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Chemokine receptor CCR1: a new target for progressive kidney disease
Volha Ninichuk1, Hans-Joachim Anders
1Nephrological Center, Medical Policlinic, Ludwig Maximilians University of Munich, Germany.
Abstract:
Infiltrating leukocytes are thought to contribute to the progression of kidney disease. Locally produced chemokines guide circulating leukocytes into the kidney, which renders therapeutic blockade of respective chemokine receptors on the leukocyte surface as potential targets for the inhibition of renal leukocyte recruitment. By using mutant mice and specific antagonists, we found that chemokine receptor CCR1 has non-redundant functions for leukocyte adhesion to activated vascular endothelium and for transendothelial diapedesis. Most importantly, CCR1 blockade with a specific small molecule antagonist can improve injury in several types of progressive kidney disease models, even if treatment is initiated in advanced disease states. Identification of new targets may add to the therapeutic options in chronic kidney disease.
Insights
Chemokine receptor CCR1 blockade effectively reduces leukocyte infiltration and improves kidney injury in progressive kidney disease models, even in advanced stages. This finding offers new therapeutic targets for chronic kidney disease.
Area of Science:
- Nephrology
- Immunology
- Pharmacology
Background:
- Leukocyte infiltration exacerbates kidney disease progression.
- Chemokines mediate leukocyte entry into the kidney, presenting chemokine receptors as therapeutic targets.
Purpose of the Study:
- To investigate the role of chemokine receptor CCR1 in leukocyte recruitment in kidney disease.
- To evaluate the therapeutic potential of CCR1 blockade in preclinical kidney disease models.
Main Methods:
- Utilized mutant mice and specific small molecule antagonists.
- Assessed leukocyte adhesion, transendothelial diapedesis, and kidney injury in various progressive kidney disease models.
Main Results:
- CCR1 demonstrated non-redundant functions in leukocyte adhesion and diapedesis.
- CCR1 blockade significantly improved kidney injury in multiple disease models, irrespective of treatment initiation timing.
Conclusions:
- Chemokine receptor CCR1 is a critical mediator of leukocyte recruitment in kidney disease.
- Targeting CCR1 with small molecule antagonists represents a promising therapeutic strategy for chronic kidney disease.
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