Liu Dan, Xu Min, Ding Li-Hong, Lv Lin-Li, Liu Hong, Ma Kun-Ling, Zhang Ai-Hua, Crowley Steven D, Liu Bi-Cheng
Institute of Nephrology, Zhong Da Hospital, Southeast University School of Medicine, Nanjing, Jiangsu, China.
Institute of Pediatrics, Department of Nephrology, Nanjing Children's Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Int J Biochem Cell Biol. 2014 Dec;57:7-19. doi: 10.1016/j.biocel.2014.09.018. Epub 2014 Oct 2.
Albuminuria is not only an important marker of chronic kidney disease but also a crucial contributor to tubulointerstitial inflammation (TIF). In this study, we determined whether activation of the Nlrp3 inflammasome is involved in albuminuria induced-TIF and the underlying mechanisms of inflammasome activation by mitochondrial reactive oxygen species (mROS). We established an albumin-overload induced rat nephropathy model characterised by albuminuria, renal infiltration of inflammatory cells, tubular dilation and atrophy. The renal expression levels of the Nlrp3 inflammasome, IL-1β and IL-18 were significantly increased in this animal model. In vitro, albumin time- and dose-dependently increased the expression levels of the Nlrp3 inflammasome, IL-1β and IL18. Moreover, the silencing of the Nlrp3 gene or the use of the caspase-1 inhibitor Z-VAD-fmk significantly attenuated the albumin-induced increase in IL-1β and IL-18 expression in HK2 cells. In addition, mROS generation was elevated by albumin stimulation, whereas the ROS scavenger N-acetyl-l-cysteine (NAC) inhibited Nlrp3 expression and the release of IL-1β and IL-18. In kidney biopsy specimens obtained from patients with IgA nephropathy, Nlrp3 expression was localised to the proximal tubular epithelial cells, and this result is closely correlated with the extent of proteinuria and TIF. In summary, this study demonstrates that albuminuria may serve as an endogenous danger-associated molecular pattern (DAMP) that stimulates TIF via the mROS-mediated activation of the cytoplasmic Nlrp3 inflammasome.
蛋白尿不仅是慢性肾脏病的重要标志物,也是肾小管间质炎症(TIF)的关键促成因素。在本研究中,我们确定Nlrp3炎性小体的激活是否参与蛋白尿诱导的TIF以及线粒体活性氧(mROS)激活炎性小体的潜在机制。我们建立了一种白蛋白过载诱导的大鼠肾病模型,其特征为蛋白尿、炎性细胞肾浸润、肾小管扩张和萎缩。在该动物模型中,Nlrp3炎性小体、IL-1β和IL-18的肾表达水平显著升高。在体外,白蛋白呈时间和剂量依赖性地增加Nlrp3炎性小体、IL-1β和IL-18的表达水平。此外,Nlrp3基因沉默或使用半胱天冬酶-1抑制剂Z-VAD-fmk可显著减弱白蛋白诱导的HK2细胞中IL-1β和IL-18表达的增加。此外,白蛋白刺激可提高mROS的生成,而ROS清除剂N-乙酰-L-半胱氨酸(NAC)可抑制Nlrp3表达以及IL-1β和IL-18的释放。在从IgA肾病患者获取的肾活检标本中,Nlrp3表达定位于近端肾小管上皮细胞,这一结果与蛋白尿程度和TIF密切相关。总之,本研究表明蛋白尿可能作为一种内源性危险相关分子模式(DAMP),通过mROS介导的细胞质Nlrp3炎性小体激活来刺激TIF。