Inoue Atsushi, Hasegawa Hitoshi, Kohno Masashi, Ito Mitsuko R, Terada Miho, Imai Toshio, Yoshie Osamu, Nose Masato, Fujita Shigeru
Ehime University School of Medicine, Ehime, Japan.
Arthritis Rheum. 2005 May;52(5):1522-33. doi: 10.1002/art.21007.
Lupus nephritis is characterized by immune complex deposition and inflammatory cell infiltration into the renal glomeruli. Local generation of chemokines and the presence of chemokine receptors on the infiltrating cells may be involved in this process. Fractalkine (Fkn)/CX3CL1 and its receptor, CX3CR1, form one such chemokine system. We therefore undertook this study to investigate whether Fkn antagonist inhibits the initiation and progression of lupus nephritis in MRL/lpr mice.
NH(2)-terminally truncated Fkn/CX3CL1 analogs were transfected into a nonmetastatic fibroblastoid cell line, MRL/N-1, and injected subcutaneously into MRL/lpr mice.
Fkn analogs truncated by >/=4 amino acid residues from the N-terminus failed to induce chemotaxis and calcium influx by CX3CR1-expressing cells. Of these, the most potent antagonist (Fkn-AT) lacked the 4 N-terminal amino acid residues. Fkn expression in the glomerulus was significantly increased in 12-week-old MRL/lpr mice. Expression was localized predominantly in the glomerular endothelial cells, but was occasionally observed in the mesangial cells and, to a lesser extent, in the interstitial microvasculature. Inoculation of MRL/lpr mice with Fkn-AT before the onset or during the early stages of lupus nephritis significantly reduced glomerular hypercellularity, glomerulosclerosis, crescent formation, and vasculitis compared with control mice. This seemed to be due to a marked reduction in macrophage accumulation. In contrast, Fkn antagonist did not affect pneumonitis, sialadenitis, lymphadenopathy, or splenomegaly.
We prepared a novel potent Fkn antagonist and demonstrated its ability to delay the initiation and ameliorate the progression of lupus nephritis. This agent may therefore provide a new therapeutic approach to lupus nephritis.
狼疮性肾炎的特征是免疫复合物沉积以及炎性细胞浸润入肾小球。趋化因子的局部生成以及浸润细胞上趋化因子受体的存在可能参与了这一过程。 fractalkine(Fkn)/CX3CL1及其受体CX3CR1构成了这样一种趋化因子系统。因此,我们开展本研究以调查Fkn拮抗剂是否抑制MRL/lpr小鼠狼疮性肾炎的起始和进展。
将氨基末端截短的Fkn/CX3CL1类似物转染至非转移性成纤维细胞样细胞系MRL/N-1,并皮下注射到MRL/lpr小鼠体内。
从N端截短≥4个氨基酸残基的Fkn类似物无法诱导表达CX3CR1的细胞发生趋化作用和钙内流。其中,最有效的拮抗剂(Fkn-AT)缺少4个N端氨基酸残基。12周龄MRL/lpr小鼠肾小球中的Fkn表达显著增加。表达主要定位于肾小球内皮细胞,但偶尔也可见于系膜细胞,且在较小程度上见于间质微血管。在狼疮性肾炎发病前或早期阶段给MRL/lpr小鼠接种Fkn-AT,与对照小鼠相比,可显著减轻肾小球细胞增多、肾小球硬化、新月体形成和血管炎。这似乎是由于巨噬细胞积聚明显减少所致。相比之下,Fkn拮抗剂不影响肺炎、涎腺炎、淋巴结病或脾肿大。
我们制备了一种新型强效Fkn拮抗剂,并证明其具有延缓狼疮性肾炎起始和改善其进展的能力。因此,该药物可能为狼疮性肾炎提供一种新的治疗方法。