1. Intraglomerular Monocyte/Macrophage Infiltration and Macrophage-Myofibroblast Transition during Diabetic Nephropathy Is Regulated by the A 2B Adenosine Receptor.
- Author
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Torres Á, Muñoz K, Nahuelpán Y, R Saez AP, Mendoza P, Jara C, Cappelli C, Suarez R, Oyarzún C, Quezada C, and San Martín R
- Subjects
- Acetamides pharmacology, Adenosine A2 Receptor Antagonists pharmacology, Animals, Biomarkers metabolism, Cell Adhesion Molecules metabolism, Chemokines metabolism, Chemotactic Factors pharmacology, Fibrosis, Humans, Kidney Glomerulus drug effects, Kidney Glomerulus pathology, Macrophages drug effects, Macrophages metabolism, Male, Monocytes drug effects, Monocytes metabolism, Myofibroblasts drug effects, Myofibroblasts metabolism, Purines pharmacology, Rats, Sprague-Dawley, Transcription, Genetic drug effects, Diabetic Nephropathies metabolism, Diabetic Nephropathies pathology, Macrophages pathology, Monocytes pathology, Myofibroblasts pathology, Receptor, Adenosine A2B metabolism
- Abstract
Diabetic nephropathy (DN) is considered the main cause of kidney disease in which myofibroblasts lead to renal fibrosis. Macrophages were recently identified as the major source of myofibroblasts in a process known as macrophage-myofibroblast transition (MMT). Adenosine levels increase during DN and in vivo administration of MRS1754, an antagonist of the A
2B adenosine receptor (A2B AR), attenuated glomerular fibrosis (glomerulosclerosis). We aimed to investigate the association between A2B AR and MMT in glomerulosclerosis during DN. Kidneys/glomeruli of non-diabetic, diabetic, and MRS1754-treated diabetic (DM+MRS1754) rats were processed for histopathologic, transcriptomic, flow cytometry, and cellular in vitro analyses. Macrophages were used for in vitro cell migration/transmigration assays and MMT studies. In vivo MRS1754 treatment attenuated the clinical and histopathological signs of glomerulosclerosis in DN rats. Transcriptomic analysis demonstrated a decrease in chemokine-chemoattractants/cell-adhesion genes of monocytes/macrophages in DM+MRS1754 glomeruli. The number of intraglomerular infiltrated macrophages and MMT cells increased in diabetic rats. This was reverted by MRS1754 treatment. In vitro cell migration/transmigration decreased in macrophages treated with MRS1754. Human macrophages cultured with adenosine and/or TGF-β induced MMT, a process which was reduced by MRS1754. We concluded that pharmacologic blockade of A2B AR attenuated some clinical signs of renal dysfunction and glomerulosclerosis, and decreased intraglomerular macrophage infiltration and MMT in DN rats.- Published
- 2020
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