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Updated: Jul 17, 2026

Rapid Depletion of Renal Macrophages Using Human CD59/Intermedilysin Cell Ablation Tool
Published on: May 9, 2025
Macrophage scavenger receptor-a-deficient mice are resistant against diabetic nephropathy through amelioration of
Hitomi Kataoka Usui1, Kenichi Shikata, Motofumi Sasaki
1Department of Medicine and Clinical Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama 700-8558, Japan.
Abstract:
Microinflammation is a common major mechanism in the pathogenesis of diabetic vascular complications, including diabetic nephropathy. Macrophage scavenger receptor-A (SR-A) is a multifunctional receptor expressed on macrophages. This study aimed to determine the role of SR-A in diabetic nephropathy using SR-A-deficient (SR-A(-/-)) mice. Diabetes was induced in SR-A(-/-) and wild-type (SR-A(+/+)) mice by streptozotocin injection. Diabetic SR-A(+/+) mice presented characteristic features of diabetic nephropathy: albuminuria, glomerular hypertrophy, mesangial matrix expansion, and overexpression of transforming growth factor-beta at 6 months after induction of diabetes. These changes were markedly diminished in diabetic SR-A(-/-) mice, without differences in blood glucose and blood pressure levels. Interestingly, macrophage infiltration in the kidneys was dramatically decreased in diabetic SR-A(-/-) mice compared with diabetic SR-A(+/+) mice. DNA microarray revealed that proinflammatory genes were overexpressed in renal cortex of diabetic SR-A(+/+) mice and suppressed in diabetic SR-A(-/-) mice. Moreover, anti-SR-A antibody blocked the attachment of monocytes to type IV collagen substratum but not to endothelial cells. Our results suggest that SR-A promotes macrophage migration into diabetic kidneys by accelerating the attachment to renal extracellular matrices. SR-A may be a key molecule for the inflammatory process in pathogenesis of diabetic nephropathy and a novel therapeutic target for diabetic vascular complications.
Insights
Macrophage scavenger receptor-A (SR-A) deficiency reduced kidney inflammation and damage in diabetic mice. SR-A promotes macrophage migration, suggesting it
Area of Science:
- Nephrology
- Immunology
- Vascular Biology
Background:
- Diabetic nephropathy involves microinflammation and macrophage infiltration.
- Macrophage scavenger receptor-A (SR-A) is implicated in inflammatory processes.
Purpose of the Study:
- To investigate the role of SR-A in the pathogenesis of diabetic nephropathy.
- To assess the therapeutic potential of targeting SR-A in diabetic kidney disease.
Main Methods:
- Streptozotocin-induced diabetes in SR-A-deficient (SR-A(-/-)) and wild-type (SR-A(+/+)) mice.
- Evaluation of renal pathology, albuminuria, gene expression, and macrophage infiltration.
- In vitro assessment of monocyte adhesion to extracellular matrix components.
Main Results:
- Diabetic SR-A(-/-) mice showed significantly reduced albuminuria, glomerular hypertrophy, and mesangial expansion compared to diabetic SR-A(+/+) mice.
- Macrophage infiltration and proinflammatory gene expression were markedly decreased in the kidneys of diabetic SR-A(-/-) mice.
- SR-A blockade inhibited monocyte attachment to type IV collagen, suggesting a role in macrophage migration.
Conclusions:
- SR-A plays a critical role in promoting macrophage infiltration into the kidneys during diabetic nephropathy.
- Targeting SR-A may offer a novel therapeutic strategy for diabetic vascular complications, particularly diabetic nephropathy.
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