靶向抑制白细胞介素-11 诱导的肾 tubular 上皮细胞向间充质细胞转化可减轻肾纤维化。
Renal Fibrosis Is Alleviated through Targeted Inhibition of IL-11-Induced Renal Tubular Epithelial-to-Mesenchymal Transition.
机构信息
Department of General Practice, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Department of Nephrology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
出版信息
Am J Pathol. 2023 Dec;193(12):1936-1952. doi: 10.1016/j.ajpath.2023.07.005. Epub 2023 Sep 4.
Renal fibrosis is a pathologic process that leads to irreversible renal failure without effective treatment. Epithelial-to-mesenchymal transition (EMT) plays a key role in this process. The current study found that aberrant expression of IL-11 is critically involved in tubular EMT. IL-11 and its receptor subunit alpha-1 (IL-11Rα1) were significantly induced in renal tubular epithelial cells (RTECs) in unilateral ureteral obstruction (UUO) kidneys, co-localized with transforming growth factor-β1. IL-11 knockdown ameliorated UUO-induced renal fibrosis in vivo and transforming growth factor-β1-induced EMT in vitro. IL-11 intervention directly induced the transdifferentiation of RTECs to the mesenchymal phenotype and increased the synthesis of profibrotic mediators. The EMT response induced by IL-11 was dependent on the sequential activation of STAT3 and extracellular signal-regulated kinase 1/2 signaling pathways and the up-regulation of metadherin in RTECs. Micheliolide (MCL) competitively inhibited the binding of IL-11 with IL-11Rα1, suppressing the activation of STAT3 and extracellular signal-regulated kinase 1/2-metadherin pathways, ultimately inhibiting renal tubular EMT and interstitial fibrosis induced by IL-11. In addition, treatment with dimethylaminomicheliolide, a pro-drug of MCL for in vivo use, significantly ameliorated renal fibrosis exacerbated by IL-11 in the UUO model. These findings suggest that IL-11 is a promising target in renal fibrosis and that MCL/dimethylaminomicheliolide exerts its antifibrotic effect by suppressing IL-11/IL-11Rα1 interaction and blocking its downstream effects.
肾纤维化是一种导致不可逆肾衰竭的病理过程,如果没有有效的治疗方法,就无法治愈。上皮间质转化(EMT)在这个过程中起着关键作用。本研究发现,IL-11 的异常表达在肾小管 EMT 中起着至关重要的作用。在单侧输尿管梗阻(UUO)肾脏中,IL-11 及其受体亚单位α-1(IL-11Rα1)在肾小管上皮细胞(RTEC)中显著诱导表达,与转化生长因子-β1 共定位。IL-11 敲低改善了 UUO 诱导的体内肾纤维化和转化生长因子-β1 诱导的 EMT。IL-11 干预直接诱导 RTEC 向间充质表型的转分化,并增加促纤维化介质的合成。IL-11 诱导的 EMT 反应依赖于 STAT3 和细胞外信号调节激酶 1/2 信号通路的顺序激活以及 RTECs 中 metadherin 的上调。米歇利内酯(MCL)竞争性抑制 IL-11 与 IL-11Rα1 的结合,抑制 STAT3 和细胞外信号调节激酶 1/2-metadherin 通路的激活,最终抑制 IL-11 诱导的肾小管 EMT 和间质纤维化。此外,用米歇利内酯的前药二甲基氨基米歇利内酯治疗,可显著改善 UUO 模型中由 IL-11 加剧的肾纤维化。这些发现表明,IL-11 是肾纤维化的一个有希望的靶点,米歇利内酯/二甲基氨基米歇利内酯通过抑制 IL-11/IL-11Rα1 相互作用和阻断其下游作用发挥其抗纤维化作用。