Kim Nayoung, Woo Dong-Cheol, Joo Seo Jeong, Song Youyol, Lee Jae Jin, Woo Chul-Woong, Kim Sang Tae, Hong Seokmann, Cho Yong Mee, Han Duck-Jong
1 Asan Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. 2 Department of Medicine Graduate School, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. 3 Department of Bioscience and Biotechnology, Institute of Bioscience, Sejong University, Seoul, South Korea. 4 Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. 5 Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Transplantation. 2015 Oct;99(10):2070-6. doi: 10.1097/TP.0000000000000742.
Although renal ischemia-reperfusion injury (IRI) can cause delayed graft function, a targeted therapy is not yet available. Because phosphoinositide 3-kinases (PI3K) p110γ and p110δ play important roles in immune cell migration and function, we investigated the effects of PI3K p110γ- and p110δ-specific inhibitors in a murine renal IRI model.
Renal function was assessed by serum creatine and hematoxylin-eosin staining. Immune cell migration was assessed by flow cytometry and an in vitro cell migration assay using Transwell plates. Gene expression analysis and a multiplex cytokine/chemokine assay were performed to find cytokines/chemokines whose expression was upregulated in renal IRI and affected by p110γ-specific inhibitor.
The PI3K p110γ-specific inhibitor, but not p110δ-specific inhibitor, significantly reduced serum creatine levels and acute tubular necrosis. These were accompanied by reduced infiltration of B cells and reduced expression of CXCL9, a CXCR3 ligand, suggesting that p110γ plays an important role in B-cell migration toward injured kidneys. An in vitro cell migration assay revealed for the first time that B-cell migration to injured kidney cells and to CXCL9 requires p110γ.
p110γ-specific inhibitor ameliorates renal IRI by reducing necrosis and immune cell migration. This inhibitor may have the potential to reduce renal graft failure caused by renal IRI.
尽管肾缺血再灌注损伤(IRI)可导致移植肾功能延迟,但尚未有针对性的治疗方法。由于磷酸肌醇3激酶(PI3K)p110γ和p110δ在免疫细胞迁移和功能中起重要作用,我们在小鼠肾IRI模型中研究了PI3K p110γ和p110δ特异性抑制剂的作用。
通过血清肌酐和苏木精-伊红染色评估肾功能。通过流式细胞术和使用Transwell板的体外细胞迁移试验评估免疫细胞迁移。进行基因表达分析和多重细胞因子/趋化因子检测,以寻找在肾IRI中表达上调且受p110γ特异性抑制剂影响的细胞因子/趋化因子。
PI3K p110γ特异性抑制剂而非p110δ特异性抑制剂可显著降低血清肌酐水平并减轻急性肾小管坏死。这些变化伴随着B细胞浸润减少以及CXCR3配体CXCL9的表达降低,表明p110γ在B细胞向受损肾脏的迁移中起重要作用。体外细胞迁移试验首次揭示,B细胞向受损肾细胞和CXCL9的迁移需要p110γ。
p110γ特异性抑制剂通过减少坏死和免疫细胞迁移来改善肾IRI。这种抑制剂可能具有降低肾IRI所致肾移植失败的潜力。