Pediatric Institute of Soochow University, Children's Hospital of Soochow University, Soochow University, Suzhou, 215025, China.
State Key Laboratory of Reproductive Medicine and Offspring Health, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School of Nanjing Medical University, Suzhou, 215002, China.
Adv Sci (Weinh). 2024 Aug;11(29):e2308505. doi: 10.1002/advs.202308505. Epub 2024 Jun 5.
With the increasing incidence of kidney diseases, there is an urgent need to develop therapeutic strategies to combat post-injury fibrosis. Immune cells, including platelets, play a pivotal role in this repair process, primarily through their released cytokines. However, the specific role of platelets in kidney injury and subsequent repair remains underexplored. Here, the detrimental role of platelets in renal recovery following ischemia/reperfusion injury and its contribution to acute kidney injury to chronic kidney disease transition is aimed to investigated. In this study, it is shown that depleting platelets accelerates injury resolution and significantly reduces fibrosis. Employing advanced single-cell and spatial transcriptomic techniques, macrophages as the primary mediators modulated by platelet signals is identified. A novel subset of macrophages, termed "cycling M2", which exhibit an M2 phenotype combined with enhanced proliferative activity is uncovered. This subset emerges in the injured kidney during the resolution phase and is modulated by platelet-derived thrombospondin 1 (THBS1) signaling, acquiring profibrotic characteristics. Conversely, targeted inhibition of THBS1 markedly downregulates the cycling M2 macrophage, thereby mitigating fibrotic progression. Overall, this findings highlight the adverse role of platelet THBS1-boosted cycling M2 macrophages in renal injury repair and suggest platelet THBS1 as a promising therapeutic target for alleviating inflammation and kidney fibrosis.
随着肾脏疾病发病率的不断上升,迫切需要开发治疗策略来对抗损伤后纤维化。免疫细胞,包括血小板,在这个修复过程中起着关键作用,主要通过它们释放的细胞因子。然而,血小板在肾脏损伤和随后的修复中的具体作用仍未得到充分探索。在这里,旨在研究血小板在缺血/再灌注损伤后肾脏恢复中的有害作用及其对急性肾损伤向慢性肾脏病转变的作用。在这项研究中,表明消耗血小板可加速损伤的解决,并显著减少纤维化。研究采用先进的单细胞和空间转录组学技术,鉴定出血小板信号调节的主要介质是巨噬细胞。揭示了一种新型的巨噬细胞亚群,称为“循环 M2”,它具有 M2 表型,同时具有增强的增殖活性。这种亚群在损伤肾脏的恢复阶段出现,并受血小板衍生的血小板反应蛋白 1(THBS1)信号的调节,获得致纤维化的特征。相反,THBS1 的靶向抑制显著下调循环 M2 巨噬细胞,从而减轻纤维化进展。总的来说,这些发现强调了血小板 THBS1 增强的循环 M2 巨噬细胞在肾脏损伤修复中的不良作用,并表明血小板 THBS1 是缓解炎症和肾脏纤维化的有前途的治疗靶点。
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