[HTML][HTML] An NLRP3-specific inflammasome inhibitor attenuates crystal-induced kidney fibrosis in mice

I Ludwig-Portugall, E Bartok, E Dhana, BDG Evers… - Kidney international, 2016 - Elsevier
I Ludwig-Portugall, E Bartok, E Dhana, BDG Evers, MJ Primiano, JP Hall, BS Franklin
Kidney international, 2016Elsevier
Intrarenal crystal formation activates the Nlrp3 inflammasome in myeloid cells and triggers a
profound inflammatory response. Here, we studied whether a specific inhibitor of the Nlrp3
inflammasome, CP-456,773, can prevent kidney fibrosis in a murine model of crystal
nephropathy induced by diets rich in oxalate or adenine. Inflammasome activation in renal
dendritic cells and the resulting interleukin (IL)-1β and IL-18 production were markedly
reduced by CP-456,773 treatment both ex vivo and in vivo. We directly visualized intrarenal …
Intrarenal crystal formation activates the Nlrp3 inflammasome in myeloid cells and triggers a profound inflammatory response. Here, we studied whether a specific inhibitor of the Nlrp3 inflammasome, CP-456,773, can prevent kidney fibrosis in a murine model of crystal nephropathy induced by diets rich in oxalate or adenine. Inflammasome activation in renal dendritic cells and the resulting interleukin (IL)-1β and IL-18 production were markedly reduced by CP-456,773 treatment both ex vivo and in vivo. We directly visualized intrarenal inflammasome activation and its inhibition by CP-456,773 in vivo by adoptive transfer of bone marrow cells transduced with interleukin-1β-Gaussia luciferase, a proteolytic luciferase-based reporter for inflammasome activation, into irradiated mice. CP-456,773 treatment strongly attenuated kidney fibrosis when given early in the genesis of crystal nephropathy, but was unable to reverse established crystal-induced fibrosis. The urinary IL-18 concentration appeared to be a useful noninvasive biomarker for renal inflammasome activation. Finally, NLRP3 inhibition did not compromise adaptive immune responses as previously reported for the global inhibition of IL-1 signaling. Thus, early NLRP3 inhibition by CP-456,773 may be an effective treatment for crystal nephropathy. Use of iGLuc transfected cells introduces a novel imaging technique for inflammasome activation in mice.
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