Division of Nephrology, Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA.
J Am Soc Nephrol. 2011 Oct;22(10):1876-86. doi: 10.1681/ASN.2010080881. Epub 2011 Aug 4.
Although fibroblasts are responsible for the production and deposition of extracellular matrix in renal fibrosis, their origin is controversial. Circulating fibroblast precursors may contribute to the pathogenesis of renal fibrosis, but the signaling mechanisms underlying the recruitment of bone marrow-derived fibroblast precursors into the kidney in response to injury are incompletely understood. Here, in the unilateral ureteral obstruction model of renal fibrosis, tubular epithelial cells upregulated the chemokine CXCL16 in obstructed kidneys, and circulating fibroblast precursors expressed the CXCL16 receptor, CXCR6. Compared with wild-type mice, CXCL16-knockout mice accumulated significantly fewer bone marrow-derived fibroblast precursors in obstructed kidneys. CXCL16-knockout mice also exhibited significantly fewer CD45-, collagen I-, and CXCR6-triple-positive fibroblast precursors in injured kidneys. Furthermore, targeted deletion of CXCL16 inhibited myofibroblast activation, reduced collagen deposition, and suppressed expression of collagen I and fibronectin. In conclusion, CXCL16 contributes to the pathogenesis of renal fibrosis by recruiting bone marrow-derived fibroblast precursors.
尽管成纤维细胞负责产生和沉积细胞外基质在肾纤维化中,但其起源仍存在争议。循环成纤维细胞前体可能有助于肾纤维化的发病机制,但对于损伤后骨髓源性成纤维细胞前体募集到肾脏的信号机制仍不完全清楚。在这里,在单侧输尿管梗阻的肾纤维化模型中,肾小管上皮细胞在梗阻肾脏中上调趋化因子 CXCL16,而循环成纤维细胞前体表达趋化因子 CXCL16 受体 CXCR6。与野生型小鼠相比,CXCL16 敲除小鼠在梗阻肾脏中积累的骨髓源性成纤维细胞前体明显减少。CXCL16 敲除小鼠在损伤肾脏中也表现出较少的 CD45-、胶原 I-和 CXCR6-三阳性成纤维细胞前体。此外,靶向敲除 CXCL16 抑制肌成纤维细胞激活,减少胶原沉积,并抑制胶原 I 和纤维连接蛋白的表达。总之,CXCL16 通过招募骨髓源性成纤维细胞前体促进肾纤维化的发病机制。