PMID- 21633411 OWN - NLM STAT- MEDLINE DCOM- 20120214 LR - 20220321 IS - 1523-1755 (Electronic) IS - 0085-2538 (Print) IS - 0085-2538 (Linking) VI - 80 IP - 5 DP - 2011 Sep TI - Early interleukin 6 production by leukocytes during ischemic acute kidney injury is regulated by TLR4. PG - 504-15 LID - 10.1038/ki.2011.140 [doi] AB - Although leukocytes infiltrate the kidney during ischemic acute kidney injury (AKI) and release interleukin 6 (IL6), their mechanism of activation is unknown. Here, we tested whether Toll-like receptor 4 (TLR4) on leukocytes mediated this activation by interacting with high-mobility group protein B1 (HMGB1) released by renal cells as a consequence of ischemic kidney injury. We constructed radiation-induced bone marrow chimeras using C3H/HeJ and C57BL/10ScNJ strains of TLR4 (-/-) mice and their respective TLR4 (+/+) wild-type counterparts and studied them at 4 h after an ischemic insult. Leukocytes adopted from TLR4 (+/+) mice infiltrated the kidneys of TLR4 (-/-) mice, and TLR4 (-/-) leukocytes infiltrated the kidneys of TLR4 (+/+) mice but caused little functional renal impairment in each case. Maximal ischemic AKI required both radiosensitive leukocytes and radioresistant renal parenchymal and endothelial cells from TLR4 (+/+) mice. Only TLR4 (+/+) leukocytes produced IL6 in vivo and in response to HMGB1 in vitro. Thus, following infiltration of the injured kidney, leukocytes produce IL6 when their TLR4 receptors interact with HMGB1 released by injured renal cells. This underscores the importance of TLR4 in the pathogenesis of ischemic AKI. FAU - Chen, Jianlin AU - Chen J AD - Division of Nephrology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas 75390-8856, USA. FAU - Hartono, John R AU - Hartono JR FAU - John, Reji AU - John R FAU - Bennett, Michael AU - Bennett M FAU - Zhou, Xin Jin AU - Zhou XJ FAU - Wang, Yanxia AU - Wang Y FAU - Wu, Qingqing AU - Wu Q FAU - Winterberg, Pamela D AU - Winterberg PD FAU - Nagami, Glenn T AU - Nagami GT FAU - Lu, Christopher Y AU - Lu CY LA - eng GR - F32 DK084701/DK/NIDDK NIH HHS/United States GR - DK079328/DK/NIDDK NIH HHS/United States GR - R0-1 DK069633/DK/NIDDK NIH HHS/United States GR - P30 DK079328/DK/NIDDK NIH HHS/United States GR - T32DK07257/DK/NIDDK NIH HHS/United States GR - F32DK084701/DK/NIDDK NIH HHS/United States GR - T32 DK007257/DK/NIDDK NIH HHS/United States GR - R01 DK069633/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20110601 PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (HMGB1 Protein) RN - 0 (Interleukin-6) RN - 0 (Tlr4 protein, mouse) RN - 0 (Toll-Like Receptor 4) SB - IM CIN - Kidney Int. 2011 Sep;80(5):450-2. PMID: 21841835 MH - Acute Kidney Injury/*immunology/pathology MH - Animals MH - Bone Marrow MH - Chemotaxis, Leukocyte MH - HMGB1 Protein/metabolism MH - Interleukin-6/*biosynthesis MH - Ischemia MH - Kidney MH - Leukocytes/*metabolism/physiology MH - Male MH - Mice MH - Mice, Knockout MH - Toll-Like Receptor 4/*physiology PMC - PMC3394593 MID - NIHMS388027 EDAT- 2011/06/03 06:00 MHDA- 2012/02/15 06:00 PMCR- 2012/07/11 CRDT- 2011/06/03 06:00 PHST- 2011/06/03 06:00 [entrez] PHST- 2011/06/03 06:00 [pubmed] PHST- 2012/02/15 06:00 [medline] PHST- 2012/07/11 00:00 [pmc-release] AID - S0085-2538(15)55068-0 [pii] AID - 10.1038/ki.2011.140 [doi] PST - ppublish SO - Kidney Int. 2011 Sep;80(5):504-15. doi: 10.1038/ki.2011.140. Epub 2011 Jun 1.