的肾损伤中的关键作用。