3 results on '"Hartzell, Susan"'
Search Results
2. Erythropoietin inhibits SGK1-dependent TH17 induction and TH17-dependent kidney disease
- Author
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Paolo Cravedi, Susan Hartzell, Chiara Cantarelli, Chiara Donadei, Huabao Xiong, Vivette D. D'Agati, Julian K. Horwitz, Andrea Angeletti, Umberto Maggiore, Joren C. Madsen, Enrico Fiaccadori, Peter S. Heeger, Gaetano La Manna, Chiara Guglielmo, Donadei, Chiara, Angeletti, Andrea, Cantarelli, Chiara, D'Agati, Vivette D, La Manna, Gaetano, Fiaccadori, Enrico, Horwitz, Julian K, Xiong, Huabao, Guglielmo, Chiara, Hartzell, Susan, Madsen, Joren C, Maggiore, Umberto, Heeger, Peter S, and Cravedi, Paolo
- Subjects
0301 basic medicine ,Male ,Mice, Inbred MRL lpr ,medicine.disease_cause ,Severity of Illness Index ,T-Lymphocytes, Regulatory ,Autoimmunity ,Mice ,0302 clinical medicine ,hemic and lymphatic diseases ,Receptors, Erythropoietin ,Phosphorylation ,Receptor ,Cells, Cultured ,Chemistry ,Interleukin-17 ,Glomerulonephritis ,General Medicine ,Acquired immune system ,Lupus Nephritis ,Nephrology ,030220 oncology & carcinogenesis ,Aristolochic Acids ,Female ,medicine.drug ,Research Article ,Adaptive immunity ,Immunology ,Primary Cell Culture ,Mice, Transgenic ,Protein Serine-Threonine Kinases ,Immediate-Early Proteins ,03 medical and health sciences ,Downregulation and upregulation ,medicine ,Animals ,Humans ,Erythropoietin ,T cell ,Receptors, Interleukin ,medicine.disease ,Epoetin Alfa ,Disease Models, Animal ,030104 developmental biology ,Cancer research ,SGK1 ,Nephritis, Interstitial ,Th17 Cells ,Tolerance ,Kidney disease - Abstract
IL-17–producing CD4(+) (Th17) cells are pathogenically linked to autoimmunity and, specifically, to autoimmune kidney disease. The newly recognized immunoregulatory functions of erythropoietin (EPO) and its predominant intrarenal source suggested that EPO physiologically regulates Th17 cell differentiation, thereby serving as a barrier to development of autoimmune kidney disease. Using in vitro studies of human and murine cells and in vivo models, we show that EPO ligation of its receptor (EPO-R) on CD4(+) T cells directly inhibits Th17 cell generation and promotes transdifferentiation of Th17 cells into IL-17(–)FOXP3(+)CD4(+) T cells. Mechanistically, EPO/EPO-R ligation abrogates upregulation of SGK1 gene expression and blocks p38 activity to prevent SGK1 phosphorylation, thereby inhibiting RORC-mediated transcription of IL17 and IL23 receptor genes. In a murine model of Th17 cell–dependent aristolochic acid–induced interstitial kidney disease associated with reduced renal EPO production, we demonstrate that transgenic EPO overexpression or recombinant EPO (rEPO) administration limits Th17 cell formation and clinical/histological disease expression. EPO/EPO-R ligations on CD4(+) T cells abrogate, while absence of T cell–expressed EPO-R augments, Th17 cell induction and clinical/histological expression of pristane-induced glomerulonephritis (associated with decreased intrarenal EPO). rEPO prevents spontaneous glomerulonephritis and Th17 cell generation in MRL-lpr mice. Together, our findings indicate that EPO physiologically and therapeutically modulates Th17 cells to limit expression of Th17 cell–associated autoimmune kidney disease.
- Published
- 2019
3. Erythropoietin inhibits SGK1-dependent TH17 induction and TH17-dependent kidney disease.
- Author
-
Donadei C, Angeletti A, Cantarelli C, D'Agati VD, La Manna G, Fiaccadori E, Horwitz JK, Xiong H, Guglielmo C, Hartzell S, Madsen JC, Maggiore U, Heeger PS, and Cravedi P
- Subjects
- Animals, Aristolochic Acids toxicity, Cells, Cultured, Disease Models, Animal, Epoetin Alfa administration & dosage, Erythropoietin genetics, Female, Humans, Interleukin-17 immunology, Interleukin-17 metabolism, Lupus Nephritis diagnosis, Lupus Nephritis drug therapy, Male, Mice, Mice, Inbred MRL lpr, Mice, Transgenic, Nephritis, Interstitial chemically induced, Phosphorylation immunology, Primary Cell Culture, Receptors, Erythropoietin metabolism, Receptors, Interleukin metabolism, Severity of Illness Index, T-Lymphocytes, Regulatory immunology, T-Lymphocytes, Regulatory metabolism, Th17 Cells metabolism, Erythropoietin metabolism, Immediate-Early Proteins metabolism, Lupus Nephritis immunology, Nephritis, Interstitial immunology, Protein Serine-Threonine Kinases metabolism, Th17 Cells immunology
- Abstract
IL-17-producing CD4+ cells (TH17) are pathogenically linked to autoimmunity including to autoimmune kidney disease. Erythropoietin's (EPO) newly recognized immunoregulatory functions and its predominant intra-renal source suggested that EPO physiologically regulates TH17 differentiation, thereby serving as a barrier to the development of autoimmune kidney disease. Using in vitro studies of human and murine cells and in vivo models, we show that EPO ligation of its receptor (EPO-R) on CD4+ T cells directly inhibits TH17 generation and promotes trans-differentiation of TH17 into IL-17-FOXP3+CD4+ T cells. Mechanistically, EPO/EPO-R ligation abrogates upregulation of SGK1 gene expression and blocks p38 activity to prevent SGK1 phosphorylation, thereby inhibiting RORC-mediated transcription of IL-17 and IL-23 receptor genes. In a murine model of TH17-dependent aristolochic acid (ArA)-induced, interstitial kidney disease associated with reduced renal EPO production, we demonstrate that transgenic EPO overexpression or recombinant EPO (rEPO) administration limits TH17 formation and clinical/histological disease expression. EPO/EPO-R ligations on CD4+ T cells abrogate, while absence of T cell-expressed EPO-R augments, TH17 induction and clinical/histological expression of pristane-induced glomerulonephritis (associated with decreased intrarenal EPO). rEPO prevents spontaneous glomerulonephritis and TH17 generation in MRL-lpr mice. Together, our findings indicate that EPO physiologically and therapeutically modulate TH17 cells to limit expression of TH17-associated autoimmune kidney disease.
- Published
- 2019
- Full Text
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