Inflammation-induced IL-6 functions as a natural brake on macrophages and limits GN
M Luig, MA Kluger, B Goerke, M Meyer… - Journal of the …, 2015 - journals.lww.com
M Luig, MA Kluger, B Goerke, M Meyer, A Nosko, I Yan, J Scheller, HW Mittrücker…
Journal of the American Society of Nephrology, 2015•journals.lww.comIL-6 can mediate proinflammatory effects, and IL-6 receptor (IL-6R) blockade as a treatment
for inflammatory diseases has entered clinical practice. However, opposing effects of IL-6
have been observed in models of GN. Although IL-6 is proinflammatory in murine lupus
nephritis, protective effects have been observed for IL-6 in the nephrotoxic nephritis (NTN)
model of acute crescentic GN. In light of the potential dangers of IL-6–directed treatment, we
studied the mechanisms underlying the contradictory findings in GN. IL-6 can signal through …
for inflammatory diseases has entered clinical practice. However, opposing effects of IL-6
have been observed in models of GN. Although IL-6 is proinflammatory in murine lupus
nephritis, protective effects have been observed for IL-6 in the nephrotoxic nephritis (NTN)
model of acute crescentic GN. In light of the potential dangers of IL-6–directed treatment, we
studied the mechanisms underlying the contradictory findings in GN. IL-6 can signal through …
Abstract
IL-6 can mediate proinflammatory effects, and IL-6 receptor (IL-6R) blockade as a treatment for inflammatory diseases has entered clinical practice. However, opposing effects of IL-6 have been observed in models of GN. Although IL-6 is proinflammatory in murine lupus nephritis, protective effects have been observed for IL-6 in the nephrotoxic nephritis (NTN) model of acute crescentic GN. In light of the potential dangers of IL-6–directed treatment, we studied the mechanisms underlying the contradictory findings in GN. IL-6 can signal through the membrane-bound IL-6R, which is expressed only on hepatocytes and certain leukocytes (classic), or through the soluble IL-6R, which binds the ubiquitously expressed gp130 (alternative). Preemptive treatment of mice with anti-IL-6R or anti-IL-6 worsened NTN, whereas selective blockade of alternative IL-6 signaling by the fusion protein sgp130Fc did not. FACS analysis of mouse spleen cells revealed proinflammatory macrophages express the highest levels of IL-6Rα, and in vitro treatment with IL-6 blocked macrophage proliferation. Furthermore, proinflammatory macrophages were expanded during inflammation in IL-6−/− mice. Late application of anti-IL-6 after establishment of adaptive nephritogenic immunity was sufficient to aggravate NTN within 2.5 days, a period when macrophages are active. Finally, NTN was aggravated in mice with macrophage-specific impairment of IL-6 classic signaling, coincident with enhanced macrophage proliferation and accumulation in the kidney. Our data thus reveal a novel mechanism in which IL-6–mediated dampening of macrophage activation protects tissues from overshooting immune responses. This finding has important implications for potential IL-6–directed therapies and supports the careful choice of recipient patients and timing.
