[HTML][HTML] Chemokine receptor CCR1 disruption limits renal damage in a murine model of hemolytic uremic syndrome

MV Ramos, C Auvynet, L Poupel, M Rodero… - The American journal of …, 2012 - Elsevier
MV Ramos, C Auvynet, L Poupel, M Rodero, MP Mejias, CA Panek, S Vanzulli…
The American journal of pathology, 2012Elsevier
Shiga toxin (Stx)–producing Escherichia coli is the main etiological agent that causes
hemolytic uremic syndrome (HUS), a microangiopathic disease characterized by hemolytic
anemia, thrombocytopenia, and acute renal failure. Although direct cytotoxic effects on
endothelial cells by Stx are the primary pathogenic event, there is evidence that indicates
the inflammatory response mediated by polymorphonuclear neutrophils and monocytes as
the key event during HUS development. Because the chemokine receptor CCR1 …
Shiga toxin (Stx)–producing Escherichia coli is the main etiological agent that causes hemolytic uremic syndrome (HUS), a microangiopathic disease characterized by hemolytic anemia, thrombocytopenia, and acute renal failure. Although direct cytotoxic effects on endothelial cells by Stx are the primary pathogenic event, there is evidence that indicates the inflammatory response mediated by polymorphonuclear neutrophils and monocytes as the key event during HUS development. Because the chemokine receptor CCR1 participates in the pathogenesis of several renal diseases by orchestrating myeloid cell kidney infiltration, we specifically addressed the contribution of CCR1 in a murine model of HUS. We showed that Stx type 2–treated CCR1−/− mice have an increased survival rate associated with less functional and histological renal damage compared with control mice. Stx type 2–triggered neutrophilia and monocytosis and polymorphonuclear neutrophil and monocyte renal infiltration were significantly reduced and delayed in CCR1−/− mice compared with control mice. In addition, the increase of the inflammatory cytokines (tumor necrosis factor-α and IL-6) in plasma was delayed in CCR1−/− mice compared with control mice. These data demonstrate that CCR1 participates in cell recruitment to the kidney and amplification of the inflammatory response that contributes to HUS development. Blockade of CCR1 could be important to the design of future therapies to restrain the inflammatory response involved in the development of HUS.
Elsevier