Universitätsklinikum Hamburg-Eppendorf, III Medizinische Klinik, Martinistrasse 52, 20246 Hamburg, Germany.
J Am Soc Nephrol. 2012 Dec;23(12):1987-2000. doi: 10.1681/ASN.2012040394. Epub 2012 Nov 8.
Immature renal dendritic cells (DCs) are protective early in murine crescentic GN, but the mechanisms underlying this protection are unknown. Here, depletion of DCs reduced the recruitment of invariant natural killer T (iNKT) cells, which attenuate GN, into the kidney in the early stage of experimental crescentic GN. More than 90% of renal iNKT cells expressed the chemokine receptor CXCR6, and renal DCs produced high amounts of the cognate ligand CXCL16 early after induction of nephritis, suggesting that renal DC-derived CXCL16 might attract protective CXCR6(+) iNKT cells. Consistent with this finding, CXCR6-deficient mice exhibited less iNKT cell recruitment and developed nephritis that was more severe, similar to the aggravated nephritis observed in mice depleted of immature DCs. Finally, adoptive transfer of CXCR6-competent NKT cells ameliorated nephritis. Taken together, these results suggest an immunoprotective mechanism involving immature DCs, CXCL16, CXCR6, and regulatory iNKT cells, which might stimulate the development of new therapeutic strategies for GN.
未成熟的肾脏树突状细胞(DC)在早期实验性新月体肾炎中具有保护作用,但这种保护的机制尚不清楚。在这里,耗尽 DC 会减少固有自然杀伤 T(iNKT)细胞的募集,而 iNKT 细胞可减轻 GN。超过 90%的肾脏 iNKT 细胞表达趋化因子受体 CXCR6,并且在肾炎诱导后早期,肾脏 DC 会产生大量的同源配体 CXCL16,提示肾脏 DC 衍生的 CXCL16 可能吸引保护性的 CXCR6(+) iNKT 细胞。与这一发现一致,CXCR6 缺陷型小鼠表现出更少的 iNKT 细胞募集,并发展出更严重的肾炎,类似于耗尽未成熟 DC 的小鼠观察到的加重的肾炎。最后,CXCR6 功能完整的 NKT 细胞的过继转移改善了肾炎。综上所述,这些结果表明涉及未成熟 DC、CXCL16、CXCR6 和调节性 iNKT 细胞的免疫保护机制,这可能为 GN 新的治疗策略的发展提供了依据。