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

Gilbert R Kinsey | Liping Huang | Amy L Vergis | Li Li | Mark D Okusa
Kidney international | 2010

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.

Pubmed ID: 20164824

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Associated grants

  • Agency: NIDDK NIH HHS, United States
    Id: T32DK072922-01
  • Agency: NIDDK NIH HHS, United States
    Id: T32 DK072922-01
  • Agency: NHLBI NIH HHS, United States
    Id: P01 HL073361-01A19001
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK085259
  • Agency: NIDDK NIH HHS, United States
    Id: DK56223
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK056223-05
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK062324
  • Agency: NHLBI NIH HHS, United States
    Id: P01HL07336
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK056223
  • Agency: NIDDK NIH HHS, United States
    Id: R44 DK058413
  • Agency: NHLBI NIH HHS, United States
    Id: P01 HL073361
  • Agency: NIDDK NIH HHS, United States
    Id: R41 DK058413
  • Agency: NIDDK NIH HHS, United States
    Id: R41 DK058413-01
  • Agency: NIDDK NIH HHS, United States
    Id: DK62324
  • Agency: NIDDK NIH HHS, United States
    Id: F32 DK083185
  • Agency: NIDDK NIH HHS, United States
    Id: F32 DK083185-01
  • Agency: NIDDK NIH HHS, United States
    Id: F32DK083185
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK062324-05
  • Agency: NIDDK NIH HHS, United States
    Id: T32 DK072922
  • Agency: NIDDK NIH HHS, United States
    Id: DK58413

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