Division of Nephrology, Department of Medicine, Durham Veterans Affairs and Duke University Medical Centers, Durham, North Carolina.
Department of Nephrology, The First Affiliated Hospital of Nanjing Medical University, Nanjing Medical University, Nanjing, People's Republic of China.
Am J Physiol Renal Physiol. 2022 Feb 1;322(2):F164-F174. doi: 10.1152/ajprenal.00353.2021. Epub 2021 Dec 13.
Interleukin (IL)-1 receptor type 1 (IL-1R1) activation triggers a proinflammatory signaling cascade that can exacerbate kidney injury. However, the functions of podocyte IL-1R1 in glomerular disease remain unclear. To study the role of IL-1R1 signaling in podocytes, we selectively ablated podocyte IL-1R1 in mice (PKO mice). We then subjected PKO mice and wild-type controls to two glomerular injury models: nephrotoxic serum (NTS)- and adriamycin-induced nephropathy. Surprisingly, we found that IL-1R1 activation in podocytes limited albuminuria and podocyte injury during NTS- and adriamycin-induced nephropathy. Moreover, deletion of IL-1R1 in podocytes drove podocyte apoptosis and glomerular injury through diminishing Akt activation. Activation of Akt signaling abrogated the differences in albuminuria and podocyte injury between wild-type and PKO mice during NTS. Thus, IL-1R1 signaling in podocytes limits susceptibility to glomerular injury via an Akt-dependent signaling pathway. These data identify an unexpected protective role for IL-1R1 signaling in podocytes in the pathogenesis of glomerular disease. The present study establishes that activation of the receptor for interleukin-1 limits susceptibility to damage to the kidney glomerulus in preclinical mouse models by stimulating Akt signaling cascades inside the podocyte.
白细胞介素 (IL)-1 受体 1 (IL-1R1) 的激活触发了促炎信号级联反应,从而加剧了肾脏损伤。然而,足细胞中 IL-1R1 在肾小球疾病中的作用尚不清楚。为了研究 IL-1R1 信号在足细胞中的作用,我们在小鼠中选择性地敲除了足细胞中的 IL-1R1(PKO 小鼠)。然后,我们将 PKO 小鼠和野生型对照小鼠分别进行两种肾小球损伤模型实验:抗血清肾炎(NTS)和阿霉素肾病。令人惊讶的是,我们发现,在 NTS 和阿霉素肾病中,足细胞中的 IL-1R1 激活可限制白蛋白尿和足细胞损伤。此外,通过减少 Akt 的激活,足细胞中 IL-1R1 的缺失会驱动足细胞凋亡和肾小球损伤。在 NTS 期间,Akt 信号的激活消除了野生型和 PKO 小鼠之间白蛋白尿和足细胞损伤的差异。因此,足细胞中的 IL-1R1 信号通过 Akt 依赖性信号通路限制了肾小球损伤的易感性。这些数据表明,在肾小球疾病的发病机制中,足细胞中的 IL-1R1 信号具有意想不到的保护作用。本研究确立了白细胞介素-1 受体的激活通过刺激足细胞内的 Akt 信号级联反应,限制了临床前小鼠模型中对肾脏肾小球损伤的易感性。