利用生物激活的体内组装肽耗竭致纤维化巨噬细胞可改善肾脏纤维化。
Depleting profibrotic macrophages using bioactivated in vivo assembly peptides ameliorates kidney fibrosis.
机构信息
Department of Nephrology, First Medical Center of Chinese PLA General Hospital, Nephrology Institute of the Chinese People's Liberation Army, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing Key Laboratory of Kidney Disease Research, Beijing, 100853, China.
Clinical Medical School, Guangdong Pharmaceutical University, Guangzhou, 510006, China.
出版信息
Cell Mol Immunol. 2024 Aug;21(8):826-841. doi: 10.1038/s41423-024-01190-6. Epub 2024 Jun 13.
Managing renal fibrosis is challenging owing to the complex cell signaling redundancy in diseased kidneys. Renal fibrosis involves an immune response dominated by macrophages, which activates myofibroblasts in fibrotic niches. However, macrophages exhibit high heterogeneity, hindering their potential as therapeutic cell targets. Herein, we aimed to eliminate specific macrophage subsets that drive the profibrotic immune response in the kidney both temporally and spatially. We identified the major profibrotic macrophage subset (Fn1Spp1Arg1) in the kidney and then constructed a 12-mer glycopeptide that was designated as bioactivated in vivo assembly PK (BIVA-PK) to deplete these cells. BIVA-PK specifically binds to and is internalized by profibrotic macrophages. By inducing macrophage cell death, BIVA-PK reshaped the renal microenvironment and suppressed profibrotic immune responses. The robust efficacy of BIVA-PK in ameliorating renal fibrosis and preserving kidney function highlights the value of targeting macrophage subsets as a potential therapy for patients with CKD.
由于患病肾脏中细胞信号的复杂冗余,管理肾纤维化具有挑战性。肾纤维化涉及以巨噬细胞为主导的免疫反应,巨噬细胞激活纤维化龛中的肌成纤维细胞。然而,巨噬细胞表现出高度异质性,这阻碍了它们作为治疗性细胞靶点的潜力。在此,我们旨在从时间和空间上消除驱动肾脏中致纤维化免疫反应的特定巨噬细胞亚群。我们鉴定了肾脏中主要的致纤维化巨噬细胞亚群(Fn1Spp1Arg1),然后构建了一种 12 肽糖肽,被指定为体内生物激活组装 PK(BIVA-PK)以消耗这些细胞。BIVA-PK 特异性结合并内化致纤维化巨噬细胞。通过诱导巨噬细胞细胞死亡,BIVA-PK 重塑了肾脏微环境并抑制了致纤维化免疫反应。BIVA-PK 改善肾纤维化和保护肾功能的强大功效突出了靶向巨噬细胞亚群作为 CKD 患者潜在治疗方法的价值。
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