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半胱氨酸天冬氨酸蛋白酶-11 介导的 gasdermin D 切割促进急性肾损伤中肾小管上皮细胞焦亡和尿白细胞介素-18 的释放。

The cleavage of gasdermin D by caspase-11 promotes tubular epithelial cell pyroptosis and urinary IL-18 excretion in acute kidney injury.

机构信息

Department of Physiology and Pathophysiology, School of Basic Medicine Science, Fudan University, Shanghai, China.

Department of Nephrology, Shanghai Tong Ren Hospital, Shanghai Jiao Tong University School of Medicine, China.

出版信息

Kidney Int. 2019 Nov;96(5):1105-1120. doi: 10.1016/j.kint.2019.04.035. Epub 2019 May 21.

Abstract

Inflammation and tubular cell death are the hallmarks of acute kidney injury. However, the precise mechanism underlying these effects has not been fully elucidated. Here we tested whether caspase-11, an inflammatory member of the caspase family, was increased in cisplatin or ischemia-reperfusion-induced acute kidney injury. Caspase-11 knockout mice after cisplatin treatment exhibited attenuated deterioration of renal functional, reduced tubular damage, reduced macrophage and neutrophil infiltration, and decreased urinary IL-18 excretion. Mechanistically, the upregulation of caspase-11 by either cisplatin or ischemia-reperfusion cleaved gasdermin D (GSDMD) into GSDMD-N, which translocated onto the plasma membrane, thus triggering cell pyroptosis and facilitated IL-18 release in primary cultured renal tubular cells. These results were further confirmed in GSDMD knockout mice that cisplatin-induced renal morphological and functional deterioration as well as urinary IL-18 excretion were alleviated. Furthermore, deficiency of GSDMD significantly suppressed cisplatin-induced IL-18 release but not the transcription and maturation level of IL-18 in tubular cells. Thus, our study indicates that caspase-11/GSDMD dependent tubule cell pyroptosis plays a significant role in initiating tubular cell damage, urinary IL-18 excretion and renal functional deterioration in acute kidney injury.

摘要

炎症和管状细胞死亡是急性肾损伤的标志。然而,这些影响的确切机制尚未完全阐明。在这里,我们测试了半胱天冬酶-11(caspase-11),一种半胱天冬酶家族中的炎症成员,是否在顺铂或缺血再灌注引起的急性肾损伤中增加。顺铂处理后的 caspase-11 敲除小鼠表现出肾功能恶化减弱,管状损伤减少,巨噬细胞和中性粒细胞浸润减少,尿白细胞介素-18(IL-18)排泄减少。在机制上,顺铂或缺血再灌注引起的 caspase-11 上调将天冬氨酸半胱氨酸酶-11(GSDMD)切割成 GSDMD-N,后者转移到质膜上,从而触发细胞焦亡,并促进原代培养的肾小管细胞中白细胞介素-18 的释放。在 GSDMD 敲除小鼠中进一步证实了这些结果,顺铂诱导的肾形态和功能恶化以及尿白细胞介素-18 排泄均得到缓解。此外,GSDMD 缺乏显著抑制了顺铂诱导的白细胞介素-18 释放,但不抑制肾小管细胞中白细胞介素-18 的转录和成熟水平。因此,我们的研究表明,半胱天冬酶-11/GSDMD 依赖性小管细胞焦亡在启动急性肾损伤中肾小管细胞损伤、尿白细胞介素-18 排泄和肾功能恶化中起重要作用。

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