Department of General, Visceral and Transplant Surgery, University Hospital Münster, 48149 Münster, Germany.
Gerhard Domagk Institute of Pathology, University Hospital Münster, 48149 Münster, Germany.
Cells. 2022 Mar 10;11(6):948. doi: 10.3390/cells11060948.
Ischemia reperfusion injury (IRI) is a form of sterile inflammation whose severity determines short- and long-term graft fates in kidney transplantation. Neutrophils are now recognized as a key cell type mediating early graft injury, which activates further innate immune responses and intensifies acquired immunity and alloimmunity. Since the macrolide Bryostatin-1 has been shown to block neutrophil transmigration, we aimed to determine whether these findings could be translated to the field of kidney transplantation. To study the effects of Bryostatin-1 on ischemia-elicited neutrophil transmigration, an in vitro model of hypoxia and normoxia was equipped with human endothelial cells and neutrophils. To translate these findings, a porcine renal autotransplantation model with eight hours of reperfusion was used to study neutrophil infiltration in vivo. Graft-specific treatment using Bryostatin-1 (100 nM) was applied during static cold storage. Bryostatin-1 dose-dependently blocked neutrophil activation and transmigration over ischemically challenged endothelial cell monolayers. When applied to porcine renal autografts, Bryostatin-1 reduced neutrophil graft infiltration, attenuated histological and ultrastructural damage, and improved renal function. Our novel findings demonstrate that Bryostatin-1 is a promising pharmacological candidate for graft-specific treatment in kidney transplantation, as it provides protection by blocking neutrophil infiltration and attenuating functional graft injury.
缺血再灌注损伤(IRI)是一种无菌性炎症,其严重程度决定了肾移植后短期和长期移植物的命运。中性粒细胞现在被认为是介导早期移植物损伤的关键细胞类型,它激活了进一步的固有免疫反应,并加剧了获得性免疫和同种免疫。由于大环内酯类药物 Bryostatin-1 已被证明可以阻止中性粒细胞迁移,因此我们旨在确定这些发现是否可以转化到肾移植领域。为了研究 Bryostatin-1 对缺血引起的中性粒细胞迁移的影响,我们建立了一个体外缺氧和常氧模型,其中配备了人内皮细胞和中性粒细胞。为了将这些发现转化为体内研究,我们使用了长达 8 小时再灌注的猪肾自体移植模型来研究体内中性粒细胞浸润。在静态冷保存期间,使用 Bryostatin-1(100 nM)对移植物进行特异性治疗。Bryostatin-1 呈剂量依赖性地阻断了缺血性挑战内皮细胞单层上的中性粒细胞激活和迁移。当应用于猪肾自体移植物时,Bryostatin-1 减少了中性粒细胞的移植物浸润,减轻了组织学和超微结构损伤,并改善了肾功能。我们的新发现表明,Bryostatin-1 是肾移植中一种有前途的移植物特异性治疗药物候选物,因为它通过阻止中性粒细胞浸润和减轻功能移植物损伤来提供保护。
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