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组织蛋白酶 S,一种天冬酰胺内肽酶,介导 M2 巨噬细胞减轻梗阻性肾病肾间质纤维化的作用。

Legumain, an asparaginyl endopeptidase, mediates the effect of M2 macrophages on attenuating renal interstitial fibrosis in obstructive nephropathy.

机构信息

Department of Pathology, College of Medicine, State Key Laboratory of Medicinal Chemical Biology, Nankai University, Tianjin, China.

Nephrology Division, Gong'an Hospital, Tianjin, China.

出版信息

Kidney Int. 2018 Jul;94(1):91-101. doi: 10.1016/j.kint.2017.12.025. Epub 2018 Apr 12.

Abstract

Two distinct macrophage phenotypes contribute to kidney injury and repair during the progression of renal interstitial fibrosis; proinflammatory (M1) and antiinflammatory (M2) macrophages. Legumain, an asparaginyl endopeptidase of the cysteine protease family, is overexpressed in macrophages in some pathological conditions. However, the macrophage subtype and function of macrophage-derived legumain remains unclear. To resolve this we tested whether M2 macrophages contribute to the accumulation of legumain in the unilateral ureteral obstruction model. Legumain-null mice exhibited more severe fibrotic lesions after obstruction compared with wild-type control. In vitro, IL4-stimulated M2 polarization led to the overexpression and secretion of legumain. The levels of fibronectin and collagen I/III, major components of the extracellular matrix, were reduced in the conditioned medium of TGF-β1-stimulated tubular epithelial cells or fibroblasts after treatment with legumain or conditioned medium from IL4-stimulated macrophages. Administration of the legumain inhibitor RR-11a exacerbated fibrotic lesions following obstruction. Therapeutically, adoptive transfer of legumain-overexpressing macrophages or IL4-stimulated macrophages ameliorated the deposition of collagen and fibronectin induced by ureteral obstruction, either in the wild-type mice or in lgmn mice. Thus, M2 macrophages overexpress and secret legumain and legumain mediates the anti-fibrotic effect of M2 macrophages in obstructive nephropathy.

摘要

两种不同的巨噬细胞表型在肾间质纤维化进展过程中导致肾脏损伤和修复;促炎(M1)和抗炎(M2)巨噬细胞。组织蛋白酶家族中的天冬酰胺内肽酶组织蛋白酶 L(legumain)在某些病理条件下在巨噬细胞中过度表达。然而,巨噬细胞亚型和巨噬细胞衍生的组织蛋白酶 L 的功能仍不清楚。为了解决这个问题,我们测试了 M2 巨噬细胞是否有助于单侧输尿管梗阻模型中组织蛋白酶 L 的积累。与野生型对照相比,组织蛋白酶 L 缺失小鼠在梗阻后表现出更严重的纤维化病变。在体外,IL4 刺激的 M2 极化导致组织蛋白酶 L 的过表达和分泌。在用组织蛋白酶 L 或 IL4 刺激的巨噬细胞的条件培养基处理 TGF-β1 刺激的肾小管上皮细胞或成纤维细胞后,细胞外基质的主要成分纤连蛋白和胶原 I/III 的水平降低。在用组织蛋白酶 L 抑制剂 RR-11a 处理后,梗阻后纤维化病变加重。在治疗上,过表达组织蛋白酶 L 的巨噬细胞或 IL4 刺激的巨噬细胞的过继转移可改善野生型小鼠或 lgmn 小鼠的输尿管梗阻引起的胶原和纤连蛋白沉积。因此,M2 巨噬细胞过度表达和分泌组织蛋白酶 L,组织蛋白酶 L 介导 M2 巨噬细胞在梗阻性肾病中的抗纤维化作用。

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