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Albumin stimulates interleukin-8 expression in proximal tubular epithelial cells in vitro and in vivo
Sydney Tang, … , Tak Mao Chan, Kar Neng Lai
Sydney Tang, … , Tak Mao Chan, Kar Neng Lai
Published February 15, 2003
Citation Information: J Clin Invest. 2003;111(4):515-527. https://doi.org/10.1172/JCI16079.
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Article Nephrology

Albumin stimulates interleukin-8 expression in proximal tubular epithelial cells in vitro and in vivo

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Abstract

Renal tubulointerstitial injury is characterized by inflammatory cell infiltrate; however, the stimuli for leukocyte recruitment are not fully understood. IL-8 is a potent chemokine produced by proximal tubular epithelial cells (PTECs). Whether nephrotic proteins stimulate tubular IL-8 expression remains unknown. Acute exposure of human PTECs to albumin induced IL-8 gene and protein expression time- and dose-dependently. Apical albumin predominantly stimulated basolateral IL-8 secretion. Electrophoretic mobility shift assay demonstrated nuclear translocation of NF-κB, and the p65/p50 subunits were activated. NF-κB activation and IL-8 secretion were attenuated by the NF-κB inhibitors pyrrolidine dithiocarbamate and cell-permeable peptide. Albumin upregulated intracellular reactive oxygen species (ROS) generation, while exogenous H2O2 stimulated NF-κB translocation and IL-8 secretion. Albumin-induced ROS generation, NF-κB activation, and IL-8 secretion were endocytosis- and PKC-dependent as these downstream events were abrogated by the PI3K inhibitors LY294002 and wortmannin, and the PKC inhibitors GF109203X and staurosporin, respectively. In vivo, IL-8 mRNA expression was localized by in situ hybridization to the proximal tubules in nephrotic kidney tissues. The intensity of IL-8 immunostaining was higher in nephrotic than non-nephrotic subjects. In conclusion, albumin is a strong stimulus for tubular IL-8 expression, which occurs via NF-κB–dependent pathways through PKC activation and ROS generation.

Authors

Sydney Tang, Joseph C.K. Leung, Katsushige Abe, Kwok Wah Chan, Loretta Y.Y. Chan, Tak Mao Chan, Kar Neng Lai

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Figure 13

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Histologic score for IL-8 immunostaining in renal tubules. (a) Scoring i...
Histologic score for IL-8 immunostaining in renal tubules. (a) Scoring in non-nephrotic versus nephrotic subjects. Immunohistochemical staining for tubular IL-8 antigen was performed on renal biopsy specimens obtained from 25 patients with nephrotic range or minimal proteinuria and graded in an observer-blinded manner on an arbitrary scale of 0–3 (see text for scoring criteria). Circles and horizontal lines are individual scores of each patient and mean scores in each group, respectively. Horizontal bars and vertical lines are means ± SE of daily urinary protein excretion in each group. (b) Correlation between the magnitude of proteinuria and staining score for IL-8 in renal tubules of 18 nephrotic subjects by linear regression (r2 = 0.332, b = 0.116 [95% confidence interval, 0.029–0.203], P = 0.012).

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