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CD4+CD25+ regulatory T cells attenuate cisplatin-induced nephrotoxicity in mice.

Abstract
Nephrotoxicity limits the use of cisplatin, a widely used chemotherapeutic agent for treatment of various malignancies. Overall, CD4+ T cells mediate cisplatin-induced renal injury; however, the CD4+CD25+ regulatory T-cell subset (CD4+CD25+ Treg) has broad suppressive effects on many different cell types. In this study, we determined whether CD4+CD25+ Treg cells had protective effects against cisplatin-induced acute renal injury in nu/nu mice that lack mature T cells. In these mice, there was marked attenuation of the decreased survival, renal dysfunction and tubular injury, renal tumor necrosis factor-α, and interleukin-1β cytokine levels. Furthermore, renal macrophage accumulation was reduced in CD4+CD25+ Treg cell-adoptive transferred nu/nu mice compared with control mice. Infusion of CD4+CD25+Treg cells into wild-type Balb/c mice reduced serum blood urea nitrogen and creatinine levels equivalent to those in nu/nu mice and extended their survival time after cisplatin injection. In contrast, depletion of CD4+CD25+ Treg cells in wild-type mice exacerbated kidney injury after cisplatin administration. Transcription factor Foxp3-positive cells (Treg cells) were detected in the kidneys of nu/nu mice after cisplatin injection. Our results suggest that CD4+CD25+ Treg cells directly affect cisplatin nephrotoxicity and their modulation represents an additional treatment strategy.
AuthorsHyojung Lee, Dukhee Nho, Hwan-Suck Chung, Heekyung Lee, Min-Kyu Shin, Sung-Hoon Kim, Hyunsu Bae
JournalKidney international (Kidney Int) Vol. 78 Issue 11 Pg. 1100-9 (Dec 2010) ISSN: 1523-1755 [Electronic] United States
PMID20463654 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Biomarkers
  • Forkhead Transcription Factors
  • Foxp3 protein, mouse
  • IL2RA protein, human
  • Inflammation Mediators
  • Interleukin-1beta
  • Interleukin-2 Receptor alpha Subunit
  • Tumor Necrosis Factor-alpha
  • Creatinine
  • Cisplatin
Topics
  • Adoptive Transfer
  • Animals
  • Biomarkers (blood)
  • Blood Urea Nitrogen
  • Chemotaxis, Leukocyte
  • Cisplatin
  • Creatinine (blood)
  • Disease Models, Animal
  • Forkhead Transcription Factors (metabolism)
  • Immunity, Innate
  • Inflammation Mediators (metabolism)
  • Interleukin-1beta (metabolism)
  • Interleukin-2 Receptor alpha Subunit (analysis)
  • Kidney (immunology, metabolism, pathology)
  • Kidney Diseases (blood, chemically induced, immunology, pathology, prevention & control)
  • Macrophages (immunology)
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • T-Lymphocyte Subsets (immunology, transplantation)
  • T-Lymphocytes, Regulatory (immunology, transplantation)
  • Time Factors
  • Tumor Necrosis Factor-alpha (metabolism)

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