Complex-Mediated Glomerulonephritis Inflammation
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Mouse Mast Cell Protease-4 Deteriorates Renal Function by Contributing to Inflammation and Fibrosis in Immune Complex-Mediated Glomerulonephritis This information is current as of October 1, 2021. Lisa Scandiuzzi, Walid Beghdadi, Eric Daugas, Magnus Åbrink, Neeraj Tiwari, Cristiana Brochetta, Julien Claver, Nassim Arouche, Xingxing Zang, Marina Pretolani, Renato C. Monteiro, Gunnar Pejler and Ulrich Blank J Immunol published online 7 June 2010 Downloaded from http://www.jimmunol.org/content/early/2010/06/07/jimmun ol.0902129 http://www.jimmunol.org/ Why The JI? Submit online. • Rapid Reviews! 30 days* from submission to initial decision • No Triage! Every submission reviewed by practicing scientists • Fast Publication! 4 weeks from acceptance to publication by guest on October 1, 2021 *average Subscription Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. Published June 7, 2010, doi:10.4049/jimmunol.0902129 The Journal of Immunology Mouse Mast Cell Protease-4 Deteriorates Renal Function by Contributing to Inflammation and Fibrosis in Immune Complex-Mediated Glomerulonephritis Lisa Scandiuzzi,*,†,1 Walid Beghdadi,*,† Eric Daugas,*,†,‡ Magnus A˚ brink,x Neeraj Tiwari,*,† Cristiana Brochetta,*,† Julien Claver,*,† Nassim Arouche,†,{ Xingxing Zang,|| Marina Pretolani,†,{ Renato C. Monteiro,*,† Gunnar Pejler,# and Ulrich Blank*,† Mast cells exert protective effects in experimental antiglomerular basement membrane-induced glomerulonephritis (GN), yet the responsible mediators have not been identified. In this study, we investigated the role of mouse mast cell protease (mMCP)-4, the functional homolog of human chymase, using mMCP-4–deficient mice. Compared with wild type animals, mMCP-4–deficient mice Downloaded from exhibited lower proteinuria, blood creatinine, and blood urea nitrogen levels, indicating an aggravating role of mMCP-4. Kidney histology confirmed less severe renal damage in mMCP-4–deficient mice with reduced deposits, glomerular and interstitial cellularity, and fibrosis scores. High amounts of mMCP-4 were detected in renal capsules, but not in the whole kidney, from wild type mice. Its expression in renal capsules was markedly decreased after GN induction, suggesting that locally released enzyme by degranulated mast cells could contribute to the functional and physiopathological hallmarks of GN. Supporting a proinflammatory role, glomerular and interstitial macrophage and T cell infiltration, levels of proinflammatory TNF and http://www.jimmunol.org/ MCP-1 mRNA, and the expression of the profibrotic peptide angiotensin II together with type I collagen were markedly down- regulated in kidneys of mMCP-42deficient mice. We conclude that mMCP-4 chymase, contrary to the global anti-inflammatory action of mast cells, aggravates GN by promoting kidney inflammation. These results highlight the complexity of mast cell- mediated inflammatory actions and suggest that chymase inhibition may represent a novel therapeutic target in GN. The Journal of Immunology, 2010, 185: 000–000. ast cells are key effectors of innate and adaptive im- granules, and most of them are present exclusively in mast cells. munity (1–3). Upon activation, they produce numerous These proteases can be divided into three classes: tryptases, car- by guest on October 1, 2021 M inflammatory mediators released from cytoplasmic boxypeptidase A, and chymases, all of which are released in granules or after new synthesis, including arachidonic acid a complex with negatively charged serglycin proteoglycans (5–7). metabolites and a diverse set of cytokines and chemokines (3, 4). Chymases are chymotrypsin-like serine proteases, which can be Neutral proteases are contained in high amounts in the cytoplasmic classified into a-chymases and b-chymases, according to their biochemical structure (5–7). Human mast cells express only one a-chymase, whereas rodents express one a-chymase, mouse mast † b *Institut National de la Sante´ et de la Recherche Me´dicale U699; Universite´ Paris 7, cell protease (mMCP)-5, and several -chymases, including Faculte´ de Me´decine Paris Diderot-Site Xavier Bichat; ‡Service de Ne´phrologie, Groupe mMCP-1, -2, and -4. While mMCP-4 and -5 are specifically Hospitalier Universitaire Bichat-Claude Bernard, Assistance Publique-Hoˆpitaux de Paris; { x expressed by mast cells in connective tissues, mMCP-1 and -2 Institut National de la Sante´ et de la Recherche Me´dicale U700, Paris, France; De- partment of Medical Biochemistry and Microbiology, Uppsala