关键词: IL-15 autophagy cell signaling cytokines focal segmental glomerulosclerosis podocyte

来  源:   DOI:10.1016/j.ekir.2024.01.010   PDF(Pubmed)

Abstract:
UNASSIGNED: During glomerular diseases, podocyte-specific pathways can modulate the intensity of histological disease and prognosis. The therapeutic targeting of these pathways could thus improve the management and prognosis of kidney diseases. The Janus Kinase/Signal Transducer and Activator of Transcription (JAK/STAT) pathway, classically described in immune cells, has been recently described in detail in intrinsic kidney cells.
UNASSIGNED: We describe STAT5 expression in human kidney biopsies from patients with focal segmental glomerulosclerosis (FSGS) and studied mice with a podocyte-specific Stat5 deletion in experimental glomerular diseases.
UNASSIGNED: Here, we show, for the first time, that STAT5 is activated in human podocytes in FSGS. In addition, podocyte-specific Stat5 inactivation aggravates the structural and functional alterations in a mouse model of FSGS. This could be due, at least in part, to an inhibition of autophagic flux. Finally, interleukin 15 (IL-15), a classical activator of STAT5 in immune cells, increases STAT5 phosphorylation in human podocytes, and its administration alleviates glomerular injury in vivo by maintaining autophagic flux in podocytes.
UNASSIGNED: Activating podocyte STAT5 with commercially available IL-15 represents a potential new therapeutic avenue for FSGS.
摘要:
在肾小球疾病期间,足细胞特异性通路可以调节组织学疾病的强度和预后。因此,这些途径的治疗靶向可以改善肾脏疾病的管理和预后。Janus激酶/信号转导和转录激活因子(JAK/STAT)通路,在免疫细胞中经典描述,最近在内在肾细胞中进行了详细描述。
我们描述了来自局灶性节段肾小球硬化(FSGS)患者的人肾活检中STAT5的表达,并研究了实验性肾小球疾病中足细胞特异性Stat5缺失的小鼠。
这里,我们展示,第一次,STAT5在FSGS的人足细胞中被激活。此外,足细胞特异性Stat5失活加重了FSGS小鼠模型的结构和功能改变。这可能是由于,至少在某种程度上,抑制自噬通量。最后,白细胞介素15(IL-15),免疫细胞中STAT5的经典激活剂,增加人足细胞中的STAT5磷酸化,其给药通过维持足细胞的自噬通量减轻体内肾小球损伤。
用市售IL-15激活足细胞STAT5代表了FSGS的潜在新治疗途径。
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