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PMID: 20164824 Published · ppublish English Journal Article Research Support, N.I.H., Extramural

Regulatory T cells contribute to the protective effect of ischemic preconditioning in the kidney.

Kidney international ·Vol. 77 ·No. 9 ·2010-05-00 ·Pages 771-80

Kinsey GR, Huang L, Vergis AL, Li L, Okusa MD

Abstract

Reperfusion following ischemia is associated with acute kidney injury and inflammation. Using a mouse model, we exposed the kidney to a nonlethal period of ischemia, rendering it refractory to future ischemia-induced dysfunction. This ischemic preconditioning is partially mediated by Treg lymphocytes that suppress immune responses. We found that this maneuver significantly inhibited the accumulation of neutrophils and macrophages, tubular necrosis, and loss of kidney function caused by a subsequent ischemia/reperfusion injury 1 week later. The initial ischemia/reperfusion caused a significant increase in CD4(+)CD25(+)FoxP3(+) and CD4(+)CD25(+)IL-10(+) Treg cells within the kidney at 7 days of reperfusion. Treatment of preconditioned mice with a Treg cell-depleting antibody (PC61) reversed the effect of preconditioning on kidney neutrophil accumulation and partially inhibited the functional and histological protection of preconditioning. Adoptive transfer of Treg cells in naive mice, before ischemia/reperfusion, mimicked the protective and anti-inflammatory effects of ischemic preconditioning on the kidney. These studies highlight the role of Treg cells in ischemic preconditioning.

MeSH Terms
Acute Kidney Injury/complications,immunology,prevention & control Adoptive Transfer Animals Inflammation/complications,immunology Interleukin-10/immunology Ischemia/complications,immunology,pathology Ischemic Preconditioning/methods Kidney/immunology,pathology Male Mice Mice, Inbred C57BL Neutrophils/immunology,pathology Reperfusion Injury/immunology,pathology,prevention & control T-Lymphocytes, Regulatory/immunology,pathology
Chemicals
Interleukin-10
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Kinsey Gilbert R
Division of Nephrology and Center for Immunity, Inflammation and Regenerative Medicine, University of Virginia Health System, Charlottesville, Virginia 22908, USA.
Huang Liping
Vergis Amy L
Li Li
Okusa Mark D
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Article Info
Journal
Kidney international
Abbr.
Kidney Int
ISSN
1523-1755
Published
2010-05-00
Epub
2010-00-17
Pages
771-80
Language
English
Region
United States
NLM ID
0323470
PMCID
PMC2912287
Subset
IM
Grants
NIDDK NIH HHS · T32DK072922-01 · United States
NIDDK NIH HHS · T32 DK072922-01 · United States
NHLBI NIH HHS · P01 HL073361-01A19001 · United States
NIDDK NIH HHS · R01 DK085259 · United States
NIDDK NIH HHS · DK56223 · United States
NIDDK NIH HHS · R01 DK056223-05 · United States
NIDDK NIH HHS · R01 DK062324 · United States
NHLBI NIH HHS · P01HL07336 · United States
NIDDK NIH HHS · R01 DK056223 · United States
NIDDK NIH HHS · R44 DK058413 · United States
NHLBI NIH HHS · P01 HL073361 · United States
NIDDK NIH HHS · R41 DK058413 · United States
NIDDK NIH HHS · R41 DK058413-01 · United States
NIDDK NIH HHS · DK62324 · United States
NIDDK NIH HHS · F32 DK083185 · United States
NIDDK NIH HHS · F32 DK083185-01 · United States
NIDDK NIH HHS · F32DK083185 · United States
NIDDK NIH HHS · R01 DK062324-05 · United States
NIDDK NIH HHS · T32 DK072922 · United States
NIDDK NIH HHS · DK58413 · United States
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