Genetic Deletion of LRP5 and LRP6 in Macrophages Exacerbates Colitis-Associated Systemic Inflammation and Kidney Injury in Response to Intestinal Commensal Microbiota.
Genetic Deletion of LRP5 and LRP6 in Macrophages Exacerbates Colitis-Associated Systemic Inflammation and Kidney Injury in Response to Intestinal Commensal Microbiota.
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DOI:
10.4049/jimmunol.2101172
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发表时间:
2022-07-15
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Extraintestinal manifestations are common in inflammatory bowel disease (IBD) and involve several organs, including the kidney. However, the mechanisms responsible for renal manifestation in IBD are not known. Here, we show that the Wnt-LRP5/6-signaling pathway in macrophages plays a critical role in regulating colitis-associated systemic inflammation and renal injury in a murine dextran sodium sulfate (DSS)-induced colitis model. Conditional deletion of the Wnt coreceptors low-density lipoprotein receptor-related protein 5 and 6 (LRP5/6) in macrophages in mice results in enhanced susceptibility to DSS-colitis-induced systemic inflammation and acute kidney injury (AKI). Furthermore, our studies show that aggravated colitis-associated systemic inflammation and AKI observed in LRP5/6LyzM mice are due to increased bacterial translocation to extraintestinal sites and microbiota-dependent increased proinflammatory cytokine levels in the kidney. Conversely, depletion of the gut microbiota mitigated colitis-associated systemic inflammation and AKI in LRP5/6LysM mice. Mechanistically, LRP5/6-deficient macrophages were hyperresponsive to TLR ligands and produced higher levels of proinflammatory cytokines which are associated with increased activation of MAPKs. These results reveal how the Wnt-LRP5/6 signaling in macrophages controls colitis-induced systemic inflammation and AKI.
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