Ischemia reperfusion (IR) activates TLRs causing subsequent sterile inflammation, for example in postischemic acute renal failure. Unexpectedly, TLR signaling predominates in intrinsic renal cells and not in intrarenal APCs in the postischemic kidney. We hypothesized that certain factors suppress APC activation and thereby limit sterile renal inflammation, for example, IFN regulatory factor 4 (IRF-4), an inducible inhibitor of LPS signaling. Oxidative stress was a trigger for IRF4 induction in myeloid cells in vitro as well as in CD45+/CD11c+ cells in the postischemic kidney. Lack of IRF4 aggravated acute renal failure 24 h after renal artery clamping together with increased intrarenal expression of TNF-α, IL-6, CXCL2, and CCL2 as well as excessive tubular necrosis and peritubular neutrophil influx as compared with wild-type IR kidneys. This effect almost entirely depended on the role of IRF4 to suppress TNF-α release by intrarenal APCs because either clodronate liposome depletion of these cells or TNF-α blockade with etanercept entirely abrogated the aggravation of cytokine expression and acute renal failure in Irf4-deficient mice. Thus, loss-of-function mutations in the IRF4 gene predispose to IR injury because the postischemic induction of IRF4 in resident APCs like CD11c+ dendritic cells, suppresses them to secrete TNF-α, and thereby limits inappropriate immunopathology.
Acute renal failure is still a serious medical problem that causes substantial morbidity and mortality. Ischemia-reperfusion (IR) activates TLRs causing inflammation and kidney injury. We hypothesized that certain factors suppress dendritic cell activation and thereby limit sterile renal inflammation, e.g. interferon-regulatory-factor (IRF)-4. Bi- or unilateral renal clamping was carried out for C57BL/6 (WT) and IRF4-knockout (IRF4-/-) mice. Known functions of the transcription factor IRF4 are the maturation of B cells, T cells and macrophages. Oxidative stress induced IRF4 expression in myeloid cells in-vitro as well as in the postischemic kidney. Lack of IRF4 aggravated acute renal failure after renal artery clamping together with increased intrarenal expression of TNF-α, IL-6, CXCL2, and CCL2 as well as excessive tubular necrosis and neutrophil influx. Consistent with these results we observed higher creatinine and urea levels in the serum of IRF4-/-mice after IR. This effect almost entirely depended on the role of IRF4 to suppress TNF-α release by intrarenal dendritic cells. Both clodronate depletion of these cells and TNF-α blockade with etanercept entirely abrogated the aggravation of cytokine expression and acute renal failure in Irf4-deficient mice. Thus, loss-of-function mutations in the IRF4 gene predispose to IR injury because the postischemic induction of IRF4 in resident dendritic cells suppresses them to secrete TNF-α and thereby limits immunopathology.
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