PMID- 11053480 OWN - NLM STAT- MEDLINE DCOM- 20001130 LR - 20210511 IS - 1046-6673 (Print) IS - 1046-6673 (Linking) VI - 11 IP - 11 DP - 2000 Nov TI - Interleukin-17 and CD40-ligand synergistically enhance cytokine and chemokine production by renal epithelial cells. PG - 2044-2055 LID - 10.1681/ASN.V11112044 [doi] AB - Renal allograft rejection is characterized by an influx of inflammatory cells. Interaction between infiltrating T cells and resident parenchymal cells might play an important role in the ongoing inflammatory response. The present study demonstrates that CD40L, a product of activated T cells, is locally expressed in kidneys undergoing rejection. Furthermore, during rejection, CD40 expression not only is present on most graft infiltrating cells but also is increased on resident tubular epithelial cells (TEC). To obtain more detailed insight in the consequences of T cell/TEC interaction, we analyzed the production of chemokines, including interleukin-8 (IL-8), monocyte chemoattractant protein-1 (MCP-1) and regulated upon activation, normal T cell expressed and secreted (RANTES), and the production of IL-6 by cultured human primary TEC in response to activation with CD40L in vitro. In addition, we studied the interaction with IL-17, a T-cell-specific cytokine previously demonstrated to be present during renal allograft rejection. The results, obtained by enzyme-linked immunosorbent assay, indicate that simultaneous activation of TEC with IL-17 and CD40L synergistically enhances production of IL-6 (2.1-fold higher than sum of single stimulations) and the chemokines IL-8 (15-fold) and RANTES (5.8-fold) as demonstrated by statistical analysis (P: < 0.05), whereas effects on MCP-1 (1.4-fold) are additive. Part of the synergy can be explained by increased CD40 expression on TEC upon IL-17 stimulation. The synergy is not unique for TEC, because similar responses were found with human synoviocytes and a foreskin fibroblast cell line (FS4). Stimulation of TEC with CD40L results in activation of NF-kappaB and induction of cytokine production by IL-17 and CD40L is prevented by addition of the NF-kappaB inhibitor pyrrolidine dithiocarbamate. These data suggest an important role for T cells in renal allograft rejection by acting on parenchymal cells via both soluble mediators and direct cellular contact. FAU - Woltman, Andrea M AU - Woltman AM AD - Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands. FAU - DE Haij, Simone AU - DE Haij S AD - Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands. FAU - Boonstra, Joke G AU - Boonstra JG AD - Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands. FAU - Gobin, Sam J P AU - Gobin SJP AD - Department of Immunohematology and Blood Bank, Leiden University Medical Center, Leiden, The Netherlands. FAU - Daha, Mohamed R AU - Daha MR AD - Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands. FAU - Kooten, Cees VAN AU - Kooten CV AD - Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands. LA - eng PT - Journal Article PL - United States TA - J Am Soc Nephrol JT - Journal of the American Society of Nephrology : JASN JID - 9013836 RN - 0 (CD40 Antigens) RN - 0 (Chemokines) RN - 0 (Cytokines) RN - 0 (IL17RA protein, human) RN - 0 (Interleukin-17) RN - 0 (Interleukin-6) RN - 0 (NF-kappa B) RN - 0 (Receptors, Interleukin) RN - 0 (Receptors, Interleukin-17) RN - 0 (Recombinant Proteins) RN - 147205-72-9 (CD40 Ligand) SB - IM MH - CD40 Antigens/metabolism/pharmacology MH - CD40 Ligand/metabolism/*pharmacology MH - Cells, Cultured MH - Chemokines/*biosynthesis MH - Cytokines/*biosynthesis MH - Drug Synergism MH - Epithelial Cells/drug effects/metabolism MH - Graft Rejection/metabolism MH - Humans MH - Interleukin-17/*pharmacology MH - Interleukin-6/biosynthesis MH - Kidney/metabolism MH - Kidney Transplantation MH - Kidney Tubules/cytology/drug effects/*metabolism MH - NF-kappa B/physiology MH - Receptors, Interleukin/metabolism MH - Receptors, Interleukin-17 MH - Recombinant Proteins/metabolism EDAT- 2000/10/29 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/10/29 11:00 PHST- 2000/10/29 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/10/29 11:00 [entrez] AID - 11/11/2044 [pii] AID - 10.1681/ASN.V11112044 [doi] PST - ppublish SO - J Am Soc Nephrol. 2000 Nov;11(11):2044-2055. doi: 10.1681/ASN.V11112044.