Ramani Kritika, Biswas Partha S
Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Clin Immunol. 2016 Jan;162:31-6. doi: 10.1016/j.clim.2015.10.009. Epub 2015 Nov 10.
Crescentic glomerulonephritis (cGN) is a severe clinical manifestation in a subset of patients with Systemic lupus erythematosus. Lack of understanding of the pathogenesis of cGN act as a major constraint in treating these patients. Emerging evidence suggest a critical role of IL-17 in the pathogenesis of membranoproliferative glomerulonephritis in lupus. However, the role of IL-17 receptor (IL-17RA) signaling in cGN is unknown. Here, we developed a model of poly I:C-induced Type I Interferon (IFN-I)-dependent cGN in B6.MRL-Faslpr/J (B6.lpr) mice. B6.lpr mice deficient in IL-17RA were protected from IFN-I-dependent cGN. While systemic response was unabated, renal infiltration of alternatively activated macrophages was severely impaired in IL-17RA(-/-) mice. Finally, we show that IL-17 differentially regulates the expression of macrophage chemo-attractant genes in renal tubular epithelial cells and macrophages in association with IFN-I. These results suggest that neutralization IL-17 may confer better protection in SLE patients with high IFN-I gene signature and cGN.
新月体性肾小球肾炎(cGN)是系统性红斑狼疮患者亚组中的一种严重临床表现。对cGN发病机制的缺乏了解是治疗这些患者的主要限制因素。新出现的证据表明IL-17在狼疮性膜增生性肾小球肾炎的发病机制中起关键作用。然而,IL-17受体(IL-17RA)信号在cGN中的作用尚不清楚。在此,我们在B6.MRL-Faslpr/J(B6.lpr)小鼠中建立了聚肌胞苷酸诱导的I型干扰素(IFN-I)依赖性cGN模型。缺乏IL-17RA的B6.lpr小鼠免受IFN-I依赖性cGN的影响。虽然全身反应未减弱,但IL-17RA(-/-)小鼠中交替活化巨噬细胞的肾脏浸润严重受损。最后,我们表明IL-17与IFN-I相关,差异性地调节肾小管上皮细胞和巨噬细胞中巨噬细胞趋化因子基因的表达。这些结果表明,中和IL-17可能为具有高IFN-I基因特征和cGN的SLE患者提供更好的保护。