Jones Lynelle K, O'Sullivan Kim M, Semple Timothy, Kuligowski Michael P, Fukami Kei, Ma Frank Y, Nikolic-Paterson David J, Holdsworth Stephen R, Kitching A Richard
Department of Medicine, Centre for Inflammatory Diseases, Monash University, Monash Medical Centre, Clayton, Victoria, Australia.
Nephrol Dial Transplant. 2009 Oct;24(10):3024-32. doi: 10.1093/ndt/gfp214. Epub 2009 May 22.
IL-1beta has the potential to promote progressive renal disease by effects on macrophage recruitment and activation or by effects mediated through tubular cell transforming growth factor (TGF)-beta production, previously demonstrated in vitro.
The in vivo roles of endogenous IL-1beta and its type I receptor (IL-1RI) in renal fibrosis were studied using wild-type C57BL/6 mice, IL-1beta(-/-) and IL-1RI(-/-) mice with unilateral ureteric obstruction.
After 7 days, IL-1RI(-/-) mice (IL-1alpha and IL-1beta deficient) were protected from injury and collagen accumulation. IL-1beta(-/-) mice demonstrated some histological protection, but no reduction in alpha1(1) procollagen mRNA or biochemically measured collagen accumulation. Compared with obstructed kidneys from wild-type mice, TGF-beta1 mRNA was reduced in IL-1RI(-/-) mice (with trends to reduced TGF-beta2 and TGF-beta3). Expression of a downstream TGF-beta effector, connective tissue growth factor, was decreased in IL-1RI(-/-) mice. IL-1RI(-/-) mice exhibited less tubulointerstitial apoptosis compared with wild-type mice. Macrophage infiltration and adhesion molecule mRNA expression was unchanged in IL-1beta(-/-) or IL-1RI(-/-) mice. While TNF expression was similar to wild-type mice, IFN-gamma expression was reduced in both IL-1beta(-/-) and IL-1RI(-/-) mice. IL-1RI(-/-) mice at 14 days showed a catch-up in fibrosis compared with wild-type mice.
IL-1/IL-1RI interactions are profibrotic in renal fibrosis. IL-1RI(-/-) mice were more protected at an early stage, associated with changes in TGF-beta and downstream mediators of fibrosis, but independent of the presence of infiltrating macrophages.
白细胞介素-1β(IL-1β)可能通过影响巨噬细胞募集和激活,或通过肾小管细胞转化生长因子(TGF)-β产生介导的效应促进进行性肾病,此前已在体外得到证实。
使用野生型C57BL/6小鼠、白细胞介素-1β基因敲除(IL-1β(-/-))和白细胞介素-1Ⅰ型受体基因敲除(IL-1RI(-/-))小鼠,通过单侧输尿管梗阻研究内源性IL-1β及其Ⅰ型受体(IL-1RI)在肾纤维化中的体内作用。
7天后,IL-1RI(-/-)小鼠(IL-1α和IL-1β缺陷)免受损伤和胶原积累。IL-1β(-/-)小鼠表现出一定的组织学保护作用,但α1(1)前胶原mRNA或生化测定的胶原积累没有减少。与野生型小鼠的梗阻肾脏相比,IL-1RI(-/-)小鼠中TGF-β1 mRNA减少(TGF-β2和TGF-β3有减少趋势)。IL-1RI(-/-)小鼠中TGF-β下游效应分子结缔组织生长因子的表达降低。与野生型小鼠相比,IL-1RI(-/-)小鼠肾小管间质凋亡较少。IL-1β(-/-)或IL-1RI(-/-)小鼠中巨噬细胞浸润和黏附分子mRNA表达未改变。虽然肿瘤坏死因子(TNF)表达与野生型小鼠相似,但IL-1β(-/-)和IL-1RI(-/-)小鼠中γ干扰素(IFN-γ)表达均降低。14天时,IL-1RI(-/-)小鼠与野生型小鼠相比出现纤维化追赶现象。
IL-1/IL-1RI相互作用在肾纤维化中具有促纤维化作用。IL-1RI(-/-)小鼠在早期受到更多保护,与TGF-β及纤维化下游介质的变化有关,但与浸润巨噬细胞的存在无关。