[HTML][HTML] Regulatory T cells contribute to the protective effect of ischemic preconditioning in the kidney

GR Kinsey, L Huang, AL Vergis, L Li, MD Okusa - Kidney international, 2010 - Elsevier
GR Kinsey, L Huang, AL Vergis, L Li, MD Okusa
Kidney international, 2010Elsevier
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 …
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.
Elsevier