2012
DOI: 10.1038/ki.2012.207
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Macrophage/monocyte depletion by clodronate, but not diphtheria toxin, improves renal ischemia/reperfusion injury in mice

Abstract: The role of resident renal mononuclear phagocytes in acute kidney injury is controversial with experimental data suggesting both deleterious and protective functions. To help resolve this, we used mice transgenic for the human diphtheria toxin receptor under the control of the CD11b promoter and treated them with diphtheria toxin, or liposomal clodronate, or both to deplete monocyte/mononuclear phagocytes prior to renal ischemia/reperfusion injury. Although either system effectively depleted circulating monocy… Show more

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Cited by 140 publications
(139 citation statements)
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“…It has already been shown that the protective effects of CL involve CD206 + reparative macrophages. 28 As shown in Figure 8B, CL treatment increased the CD206 + cell fraction, which is known to participate in matrix collagen endocytosis (Supplemental Figure 9). 29 Patent fibrosis could be observed in the glycerol-treated mice, as assessed by collagen III deposits and Masson trichrome staining ( Figure 8C).…”
Section: Rhabdomyolysis Drastically Affects the Kidney Macrophage Phementioning
confidence: 99%
See 1 more Smart Citation
“…It has already been shown that the protective effects of CL involve CD206 + reparative macrophages. 28 As shown in Figure 8B, CL treatment increased the CD206 + cell fraction, which is known to participate in matrix collagen endocytosis (Supplemental Figure 9). 29 Patent fibrosis could be observed in the glycerol-treated mice, as assessed by collagen III deposits and Masson trichrome staining ( Figure 8C).…”
Section: Rhabdomyolysis Drastically Affects the Kidney Macrophage Phementioning
confidence: 99%
“…CL treatment led to an increase of the CD206 + cell fraction in glycerol-treated mice, an effect previously described after ischemia. 28 We suggest that R1 macrophage depletion could be protective via two additive mechanisms: (1) a general reduction in the accumulation of ECM components such as collagen III and fibronectin (it is known that fibronectin deposits in the kidney interstitium can alter its structure and dampen kidney function, 38 and it has been previously reported that treatment with CL reduced fibronectin deposits in a limb-regeneration model 39 ) and (2) a decrease in the inflammatory response, especially auto-and paracrine chemoattractant loops involving Ccl2, Ccl7, and Il1b.…”
Section: Rhabdomyolysis Drastically Affects the Kidney Macrophage Phementioning
confidence: 99%
“…Regardless of these findings, macrophages and dendritic cells derived from monocytes are abundant in kidney injury and play an important role in inflammation, tissue repair, and fibrosis. Ablative studies in several models of kidney interstitial and glomerular disease nevertheless indicate that macrophages significantly contribute to the development of fibrosis (24,28,37,63,67,69,101). It is most likely therefore that monocyte-derived cells in chronic kidney disease drive fibrosis by indirect mechanisms, involving cell-to-cell signaling, although the deposition of nonfibrillar matrix proteins such as fibronectin may contribute in some way to pathological matrix, but this has not been assessed rigorously.…”
Section: Contribution Of Other Cells To Fibrogenesismentioning
confidence: 99%
“…15 These observations were made when monocyte/macrophage migration to the kidney, through CCR2-and CX3CR1-dependent mechanisms, was attenuated, 14 or when macrophages were depleted using liposomal clodronate before injury or within 3 days after ischemic insult, respectively. Recent mouse studies have added support to the hypothesis that M1-type, clodronate-sensitive macrophages do participate in initial injury, 11,16 but have also revealed that macrophages are critical for the normal repair processes that inhibit the progression of fibrosis and CKD. [10][11][12] Using several sophisticated mouse models, Lin et al demonstrated that macrophages responding to renal injury produce and release the Wnt ligand Wnt7b that acts on injured and regenerating TECs to promote their continuation through the cell cycle and regeneration of the tubule basement membrane, thus re-establishing renal function and reducing fibrosis.…”
mentioning
confidence: 96%