阻断白细胞介素-6 转导信号可通过抑制 STAT3 激活来防止肾纤维化。

Blocking interleukin-6 trans-signaling protects against renal fibrosis by suppressing STAT3 activation.

机构信息

Department of Urology, Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University, Nanjing, Jiangsu, China.

Department of Pathology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China.

出版信息

Theranostics. 2019 May 31;9(14):3980-3991. doi: 10.7150/thno.32352. eCollection 2019.

Abstract

: Renal fibrosis is the terminal manifestation of chronic and irreversible renal disease. Effective therapies other than dialysis are extremely limited. In this study, we investigated the potential effects of targeting elevated interleukin-6 (IL-6) levels in the treatment of renal fibrosis. : Fc-gp130 was used to specifically block IL-6 trans-signaling. Unilateral ureteral occlusion (UUO) and ischemia reperfusion (IR) mouse models were constructed to investigate the therapeutic effect of Fc-gp130 on renal fibrosis. The role of IL-6 trans-signaling and phosphorylation of signal transducer and activator of transcription (STAT) 3 in regulating fibroblast accumulation and extracellular matrix protein deposition were evaluated in cell experiments and mouse models. : The kidneys of mice with UUO were found to have elevated soluble IL-6 receptor (sIL-6R) levels in the progression of fibrosis. Fc-gp130 attenuated renal fibrosis in mice, as evidenced by reductions in tubular atrophy and the production of extracellular matrix protein. Blockade of IL-6 trans-signaling with Fc-gp130 also reduced inflammation levels, immune cell infiltration, and profibrotic cytokines expression in renal tissue, with decreased STAT3 phosphorylation and reduced fibroblast accumulation in the renal tissue. In vitro, Fc-gp130 also reduced the phosphorylation of STAT3 induced by transforming growth factor (TGF)-β1 in fibroblasts. Furthermore, the therapeutic effect of Fc-gp130 was confirmed in a model of acute kidney injury-chronic kidney disease. : Overall, IL-6 trans-signaling may contribute to crucial events in the development of renal fibrosis, and the targeting of IL-6 trans-signaling by Fc-gp130 may provide a novel therapeutic strategy for the treatment of renal fibrosis.

摘要

肾纤维化是慢性和不可逆性肾病的终末表现。除透析以外,有效的治疗方法极为有限。在本研究中,我们研究了靶向升高的白细胞介素 6(IL-6)水平治疗肾纤维化的潜在效果。Fc-gp130 用于特异性阻断 IL-6 转信号。构建单侧输尿管梗阻(UUO)和缺血再灌注(IR)小鼠模型,以研究 Fc-gp130 对肾纤维化的治疗作用。在细胞实验和小鼠模型中评估了 IL-6 转信号和信号转导和转录激活因子(STAT)3 的磷酸化在调节成纤维细胞积聚和细胞外基质蛋白沉积中的作用。在纤维化进展中,UUO 小鼠的肾脏中发现可溶性 IL-6 受体(sIL-6R)水平升高。Fc-gp130 减轻了小鼠的肾纤维化,表现为肾小管萎缩和细胞外基质蛋白产生减少。Fc-gp130 阻断 IL-6 转信号也降低了肾组织中的炎症水平、免疫细胞浸润和促纤维化细胞因子表达,降低了 STAT3 磷酸化和肾组织中成纤维细胞积聚。在体外,Fc-gp130 还降低了成纤维细胞中转化生长因子(TGF)-β1 诱导的 STAT3 磷酸化。此外,Fc-gp130 在急性肾损伤-慢性肾脏病模型中也证实了其治疗效果。总之,IL-6 转信号可能参与了肾纤维化发展的关键事件,Fc-gp130 靶向 IL-6 转信号可能为肾纤维化的治疗提供一种新的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d6/6592178/3897ae6417d4/thnov09p3980g001.jpg

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