IL-33 exacerbates acute kidney injury

J Am Soc Nephrol. 2011 Nov;22(11):2057-67. doi: 10.1681/ASN.2010091011. Epub 2011 Sep 23.

Abstract

Inflammation contributes to the pathogenesis of acute kidney injury (AKI). IL-33 is a proinflammatory cytokine, but its role in AKI is unknown. Here we observed increased protein expression of full-length IL-33 in the kidney following induction of AKI with cisplatin. To determine whether IL-33 promotes injury, we administered soluble ST2 (sST2), a fusion protein that neutralizes IL-33 activity by acting as a decoy receptor. Compared with cisplatin-induced AKI in untreated mice, mice treated with sST2 had fewer CD4 T cells infiltrate the kidney, lower serum creatinine, and reduced acute tubular necrosis (ATN) and apoptosis. In contrast, administration of recombinant IL-33 (rIL-33) exacerbated cisplatin-induced AKI, measured by an increase in CD4 T cell infiltration, serum creatinine, ATN, and apoptosis; this did not occur in CD4-deficient mice, suggesting that CD4 T cells mediate the injurious effect of IL-33. Wildtype mice that received cisplatin and rIL-33 also had higher levels of the proinflammatory chemokine CXCL1, which CD T cells produce, in the kidney compared with CD4-deficient mice. Mice deficient in the CXCL1 receptor also had lower serum creatinine, ATN, and apoptosis than wildtype mice following cisplatin-induced AKI. Taken together, IL-33 promotes AKI through CD4 T cell-mediated production of CXCL1. These data suggest that inhibiting IL-33 or CXCL1 may have therapeutic potential in AKI.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Kidney Injury / chemically induced
  • Acute Kidney Injury / immunology*
  • Acute Kidney Injury / pathology
  • Animals
  • Antineoplastic Agents / toxicity
  • CD4-Positive T-Lymphocytes / cytology
  • CD4-Positive T-Lymphocytes / immunology
  • Chemokine CXCL1 / immunology
  • Chemokine CXCL1 / metabolism
  • Cisplatin / toxicity
  • Disease Models, Animal
  • Endothelial Cells / immunology
  • Endothelial Cells / metabolism
  • Endothelial Cells / pathology
  • Flow Cytometry
  • Interleukin-33
  • Interleukins / blood
  • Interleukins / immunology*
  • Interleukins / pharmacology
  • Kidney Glomerulus / immunology
  • Kidney Glomerulus / metabolism
  • Kidney Glomerulus / pathology
  • Kidney Tubular Necrosis, Acute / chemically induced
  • Kidney Tubular Necrosis, Acute / immunology*
  • Kidney Tubular Necrosis, Acute / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL

Substances

  • Antineoplastic Agents
  • Chemokine CXCL1
  • Cxcl1 protein, mouse
  • Il33 protein, mouse
  • Interleukin-33
  • Interleukins
  • Cisplatin