Tanaka Hiroshi, Imaizumi Tadaatsu
Department of School Health Science, Hirosaki University Faculty of Education, 1 Bunkyo-cho, Hirosaki 036-8560, Japan.
Clin Dev Immunol. 2013;2013:984708. doi: 10.1155/2013/984708. Epub 2013 Jun 26.
The innate and adaptive immune systems have been reported to play an important role in the pathogenesis of glomerular diseases. Since viral infections may trigger the development of inflammatory renal disease or the worsening of preexisting renal disease, recent studies have focused on the involvement of toll-like receptors (TLRs) and their signaling pathways in the inflammatory processes of glomerular cells. Viral double-stranded RNA (dsRNA) can activate not only TLR3 located within intracellular endosomes but also retinoic-acid-inducible-gene-I- (RIG-I-) like helicase receptors located within the cytosol. RIG-I and melanoma differentiation-associated gene 5 (MDA5) are members of the RNA helicase family in the cytosol, and both act as pathogen recognition receptors. The activation of TLRs and their downstream immune responses can be induced by both infectious pathogens and noninfectious stimuli such as endogenous ligands, and this mechanism may be involved in the pathogenesis of autoimmune renal diseases. However, there are few data on the interaction between TLR3, MDA5, and RIG-I in autoimmune glomerular diseases. Based on our recent experimental studies using cultured normal human mesangial cells (MCs), we found that novel TLR3-mediated signaling pathways in MCs may be involved in the pathogenesis of glomerular diseases. In the present paper, we summarize our recent findings.
据报道,先天性和适应性免疫系统在肾小球疾病的发病机制中发挥重要作用。由于病毒感染可能引发炎性肾病的发展或使已有的肾病恶化,最近的研究聚焦于Toll样受体(TLRs)及其信号通路在肾小球细胞炎症过程中的作用。病毒双链RNA(dsRNA)不仅可以激活位于细胞内吞体中的TLR3,还可以激活位于胞质溶胶中的视黄酸诱导基因I(RIG-I)样解旋酶受体。RIG-I和黑色素瘤分化相关基因5(MDA5)是胞质溶胶中RNA解旋酶家族的成员,二者均作为病原体识别受体发挥作用。TLRs的激活及其下游免疫反应可由感染性病原体和非感染性刺激(如内源性配体)诱导,这一机制可能参与自身免疫性肾病的发病过程。然而,关于自身免疫性肾小球疾病中TLR3、MDA5和RIG-I之间相互作用的数据较少。基于我们最近使用培养的正常人系膜细胞(MCs)进行的实验研究,我们发现MCs中新型TLR3介导的信号通路可能参与肾小球疾病的发病机制。在本文中,我们总结了我们最近的研究发现。