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单细胞空间转录组学揭示血小板驱动的循环巨噬细胞在肾脏纤维化中的作用。

Single-Cell Spatial Transcriptomics Unveils Platelet-Fueled Cycling Macrophages for Kidney Fibrosis.

机构信息

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.

出版信息

Adv Sci (Weinh). 2024 Aug;11(29):e2308505. doi: 10.1002/advs.202308505. Epub 2024 Jun 5.


DOI:10.1002/advs.202308505
PMID:38838052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11304276/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/841c03640144/ADVS-11-2308505-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/1e1be79598f3/ADVS-11-2308505-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/863241a2eb71/ADVS-11-2308505-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/bf719dbcc5d7/ADVS-11-2308505-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/066d30292029/ADVS-11-2308505-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/cdd8bbb15bb1/ADVS-11-2308505-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/ddaa5765600a/ADVS-11-2308505-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/841c03640144/ADVS-11-2308505-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/1e1be79598f3/ADVS-11-2308505-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/863241a2eb71/ADVS-11-2308505-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/bf719dbcc5d7/ADVS-11-2308505-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/066d30292029/ADVS-11-2308505-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/cdd8bbb15bb1/ADVS-11-2308505-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/ddaa5765600a/ADVS-11-2308505-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21df/11304276/841c03640144/ADVS-11-2308505-g008.jpg

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Single-Cell Spatial Transcriptomics Unveils Platelet-Fueled Cycling Macrophages for Kidney Fibrosis.

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引用本文的文献

[1]
The role of macrophages in renal fibrosis and therapeutic prospects.

PeerJ. 2025-7-23

[2]
Progress and applications of single-cell RNA sequencing and spatial transcriptome technology in acute kidney injury research.

Mol Ther Nucleic Acids. 2025-5-30

[3]
Platelets and diseases: signal transduction and advances in targeted therapy.

Signal Transduct Target Ther. 2025-5-16

[4]
Crosstalk between macrophages and adjacent cells in AKI to CKD transition.

Ren Fail. 2025-12

本文引用的文献

[1]
Autophagy of OTUD5 destabilizes GPX4 to confer ferroptosis-dependent kidney injury.

Nat Commun. 2023-12-18

[2]
Multi-omics analysis reveals the chemoresistance mechanism of proliferating tissue-resident macrophages in PDAC via metabolic adaptation.

Cell Rep. 2023-6-27

[3]
Emerging functions of thrombospondin-1 in immunity.

Semin Cell Dev Biol. 2024-3-1

[4]
Platelet-instructed SPP1 macrophages drive myofibroblast activation in fibrosis in a CXCL4-dependent manner.

Cell Rep. 2023-2-28

[5]
The role of platelets in immune-mediated inflammatory diseases.

Nat Rev Immunol. 2023-8

[6]
Activated Platelets, the Booster of Chronic Kidney Disease and Cardiovascular Complications.

Kidney Dis (Basel). 2022-6-3

[7]
Influence of the Initial Neutrophils to Lymphocytes and Platelets Ratio on the Incidence and Severity of Sepsis-Associated Acute Kidney Injury: A Double Robust Estimation Based on a Large Public Database.

Front Immunol. 2022

[8]
The fibrogenic niche in kidney fibrosis: components and mechanisms.

Nat Rev Nephrol. 2022-9

[9]
USF2 knockdown downregulates THBS1 to inhibit the TGF-β signaling pathway and reduce pyroptosis in sepsis-induced acute kidney injury.

Pharmacol Res. 2022-2

[10]
Acute kidney injury.

Nat Rev Dis Primers. 2021-7-15

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