PMID- 32269165 OWN - NLM STAT- MEDLINE DCOM- 20210623 LR - 20220313 IS - 1946-6242 (Electronic) IS - 1946-6234 (Print) IS - 1946-6234 (Linking) VI - 12 IP - 538 DP - 2020 Apr 8 TI - Kidney tissue hypoxia dictates T cell-mediated injury in murine lupus nephritis. LID - 10.1126/scitranslmed.aay1620 [doi] LID - eaay1620 AB - The kidney is a frequent target of autoimmune injury, including in systemic lupus erythematosus; however, how immune cells adapt to kidney's unique environment and contribute to tissue damage is unknown. We found that renal tissue, which normally has low oxygen tension, becomes more hypoxic in lupus nephritis. In the injured mouse tissue, renal-infiltrating CD4(+) and CD8(+) T cells express hypoxia-inducible factor-1 (HIF-1), which alters their cellular metabolism and prevents their apoptosis in hypoxia. HIF-1-dependent gene-regulated pathways were also up-regulated in renal-infiltrating T cells in human lupus nephritis. Perturbation of these environmental adaptations by selective HIF-1 blockade inhibited infiltrating T cells and reversed tissue hypoxia and injury in murine models of lupus. The results suggest that targeting HIF-1 might be effective for treating renal injury in autoimmune diseases. CI - Copyright (c) 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. FAU - Chen, Ping-Min AU - Chen PM AUID- ORCID: 0000-0001-6532-4549 AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Wilson, Parker C AU - Wilson PC AUID- ORCID: 0000-0001-8647-9662 AD - Department of Pathology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Shyer, Justin A AU - Shyer JA AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Veselits, Margaret AU - Veselits M AUID- ORCID: 0000-0001-8755-6260 AD - Section of Rheumatology and Gwen Knapp Center for Lupus and Immunology Research, Departments of Medicine and Pathology, University of Chicago, Chicago, IL 60637, USA. FAU - Steach, Holly R AU - Steach HR AUID- ORCID: 0000-0003-0018-3129 AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Cui, Can AU - Cui C AUID- ORCID: 0000-0003-4736-4330 AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Moeckel, Gilbert AU - Moeckel G AD - Department of Pathology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Clark, Marcus R AU - Clark MR AD - Section of Rheumatology and Gwen Knapp Center for Lupus and Immunology Research, Departments of Medicine and Pathology, University of Chicago, Chicago, IL 60637, USA. FAU - Craft, Joe AU - Craft J AUID- ORCID: 0000-0002-1368-6756 AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. joseph.craft@yale.edu. AD - Department of Internal Medicine (Rheumatology, Allergy and Immunology), Yale University School of Medicine, New Haven, CT 06520, USA. LA - eng GR - R37 AR040072/AR/NIAMS NIH HHS/United States GR - R01 AI152443/AI/NIAID NIH HHS/United States GR - UL1 TR001863/TR/NCATS NIH HHS/United States GR - U19 AI082724/AI/NIAID NIH HHS/United States GR - R21 AI142145/AI/NIAID NIH HHS/United States GR - R01 AR074545/AR/NIAMS NIH HHS/United States GR - R01 AR040072/AR/NIAMS NIH HHS/United States GR - P30 DK079310/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Sci Transl Med JT - Science translational medicine JID - 101505086 SB - IM CIN - Nat Rev Rheumatol. 2020 Jun;16(6):295. PMID: 32376996 CIN - Kidney Int. 2020 Oct;98(4):821-823. PMID: 32599087 MH - Animals MH - CD8-Positive T-Lymphocytes MH - Hypoxia MH - Kidney MH - *Lupus Erythematosus, Systemic MH - *Lupus Nephritis MH - Mice PMC - PMC8055156 MID - NIHMS1691877 COIS- Competing Interests: J.C. received research funding from AbbVie which was used to partially support this work. EDAT- 2020/04/10 06:00 MHDA- 2021/06/24 06:00 PMCR- 2021/04/19 CRDT- 2020/04/10 06:00 PHST- 2019/05/24 00:00 [received] PHST- 2019/11/06 00:00 [revised] PHST- 2020/02/28 00:00 [accepted] PHST- 2020/04/10 06:00 [entrez] PHST- 2020/04/10 06:00 [pubmed] PHST- 2021/06/24 06:00 [medline] PHST- 2021/04/19 00:00 [pmc-release] AID - 12/538/eaay1620 [pii] AID - 10.1126/scitranslmed.aay1620 [doi] PST - ppublish SO - Sci Transl Med. 2020 Apr 8;12(538):eaay1620. doi: 10.1126/scitranslmed.aay1620.