Kidney α-intercalated cells and lipocalin 2: defending the urinary tract

J Clin Invest. 2014 Jul;124(7):2844-6. doi: 10.1172/JCI76630. Epub 2014 Jun 17.

Abstract

A growing body of evidence indicates that the kidneys contribute substantially to immune defense against pathogens in the urinary tract. In this issue, Paragas et al. report that α-intercalated cells (A-ICs) within the nephron collecting duct sense infecting Gram-negative bacteria, resulting in simultaneously secretion of the iron chelating protein lipocalin 2 (LCN2) and protons, which acidify the urine. A-IC-specific LCN2 and proton secretion markedly reduced the ability of infecting uropathogenic E. coli (UPEC) to grow and sustain infection. The capacity of A-ICs to sense and actively promote clearance of infecting bacteria in the lower urinary tract represents a novel function for these specialized kidney cells, which are best known for their role in modulating acid-base homeostasis.

Publication types

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

MeSH terms

  • Acute-Phase Proteins / urine*
  • Animals
  • Escherichia coli Infections / prevention & control*
  • Female
  • Humans
  • Kidney Tubules, Collecting / metabolism*
  • Lipocalin-2
  • Lipocalins / urine*
  • Oncogene Proteins / urine*
  • Proto-Oncogene Proteins / urine*
  • Urinary Tract Infections / prevention & control*
  • Uropathogenic Escherichia coli*

Substances

  • Acute-Phase Proteins
  • LCN2 protein, human
  • Lipocalin-2
  • Lipocalins
  • Oncogene Proteins
  • Proto-Oncogene Proteins
  • Lcn2 protein, mouse