Mast cell infiltration and chemokine expression in progressive renal disease.

Abstract:

BACKGROUND:Mast cells are growth factor-rich, bone marrow-derived cells that infiltrate injured tissue where they have been implicated in the pathogenesis of progressive fibrosis. METHODS:Mast cell infiltration and the expression of related chemoattractants was examined following 5/6 nephrectomy, a model of progressive, nonimmune-mediated renal injury. In addition, expression of the profibrotic cytokine, transforming growth factor-beta (TGF-beta) within mast cells and the effects of renoprotective therapy with angiotensin-converting enzyme (ACE) inhibition were also determined. RESULTS:Renal injury was accompanied by mast cell infiltration, in close proximity to areas of tubulointerstitial fibrosis. Mast cells displayed toluidine blue metachromasia and were immunopositive for TGF-beta1 as well as chymase and tryptase. The expression of several mast cell chemokines, including stem cell factor, interleukin-8 (IL-8), and also TGF-beta1, were increased in 5/6 nephrectomized kidneys. ACE inhibition with ramipril led to a reduction in renal injury in association with attenuation of mast cell infiltration and chemokine expression. CONCLUSION:Mast cell infiltration and related chemokine expression are prominent and early features following renal mass reduction and may contribute pathogenetically to progressive renal injury.

journal_name

Kidney Int

journal_title

Kidney international

authors

Jones SE,Kelly DJ,Cox AJ,Zhang Y,Gow RM,Gilbert RE

doi

10.1046/j.1523-1755.2003.00183.x

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

906-13

issue

3

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)49411-6

journal_volume

64

pub_type

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