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Journal of the American Society of Nephrology
Article . 2012 . Peer-reviewed
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Histones from Dying Renal Cells Aggravate Kidney Injury via TLR2 and TLR4

Authors: Marc Monestier; Shrikant R. Mulay; Jan H. Hagemann; Christian Hugo; Claudia Schwarzenberger; Murthy N. Darisipudi; Hans-Joachim Anders; +13 Authors

Histones from Dying Renal Cells Aggravate Kidney Injury via TLR2 and TLR4

Abstract

In AKI, dying renal cells release intracellular molecules that stimulate immune cells to secrete proinflammatory cytokines, which trigger leukocyte recruitment and renal inflammation. Whether the release of histones, specifically, from dying cells contributes to the inflammation of AKI is unknown. In this study, we found that dying tubular epithelial cells released histones into the extracellular space, which directly interacted with Toll-like receptor (TLR)-2 (TLR2) and TLR4 to induce MyD88, NF-κB, and mitogen activated protein kinase signaling. Extracellular histones also had directly toxic effects on renal endothelial cells and tubular epithelial cells in vitro. In addition, direct injection of histones into the renal arteries of mice demonstrated that histones induce leukocyte recruitment, microvascular vascular leakage, renal inflammation, and structural features of AKI in a TLR2/TLR4-dependent manner. Antihistone IgG, which neutralizes the immunostimulatory effects of histones, suppressed intrarenal inflammation, neutrophil infiltration, and tubular cell necrosis and improved excretory renal function. In summary, the release of histones from dying cells aggravates AKI via both its direct toxicity to renal cells and its proinflammatory effects. Because the induction of proinflammatory cytokines in dendritic cells requires TLR2 and TLR4, these results support the concept that renal damage triggers an innate immune response, which contributes to the pathogenesis of AKI.

Keywords

Lipopolysaccharides, Endothelial Cells, Epithelial Cells, Acute Kidney Injury, Kidney, Toll-Like Receptor 2, Capillary Permeability, Histones, Mice, Inbred C57BL, Toll-Like Receptor 4, Mice, Necrosis, Kidney Tubules, Renal Artery, Injections, Intra-Arterial, Reperfusion Injury, Myeloid Differentiation Factor 88, Leukocytes, Animals, Cytokines

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
360
Top 1%
Top 1%
Top 1%
bronze