Phenotype and influx kinetics of leukocytes and inflammatory cytokine production in kidney ischemia/reperfusion injury

TM Williams, AF Wise, DS Layton, SD Ricardo - Nephrology, 2018 - Wiley Online Library
TM Williams, AF Wise, DS Layton, SD Ricardo
Nephrology, 2018Wiley Online Library
ABSTRACT Background and Aim Kidney ischemia/reperfusion (IR) injury is characterized by
tubular epithelial cell (TEC) death and an inflammatory response involving cytokine
production and immune cell infiltration. In various kidney diseases, increased macrophage
numbers correlate with injury severity and poor prognosis. However, macrophage plasticity
enables a diverse range of functions, including wound healing, making them a key target for
novel therapies. This study aimed to comprehensively characterize the changes in myeloid …
Background and Aim
Kidney ischemia/reperfusion (IR) injury is characterized by tubular epithelial cell (TEC) death and an inflammatory response involving cytokine production and immune cell infiltration. In various kidney diseases, increased macrophage numbers correlate with injury severity and poor prognosis. However, macrophage plasticity enables a diverse range of functions, including wound healing, making them a key target for novel therapies. This study aimed to comprehensively characterize the changes in myeloid and epithelial cells and the production of cytokines throughout the experimental IR model of acute kidney injury to aid in the identification of targets to promote and enhance kidney regeneration and repair.
Methods
Flow cytometric analysis of murine unilateral IR injury was used to assess TEC and myeloid cell subpopulations in conjunction with histological analysis and cytokine production at 6 h, 1, 3, 5 and 7 days post IR injury, spanning the initial inflammatory phase and the following reparative phase.
Results
IR injury resulted in a rapid infiltration of Ly6Chigh monocytes and neutrophils with a steady rise in F4/80highMHCIIhigh macrophages over the injury time. The production of the inflammatory cytokines IL‐6, MCP‐1 and TNF coincided with an increase in IL‐10 production.
Conclusion
This characterization will provide a reference point for future studies designed to manipulate immune cell phenotype and function in order to promote endogenous repair of damaged kidneys.
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