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巨噬细胞在缺血/再灌注损伤后肾脏修复阶段中的作用。

Macrophage involvement in the kidney repair phase after ischaemia/reperfusion injury.

作者信息

Vinuesa E, Hotter G, Jung M, Herrero-Fresneda I, Torras J, Sola A

机构信息

Department of Experimental Pathology, IIBB-CSIC, IDIBAPS, 08036, Barcelona, Spain.

出版信息

J Pathol. 2008 Jan;214(1):104-13. doi: 10.1002/path.2259.

Abstract

Macrophage infiltration is a common feature of the early phase of renal ischaemia/reperfusion injury. Indeed, it is generally regarded as the cause of tissue injury in this phase, although it is also clear that it can lead to tissue repair in other phases. In order to ascertain whether macrophages are directly involved in the repair/late phase, which follows the pro-inflammatory and injury process of renal ischaemia/reperfusion, we used two different approaches based on macrophage depletion. Firstly, we produced renal ischaemia in mice that were previously treated with clodronate liposome. Secondly, during reperfusion we re-injected RAW 264.7 to macrophage-depleted mice 24 h prior to sacrifice. The results showed that regeneration, as evaluated by stathmin and PCNA markers, was macrophage-dependent: it was blocked when macrophage depletion was provoked and recovered with macrophage re-injection. The cytokine profile revealed the influence of the inflammatory environment on kidney repair: pro-inflammatory cytokines (MCP-1, MIP-1alpha) increased during the early stages of reperfusion, coinciding with low regeneration, and the anti-inflammatory cytokine IL-10 increased during the longer periods of reperfusion when regeneration was more evident. We conclude that macrophages induce renal regeneration after ischaemia/reperfusion, depending on the inflammatory milieu.

摘要

巨噬细胞浸润是肾脏缺血/再灌注损伤早期的一个常见特征。事实上,尽管很明显巨噬细胞在其他阶段可导致组织修复,但在这一阶段它通常被认为是组织损伤的原因。为了确定巨噬细胞是否直接参与肾脏缺血/再灌注的促炎和损伤过程之后的修复/后期阶段,我们基于巨噬细胞清除采用了两种不同的方法。首先,我们在先前用氯膦酸盐脂质体处理过的小鼠中制造肾脏缺血。其次,在再灌注期间,我们在处死前24小时将RAW 264.7重新注射到巨噬细胞清除的小鼠体内。结果表明,通过stathmin和PCNA标志物评估的再生是巨噬细胞依赖性的:当引发巨噬细胞清除时再生被阻断,而通过巨噬细胞重新注射得以恢复。细胞因子谱揭示了炎症环境对肾脏修复的影响:促炎细胞因子(MCP-1、MIP-1α)在再灌注早期增加,这与低再生相吻合,而抗炎细胞因子IL-10在再灌注较长时间且再生更明显时增加。我们得出结论,巨噬细胞在缺血/再灌注后诱导肾脏再生,这取决于炎症环境。

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