Abstract

Experimental aristolochic acid nephropathy is characterized by transient acute proximal tubule necrosis and inflammatory cell infiltrates followed by interstitial fibrosis and tubular atrophy. The respective role of T-cell subpopulations has never been studied in the acute phase of the mouse model, and was heretofore exclusively investigated by the use of several depletion protocols. As compared to mice injected with aristolochic acids alone, more severe acute kidney injury was observed after CD4+ or CD8+ T-cells depletion. TNF-alpha and MCP-1 mRNA renal expressions were also increased. In contrast, regulatory T-cells depletion did not modify the severity of the aristolochic acids induced acute kidney injury, suggesting an independent mechanism. Aristolochic acids nephropathy was also associated with an increased proportion of myeloid CD11bhighF4/80mid and a decreased proportion of their counterpart CD11blowF4/80high population. After CD4+ T-cell depletion the increase in the CD11bhighF4/80mid population was even higher whereas the decrease in the CD11blowF4/80high population was more marked after CD8+ T cells depletion. Our results suggest that CD4+ and CD8+ T-cells provide protection against AA-induced acute tubular necrosis. Interestingly, T-cell depletion was associated with an imbalance of the CD11bhighF4/80mid and CD11blowF4/80high populations.

Highlights

  • Mice were injected for 5 days with AA and were sacrificed 24 hours after the last injection. This time point is interesting as it corresponds to the AKI phase with maximal tubular necrosis and plasma creatinine in our model[13]

  • AAN is recognized as a worldwide public health problem: in addition to the 1993 Belgian outbreak, when hundreds of cases of the so-called Chinese herbs nephropathy were reported, the condition has been proven to be the cause of the Balkan endemic nephropathy and of thousands of cases of CKD and cancers in Asian countries where traditional Chinese medicine is widespread[20]

  • Absence of significant difference for KIM-1 and NGAL levels between AA and AA + αCD4 group could be linked to the over-sensitivity of these markers regarding the importance of tubular necrosis observed

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Summary

Objectives

In an additional set of experiments, we aimed to evaluate the impact of T-cell depletion during the chronic phase of experimental AAN

Methods
Results
Conclusion
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