An NLRP3-specific inflammasome inhibitor attenuates crystal-induced kidney fibrosis in mice

作者:Ludwig Portugall Isis; Bartok Eva; Dhana Ermanila; Evers Beatrix D G; Primiano Michael J; Hall J Perry; Franklin Bernardo S; Knolle Percy A; Hornung Veit; Hartmann Gunther; Boor Peter; Latz Eicke; Kurts Christian*
来源:Kidney International, 2016, 90(3): 525-539.
DOI:10.1016/j.kint.2016.03.035

摘要

Intrarenal crystal formation activates the NIrp3 inflammasome in myeloid cells and triggers a profound inflammatory response. Here, we studied whether a specific inhibitor of the NIrp3 inflammasome, CP-456,773, can prevent kidney fibrosis in a murine model of crystal nephropathy induced by diets rich in oxalate or adenine. Inflammasome activation in renal dendritic cells and the resulting interleukin (1)-1 beta and IL-18 production were markedly reduced by CP-456,773 treatment both ex vivo and in vivo. We directly visualized intrarenal inflammasome activation and its inhibition by CP-456,773 in vivo by adoptive transfer of bone marrow cells transduced with interleukin-1 beta-Gaussia luciferase, a proteolytic luciferase-based reporter for inflammasome activation, into irradiated mice. CP-456,773 treatment strongly attenuated kidney fibrosis when given early in the genesis of crystal nephropathy, but was unable to reverse established crystal-induced fibrosis. The urinary IL-18 concentration appeared to be a useful noninvasive biomarker for renal inflammasome activation. Finally, NLRP3 inhibition did not compromise adaptive immune responses as previously reported for the global inhibition of IL-1 signaling. Thus, early NLRP3 inhibition by CP-456,773 may be an effective treatment for crystal nephropathy. Use of iGLuc transfected cells introduces a novel imaging technique for inflammasome activation in mice.

  • 出版日期2016-9