PMID- 28554965 OWN - NLM STAT- MEDLINE DCOM- 20180314 LR - 20210109 IS - 2051-817X (Electronic) IS - 2051-817X (Linking) VI - 5 IP - 10 DP - 2017 May TI - Fetuin-A aggravates lipotoxicity in podocytes via interleukin-1 signaling. PG - e13287 LID - 10.14814/phy2.13287 [doi] LID - e13287 AB - Sterile inflammation is considered critical in the pathogenesis of diabetic nephropathy (DN). Here we show that Fetuin-A (FetA) or lipopolysaccharide (LPS) exacerbate palmitic acid-induced podocyte death, which is associated with a strong induction of monocyte chemoattractant protein-1 (MCP-1) and keratinocyte chemoattractant (KC). Moreover, blockage of TLR4 prevents MCP-1 and KC secretion and attenuates podocyte death induced by palmitic acid alone or combined with FetA. In addition, inhibition of interleukin-1 (IL-1) signaling by anakinra, a recombinant human IL-1Ra, or a murinized anti-IL-1beta antibody attenuates the inflammatory and ultimate cell death response elicited by FetA alone or combined with palmitic acid. In vivo short-term therapy of diabetic DBA/2J mice with an anti-IL1-beta antibody for 4 weeks prevented an increase in serum FetA and considerably decreased urinary tumor necrosis alpha (TNF-alpha), a known risk factor for DN progression. In summary, our results suggest that FetA similarly to LPS leads to an inflammatory response in podocytes, which exacerbates palmitic acid-induced podocyte death and our data imply a critical role for IL-1beta signaling in this process. The study offers the rational for prolonged in vivo studies aimed at testing anti-IL-1beta therapy for prevention and treatment of DN. CI - (c) 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society. FAU - Orellana, Jana M AU - Orellana JM AD - Department of Biomedicine, Molecular Nephrology, University Hospital, Basel, Switzerland. FAU - Kampe, Kapil AU - Kampe K AD - Department of Biomedicine, Molecular Nephrology, University Hospital, Basel, Switzerland. FAU - Schulze, Friederike AU - Schulze F AD - Department of Biomedicine, Diabetes Research, University Hospital, Basel, Switzerland. FAU - Sieber, Jonas AU - Sieber J AD - Department of Biomedicine, Molecular Nephrology, University Hospital, Basel, Switzerland. AD - Harvard Medical School and Division of Nephrology, Brigham and Women's Hospital, Boston, Massachusetts, USA. FAU - Jehle, Andreas W AU - Jehle AW AD - Department of Biomedicine, Molecular Nephrology, University Hospital, Basel, Switzerland. AD - Department of Internal Medicine, Transplantation Immunology and Nephrology, University Hospital, Basel, Switzerland. LA - eng PT - Journal Article PL - United States TA - Physiol Rep JT - Physiological reports JID - 101607800 RN - 0 (Ahsg protein, mouse) RN - 0 (Ccl2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Interleukin 1 Receptor Antagonist Protein) RN - 0 (Interleukin-1) RN - 0 (Interleukin-1beta) RN - 0 (Lipopolysaccharides) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (alpha-2-HS-Glycoprotein) RN - 2V16EO95H1 (Palmitic Acid) SB - IM MH - Animals MH - Apoptosis MH - Chemokine CCL2/metabolism MH - Diabetic Nephropathies/complications/*metabolism MH - Inflammation/chemically induced/complications/*metabolism MH - Interleukin 1 Receptor Antagonist Protein/administration & dosage MH - Interleukin-1/antagonists & inhibitors/*metabolism MH - Interleukin-1beta/antagonists & inhibitors/metabolism MH - Keratinocytes/metabolism MH - Lipopolysaccharides/*toxicity MH - Male MH - Mice, Inbred DBA MH - Necrosis MH - Palmitic Acid/administration & dosage MH - Podocytes/drug effects/*metabolism/pathology MH - Signal Transduction/drug effects MH - Tumor Necrosis Factor-alpha/metabolism MH - alpha-2-HS-Glycoprotein/*administration & dosage PMC - PMC5449566 OTO - NOTNLM OT - Diabetic nephropathy OT - Fetuin-A OT - free fatty acids OT - interleukin-1 OT - palmitic acid OT - toll-like receptor COIS- The authors have no conflict of interests. EDAT- 2017/05/31 06:00 MHDA- 2018/03/15 06:00 PMCR- 2017/05/29 CRDT- 2017/05/31 06:00 PHST- 2017/04/24 00:00 [received] PHST- 2017/04/26 00:00 [accepted] PHST- 2017/05/31 06:00 [entrez] PHST- 2017/05/31 06:00 [pubmed] PHST- 2018/03/15 06:00 [medline] PHST- 2017/05/29 00:00 [pmc-release] AID - PHY213287 [pii] AID - 10.14814/phy2.13287 [doi] PST - ppublish SO - Physiol Rep. 2017 May;5(10):e13287. doi: 10.14814/phy2.13287.