[HTML][HTML] Pivotal role of CD4+ T cells in renal fibrosis following ureteric obstruction

TT Tapmeier, A Fearn, K Brown, P Chowdhury… - Kidney international, 2010 - Elsevier
TT Tapmeier, A Fearn, K Brown, P Chowdhury, SH Sacks, NS Sheerin, W Wong
Kidney international, 2010Elsevier
Tubulointerstitial fibrosis is a common consequence of a diverse range of kidney diseases
that lead to end-stage renal failure. The degree of fibrosis is related to leukocyte infiltration.
Here, we determined the role of different T cell populations on renal fibrosis in the well-
characterized mouse model of unilateral ureteric obstruction. Depletion of CD4+ T cells in
wild-type mice with a monoclonal antibody significantly reduced the amount of interstitial
expansion and collagen deposition after 2 weeks of obstruction. Reconstitution of …
Tubulointerstitial fibrosis is a common consequence of a diverse range of kidney diseases that lead to end-stage renal failure. The degree of fibrosis is related to leukocyte infiltration. Here, we determined the role of different T cell populations on renal fibrosis in the well-characterized mouse model of unilateral ureteric obstruction. Depletion of CD4+ T cells in wild-type mice with a monoclonal antibody significantly reduced the amount of interstitial expansion and collagen deposition after 2 weeks of obstruction. Reconstitution of lymphopenic RAG knockout mice with purified CD4+ but not CD8+ T cells, prior to ureteric obstruction, resulted in a significant increase in interstitial expansion and collagen deposition. Wild-type mice had significantly greater interstitial expansion and collagen deposition compared with lymphopenic RAG−/− mice, following ureteric obstruction; however, macrophage infiltration was equivalent in all groups. Thus, our results suggest that renal injury with subsequent fibrosis is likely to be a multifactorial process, with different arms of the immune system involved at different stages. In this ureteric obstruction model, we found a critical role for CD4+ T cells in kidney fibrosis. These cells could be a potential target of therapeutic intervention to prevent excessive fibrosis and loss of function due to renal injury.
Elsevier