Therapeutic Blockade of Immune Complex-Mediated Glomerulonephritis by Highly Selective Inhibition of Bruton's Tyrosine Kinase

Sci Rep. 2016 May 19:6:26164. doi: 10.1038/srep26164.

Abstract

Lupus nephritis (LN) is a potentially dangerous end organ pathology that affects upwards of 60% of lupus patients. Bruton's tyrosine kinase (BTK) is important for B cell development, Fc receptor signaling, and macrophage polarization. In this study, we investigated the effects of a novel, highly selective and potent BTK inhibitor, BI-BTK-1, in an inducible model of LN in which mice receive nephrotoxic serum (NTS) containing anti-glomerular antibodies. Mice were treated once daily with vehicle alone or BI-BTK-1, either prophylactically or therapeutically. When compared with control treated mice, NTS-challenged mice treated prophylactically with BI-BTK-1 exhibited significantly attenuated kidney disease, which was dose dependent. BI-BTK-1 treatment resulted in decreased infiltrating IBA-1+ cells, as well as C3 deposition within the kidney. RT-PCR on whole kidney RNA and serum profiling indicated that BTK inhibition significantly decreased levels of LN-relevant inflammatory cytokines and chemokines. Renal RNA expression profiling by RNA-seq revealed that BI-BTK-1 dramatically modulated pathways related to inflammation and glomerular injury. Importantly, when administered therapeutically, BI-BTK-1 reversed established proteinuria and improved renal histopathology. Our results highlight the important role for BTK in the pathogenesis of immune complex-mediated nephritis, and BTK inhibition as a promising therapeutic target for LN.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Agammaglobulinaemia Tyrosine Kinase
  • Animals
  • Antigen-Antibody Complex / metabolism*
  • Blood Chemical Analysis
  • Complement C3 / analysis
  • Cytokines / analysis
  • Disease Models, Animal
  • Enzyme Inhibitors / administration & dosage*
  • Gene Expression Profiling
  • Kidney / pathology
  • Lupus Nephritis / chemically induced
  • Lupus Nephritis / drug therapy*
  • Lupus Nephritis / pathology
  • Lupus Nephritis / prevention & control*
  • Mice
  • Protein-Tyrosine Kinases / antagonists & inhibitors*
  • Sequence Analysis, RNA
  • Treatment Outcome

Substances

  • Antigen-Antibody Complex
  • Complement C3
  • Cytokines
  • Enzyme Inhibitors
  • Protein-Tyrosine Kinases
  • Agammaglobulinaemia Tyrosine Kinase
  • Btk protein, mouse