PMID- 27780843 OWN - NLM STAT- MEDLINE DCOM- 20170707 LR - 20181025 IS - 1470-8736 (Electronic) IS - 0143-5221 (Linking) VI - 131 IP - 1 DP - 2017 Jan 1 TI - Binding of anti-dsDNA antibodies to proximal tubular epithelial cells contributes to renal tubulointerstitial inflammation. PG - 49-67 AB - Immune deposits are often observed along the tubular basement membrane in patients with lupus nephritis, but the role of anti-dsDNA antibody (Ab) deposition on tubulointerstitial inflammation remains to be investigated. We examined the effect of human polyclonal anti-dsDNA Abs on inflammatory processes in cultured proximal renal tubular epithelial cells (PTEC, HK-2 cells) and their association with serum levels of interleukin (IL)-6, IL-8 and monocyte chemoattractant protein-1 (MCP-1) in patients. Binding of anti-dsDNA Abs to HK-2 cells was investigated by cellular ELISA, flow cytometry and immunohistochemistry. IL-6, IL-8 and MCP-1 secretion, mitogen-activated protein kinase (MAPK) activation and the effect of mycophenolic acid (MPA) were investigated by ELISAs and Western blot analysis. NZBWF1/J mice with active nephritis were randomized to receive either mycophenolate mofetil (MMF) (100 mg/kg per day) or vehicle for up to 12 weeks to study renal histopathology focusing on tubulointerstitial changes. Our results demonstrated that anti-dsDNA Abs bound to HK-2 cell surface and induced IL-6, IL-8 and MCP-1 secretion through distinct MAPK pathways. MPA inhibited anti-dsDNA Ab binding to HK-2 cells and suppressed apical and basolateral IL-6 and IL-8, but not MCP-1, secretion. Anti-dsDNA Ab level correlated with serum and tubulointerstitial expression of IL-6, IL-8 and MCP-1. MMF treatment in NZBWF1/J mice reduced anti-dsDNA Ab production and MAPK activation in the renal tubulointerstitium, together with decreased IL-6 and MCP-1 expression. Our data demonstrate that anti-dsDNA Abs contribute to inflammatory processes in the tubulointerstitium in lupus nephritis through their binding to proximal renal tubular epithelial cells and induction of pro-inflammatory mediators, and MPA ameliorates anti-dsDNA Ab induced IL-6 and IL-8 secretion in these cells. CI - (c) 2016 The Author(s). published by Portland Press Limited on behalf of the Biochemical Society. FAU - Yung, Susan AU - Yung S AD - Department of Medicine, The University of Hong Kong, Hong Kong dtmchan@hku.hk ssyyung@hku.hk. FAU - Ng, Claudia Y C AU - Ng CY AD - Department of Medicine, The University of Hong Kong, Hong Kong. FAU - Au, Kin Yi AU - Au KY AD - Department of Medicine, The University of Hong Kong, Hong Kong. FAU - Cheung, Kwok Fan AU - Cheung KF AD - Department of Medicine, The University of Hong Kong, Hong Kong. FAU - Zhang, Qing AU - Zhang Q AD - Department of Medicine, The University of Hong Kong, Hong Kong. FAU - Zhang, Chenzhu AU - Zhang C AD - Department of Medicine, The University of Hong Kong, Hong Kong. FAU - Yap, Desmond Y H AU - Yap DY AD - Department of Medicine, The University of Hong Kong, Hong Kong. FAU - Chau, Mel K M AU - Chau MK AD - Department of Medicine, The University of Hong Kong, Hong Kong. FAU - Chan, Tak Mao AU - Chan TM AD - Department of Medicine, The University of Hong Kong, Hong Kong dtmchan@hku.hk ssyyung@hku.hk. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20161025 PL - England TA - Clin Sci (Lond) JT - Clinical science (London, England : 1979) JID - 7905731 RN - 0 (Autoantibodies) RN - 0 (Interleukin-6) RN - 0 (Interleukin-8) RN - 9007-49-2 (DNA) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) SB - IM MH - Adult MH - Animals MH - Autoantibodies/*immunology MH - DNA/*immunology MH - Epithelial Cells/*immunology MH - Female MH - Humans MH - Interleukin-6/immunology MH - Interleukin-8/immunology MH - Kidney Tubules, Proximal/*immunology MH - Lupus Nephritis/*immunology MH - Male MH - Mice MH - Middle Aged MH - Mitogen-Activated Protein Kinases/immunology OTO - NOTNLM OT - anti-dsDNA antibodies OT - cytokines OT - lupus nephritis OT - mitogen-activated protein kinase (MAPK) OT - mycophenolic acid OT - proximal renal tubular epithelial cells EDAT- 2016/11/01 06:00 MHDA- 2017/07/08 06:00 CRDT- 2016/11/01 06:00 PHST- 2016/06/04 00:00 [received] PHST- 2016/09/30 00:00 [revised] PHST- 2016/10/25 00:00 [accepted] PHST- 2016/11/01 06:00 [pubmed] PHST- 2017/07/08 06:00 [medline] PHST- 2016/11/01 06:00 [entrez] AID - CS20160421 [pii] AID - 10.1042/CS20160421 [doi] PST - ppublish SO - Clin Sci (Lond). 2017 Jan 1;131(1):49-67. doi: 10.1042/CS20160421. Epub 2016 Oct 25.