Document Detail


Statin attenuates experimental anti-glomerular basement membrane glomerulonephritis together with the augmentation of alternatively activated macrophages.
MedLine Citation:
PMID:  20696778     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Macrophages are heterogeneous and include classically activated M1 and alternatively activated M2 macrophages, characterized by pro- and anti-inflammatory functions, respectively. Macrophages that express heme oxygenase-1 also exhibit anti-inflammatory effects. We assessed the anti-inflammatory effects of statin in experimental anti-glomerular basement membrane glomerulonephritis and in vitro, focusing on the macrophage heterogeneity. Rats were induced anti-glomerular basement membrane glomerulonephritis and treated with atorvastatin (20 mg/kg/day) or vehicle (control). Control rats showed infiltration of macrophages in the glomeruli at day 3 and developed crescentic glomerulonephritis by day 7, together with increased mRNA levels of the M1 macrophage-associated cytokines, interferon-gamma, tumor necrosis factor-alpha, and interleukin-12. In contrast, statin reduced the level of proteinuria, reduced infiltration of macrophages in glomeruli with suppression of monocyte chemotactic protein-1 expression, and inhibited the formation of necrotizing and crescentic lesions. The number of glomerular ED3-positive macrophages decreased with down-regulation of M1 macrophage-associated cytokines. Furthermore, statin augmented ED2-positive M2 macrophages with up-regulation of the M2 macrophage-associated chemokines and cytokines, chemokine (C-C motif) Iigand-17 and interleukin-10. Statin also increased the glomerular interleukin-10-expressing heme oxygenase-1-positive macrophages. Statin inhibited macrophage development, and suppressed ED3-positive macrophages, but augmented ED2-positive macrophages in M2-associated cytokine environment in vitro. We conclude that the anti-inflammatory effects of statin in glomerulonephritis are mediated through inhibition of macrophage infiltration as well as augmentation of anti-inflammatory macrophages.
Authors:
Emiko Fujita; Akira Shimizu; Yukinari Masuda; Naomi Kuwahara; Takashi Arai; Shinya Nagasaka; Kaoru Aki; Akiko Mii; Yasuhiro Natori; Yasuhiko Iino; Yasuo Katayama; Yuh Fukuda
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Publication Detail:
Type:  Journal Article     Date:  2010-08-09
Journal Detail:
Title:  The American journal of pathology     Volume:  177     ISSN:  1525-2191     ISO Abbreviation:  Am. J. Pathol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-31     Completed Date:  2010-12-13     Revised Date:  2011-09-13    
Medline Journal Info:
Nlm Unique ID:  0370502     Medline TA:  Am J Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1143-54     Citation Subset:  AIM; IM    
Affiliation:
Department of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Animals
Anti-Glomerular Basement Membrane Disease / drug therapy*,  metabolism,  pathology
Cytokines / genetics,  metabolism
Glomerular Basement Membrane / drug effects*,  metabolism,  pathology
Heptanoic Acids / pharmacology,  therapeutic use*
Hydroxymethylglutaryl-CoA Reductase Inhibitors / pharmacology,  therapeutic use
Immunohistochemistry
Macrophages / drug effects*,  metabolism,  pathology
Male
Microscopy, Electron
Pyrroles / pharmacology,  therapeutic use*
RNA, Messenger / genetics,  metabolism
Rats
Rats, Inbred WKY
Reverse Transcriptase Polymerase Chain Reaction
Statistics, Nonparametric
Chemical
Reg. No./Substance:
0/Cytokines; 0/Heptanoic Acids; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Pyrroles; 0/RNA, Messenger; 110862-48-1/atorvastatin
Comments/Corrections
Comment In:
Am J Pathol. 2011 May;178(5):2447; author reply 2447-8   [PMID:  21514453 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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