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Deficiency of the kidney tubular angiotensin II type1 receptor-associated protein ATRAP exacerbates streptozotocin-induced diabetic glomerular injury via reducing protective macrophage polarization.

作者信息

Haruhara Kotaro, Suzuki Toru, Wakui Hiromichi, Azushima Kengo, Kurotaki Daisuke, Kawase Wataru, Uneda Kazushi, Kobayashi Ryu, Ohki Kohji, Kinguchi Sho, Yamaji Takahiro, Kato Ikuma, Ohashi Kenichi, Yamashita Akio, Tamura Tomohiko, Tsuboi Nobuo, Yokoo Takashi, Tamura Kouichi

机构信息

Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan; Division of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.

Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan.

出版信息

Kidney Int. 2022 May;101(5):912-928. doi: 10.1016/j.kint.2022.01.031. Epub 2022 Mar 1.


DOI:10.1016/j.kint.2022.01.031
PMID:35240129
Abstract

Although activation of the renin-angiotensin system and of its glomerular components is implicated in the pathogenesis of diabetic nephropathy, the functional roles of the tubular renin-angiotensin system with AT1 receptor signaling in diabetic nephropathy are unclear. Tissue hyperactivity of the renin-angiotensin system is inhibited by the angiotensin II type 1 receptor-associated protein ATRAP, which negatively regulates receptor signaling. The highest expression of endogenous ATRAP occurs in the kidney, where it is mainly expressed by tubules but rarely in glomeruli. Here, we found that hyperactivation of angiotensin II type 1 receptor signaling in kidney tubules exacerbated diabetic glomerular injury in a mouse model of streptozotocin-induced diabetic nephropathy. These phenomena were accompanied by decreased expression of CD206, a marker of alternatively activated and tissue-reparative M2 macrophages, in the kidney tubulointerstitium. Additionally, adoptive transfer of M2- polarized macrophages into diabetic ATRAP-knockout mice ameliorated the glomerular injury. As a possible mechanism, the glomerular mRNA levels of tumor necrosis factor-α and oxidative stress components were increased in diabetic knockout mice compared to non-diabetic knockout mice, but these increases were ameliorated by adoptive transfer. Furthermore, proximal tubule-specific ATRAP downregulation reduced tubulointerstitial expression of CD206, the marker of M2 macrophages in diabetic mice. Thus, our findings indicate that tubular ATRAP-mediated functional modulation of angiotensin II type 1 receptor signaling modulates the accumulation of tubulointerstitial M2 macrophages, thus affecting glomerular manifestations of diabetic nephropathy via tubule-glomerular crosstalk.

摘要

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引用本文的文献

[1]
Enhancement of angiotensin II type 1 receptor-associated protein suppresses kidney inflammation in a mouse model of aristolochic acid nephropathy.

Sci Rep. 2025-7-31

[2]
Effects of proximal tubule-specific ATRAP enhancement on hypertension in a remnant kidney chronic kidney disease model of mice.

Sci Rep. 2025-7-28

[3]
Keratinocyte-specific angiotensin II receptor-associated protein deficiency exacerbates angiotensin II-dependent hypertension via activation of the skin renin-angiotensin system.

Nat Commun. 2025-5-29

[4]
Upregulation of Piezo2 and increased extracellular matrix protein in diabetic kidney disease mice.

Hypertens Res. 2025-4

[5]
Combination of ATRAP deletion and angiotensin II accelerates DKD progression, which may also accelerate DKD research.

Hypertens Res. 2025-3

[6]
YAP1 preserves tubular mitochondrial quality control to mitigate diabetic kidney disease.

Redox Biol. 2024-12

[7]
Targeting Macrophages: Therapeutic Approaches in Diabetic Kidney Disease.

Int J Mol Sci. 2024-4-15

[8]
The Role of Immune Cells in DKD: Mechanisms and Targeted Therapies.

J Inflamm Res. 2024-4-6

[9]
Angiotensin II type 1 receptor-associated protein deletion combined with angiotensin II stimulation accelerates the development of diabetic kidney disease in mice on a C57BL/6 strain.

Hypertens Res. 2024-1

[10]
Combination of sacubitril/valsartan and blockade of the PI3K pathway enhanced kidney protection in a mouse model of cardiorenal syndrome.

Eur Heart J Open. 2023-9-29

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