Division of Nephrology, Department of Medicine, Baylor College of Medicine, One Baylor Plaza, BCM395, Houston, TX 77030.
Hypertension. 2013 Dec;62(6):1129-37. doi: 10.1161/HYPERTENSIONAHA.113.01837. Epub 2013 Sep 23.
Recent evidence indicates that inflammation plays a critical role in the initiation and progression of hypertensive kidney disease. However, the signaling mechanisms underlying the induction of inflammation are poorly understood. We found that chemokine (C-X-C motif) ligand 16 (CXCL16) was induced in renal tubular epithelial cells in response to angiotensin II in a nuclear factor-κB-dependent manner. To determine whether CXCL16 plays a role in angiotensin II-induced renal inflammation and fibrosis, wild-type and CXCL16 knockout mice were infused with angiotensin II at 1500 ng/kg per minute for up to 4 weeks. Wild-type and CXCL16 knockout mice had comparable blood pressure at baseline. Angiotensin II treatment led to an increase in blood pressure that was similar between wild-type and CXCL16 knockout mice. CXCL16 knockout mice were protected from angiotensin II-induced renal dysfunction, proteinuria, and fibrosis. CXCL16 deficiency suppressed bone marrow-derived fibroblast accumulation and myofibroblast formation in the kidneys of angiotensin II-treated mice, which was associated with less expression of extracellular matrix proteins. Furthermore, CXCL16 deficiency inhibited infiltration of F4/80(+) macrophages and CD3(+) T cells in the kidneys of angiotensin II-treated mice compared with wild-type mice. Finally, CXCL16 deficiency reduced angiotensin II-induced proinflammatory cytokine expressions in the kidneys. Taken together, our results indicate that CXCL16 plays a pivotal role in the pathogenesis of angiotensin II-induced renal injury and fibrosis through regulation of macrophage and T cell infiltration and bone marrow-derived fibroblast accumulation.
最近的证据表明,炎症在高血压肾病的发生和发展中起着关键作用。然而,炎症诱导的信号机制还知之甚少。我们发现趋化因子(C-X-C 基序)配体 16(CXCL16)在肾近端小管上皮细胞中被诱导,这是一种核因子-κB 依赖性的方式。为了确定 CXCL16 是否在血管紧张素 II 诱导的肾脏炎症和纤维化中发挥作用,我们用血管紧张素 II 以 1500ng/kg/min 的剂量对野生型和 CXCL16 敲除小鼠进行了长达 4 周的输注。在基线时,野生型和 CXCL16 敲除小鼠的血压相当。血管紧张素 II 治疗导致血压升高,野生型和 CXCL16 敲除小鼠之间的血压升高相似。CXCL16 敲除小鼠对血管紧张素 II 诱导的肾功能障碍、蛋白尿和纤维化有保护作用。CXCL16 缺乏抑制了骨髓来源的成纤维细胞在血管紧张素 II 处理的小鼠肾脏中的积聚和肌成纤维细胞的形成,这与细胞外基质蛋白的表达减少有关。此外,与野生型小鼠相比,CXCL16 缺乏抑制了血管紧张素 II 处理的小鼠肾脏中 F4/80(+)巨噬细胞和 CD3(+)T 细胞的浸润。最后,CXCL16 缺乏减少了血管紧张素 II 诱导的肾脏中的促炎细胞因子的表达。综上所述,我们的结果表明,CXCL16 通过调节巨噬细胞和 T 细胞浸润以及骨髓来源的成纤维细胞积聚,在血管紧张素 II 诱导的肾脏损伤和纤维化发病机制中发挥关键作用。