University; #Department are found in mucosal subtype mast cells. The former are stored of Anatomy, Physiology and Biochemistry, Swedish University of Agricultural Sciences, in tight complexes with serglycin proteoglycans and are released Uppsala, Sweden; and ||Department of Microbiology and Immunology, Albert Einstein College of Medicine, New York, NY 10461 only upon degranulation, whereas the latter have low affinity for 1 serglycin proteoglycans and, accordingly, they may be constitu- Current address: Department of Microbiology and Immunology, Albert Einstein College of Medicine, New York, NY. tively secreted (8). Among the murine chymases, mMCP-4 is most Received for publication July 7, 2009. Accepted for publication April 21, 2010. likely the functional counterpart of the unique human chymase This work was supported by the French National Research Agency (R08171HS), the because it has similar substrate specificity, tissue distribution, ser- Fondation pour la Recherche Me´dicale, the Association pour l’Utilisation du Rein glycin proteoglycan-binding properties, and ability to convert an- Artificiel, and the Marie Curie Early Stage Research Training Fellowship of the giotensin (Ang) I into Ang II (5, 9, 10). European Community’s Sixth Framework Programme under contract no. 504926. In addition to their crucial role in allergy and asthma, mast cells Address correspondence and reprint requests to: Dr. Ulrich Blank, Institut National de la Sante´ et de la Recherche Me´dicale U699, Universite´ Paris 7, Faculte´ de Me´de- have recently been associated with renal diseases, because their cine Denis Diderot, Site Xavier Bichat, 16 Rue Henri Huchard, 75780 Paris Cedex numbers are strongly increased in nephropathies of different origins 18, France. E-mail address: [email protected] (11–13). Functional studies conducted using mast cell-deficient mice Abbreviations used in this paper: ACE, angiotensin-converting enzyme; Ang, angio- revealed protective properties of mast cells in an accelerated model tensin; anti-GBM, antiglomerular basement membrane; BMDM, bone marrow- derived macrophage; BMMC, bone marrow-derived mast cell; BUN, blood urea of antiglomerular basement membrane (anti-GBM)–induced glo- nitrogen; DTH, delayed-type hypersensitivity; GN, glomerulonephritis; mMCP, merulonephritis (GN), most likely through their capacity to initiate mouse mast cell protease; NRS, normal rabbit serum; PAS, periodic acid-Schiff; repair and remodeling and to favorably influence immune responses RT, room temperature; SA, streptavidin; WT, wild type. (14, 15). However, other results demonstrated a detrimental role in Copyright Ó 2010 by The American Association of Immunologists, Inc. 0022-1767/10/$16.00 a nonaccelerated disease model of kidney disease (16). In this model, www.jimmunol.org/cgi/doi/10.4049/jimmunol.0902129 2 AGGRAVATING ROLE OF mMCP-4 CHYMASE IN GLOMERULONEPHRITIS mast cells promoted glomerular expression of adhesion molecules 8.7, 16.9 6 10.2, and 13.7 6 4.8; and for kidney capsules: 4.7 6 2.3, and enhanced Th1-dependent effector mechanisms. Overall, these 4.8 6 1.5, 1.8 6 1.3, and 1.2 6 0.7. observations indicate that mast cells can exert beneficial or detri- mental activities, depending on a given pathophysiological context. Induction of anti-GBM–induced GN Therefore, further studies are needed to clarify the mechanisms by Anti-GBM serum was produced in rabbits following immunization with pu- which mast cells affect renal disease parameters. rified mouse glomeruli obtained according to established procedures (22). The murine counterpart of human mast cell chymase, mMCP-4, An accelerated model of anti-GBM Ab-induced GN was used (23, 24). was shown to attract granulocytes and macrophages (17, 18), to Briefly, mice were preimmunized i.p. with normal rabbit IgG (0.5 mg/20 g regulate homeostatic intestinal epithelial migration and barrier body weight) (Southern Biotechnology Associates) and CFA (Sigma- function (19), and to convert Ang I into Ang II, a vasoactive peptide Aldrich) 5 d before an i.v. administration of anti-GBM serum through the retro-orbital vein at a dose of 0.2 ml/20 g. For control purposes, with potent inflammatory and fibrogenic properties (20, 21). These NRS was also used. Mice were sacrificed at day 3 to evaluate early changes observations suggest that mMCP-4 may play an important role in of the heterologous phase following deposition of rabbit anti-GBM or at tissue inflammation and remodeling in the kidney. To explore this day 14 to evaluate late changes provoked by the developing immune re- issue, we examined