巨噬细胞上的 1 型血管紧张素受体可改善 IL-1 受体介导的肾脏纤维化。
Type 1 angiotensin receptors on macrophages ameliorate IL-1 receptor-mediated kidney fibrosis.
出版信息
J Clin Invest. 2014 May;124(5):2198-203. doi: 10.1172/JCI61368. Epub 2014 Apr 17.
In a wide array of kidney diseases, type 1 angiotensin (AT1) receptors are present on the immune cells that infiltrate the renal interstitium. Here, we examined the actions of AT1 receptors on macrophages in progressive renal fibrosis and found that macrophage-specific AT1 receptor deficiency exacerbates kidney fibrosis induced by unilateral ureteral obstruction (UUO). Macrophages isolated from obstructed kidneys of mice lacking AT1 receptors solely on macrophages had heightened expression of proinflammatory M1 cytokines, including IL-1. Evaluation of isolated AT1 receptor-deficient macrophages confirmed the propensity of these cells to produce exaggerated levels of M1 cytokines, which led to more severe renal epithelial cell damage via IL-1 receptor activation in coculture compared with WT macrophages. A murine kidney crosstransplantation concomitant with UUO model revealed that augmentation of renal fibrosis instigated by AT1 receptor-deficient macrophages is mediated by IL-1 receptor stimulation in the kidney. This study indicates that a key role of AT1 receptors on macrophages is to protect the kidney from fibrosis by limiting activation of IL-1 receptors in the kidney.
在多种肾脏疾病中,1 型血管紧张素(AT1)受体存在于浸润肾间质的免疫细胞上。在这里,我们研究了 AT1 受体在进行性肾纤维化中对巨噬细胞的作用,发现巨噬细胞特异性 AT1 受体缺失会加剧单侧输尿管梗阻(UUO)引起的肾脏纤维化。从缺乏巨噬细胞上 AT1 受体的小鼠梗阻肾脏中分离出的巨噬细胞,其促炎 M1 细胞因子(包括 IL-1)的表达水平升高。对分离的 AT1 受体缺陷型巨噬细胞的评估证实了这些细胞产生过度 M1 细胞因子的倾向,与 WT 巨噬细胞相比,这些细胞因子通过 IL-1 受体激活在共培养中导致更严重的肾上皮细胞损伤。同时进行的小鼠肾移植合并 UUO 模型表明,AT1 受体缺陷型巨噬细胞引起的肾脏纤维化增强是由肾脏中 IL-1 受体刺激介导的。这项研究表明,巨噬细胞上 AT1 受体的一个关键作用是通过限制肾脏中 IL-1 受体的激活来保护肾脏免受纤维化。