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Published on: October 12, 2017
CD36 regulates oxidative stress and inflammation in hypercholesterolemic CKD
Daryl M Okamura1, Subramaniam Pennathur, Katie Pasichnyk
1Department of Pediatrics, Seattle Children's Research Institute, Division of Nephrology, Seattle, WA 98105, USA. daryl.okamura@seattlechildrens.org
Insights
CD36, a scavenger receptor, significantly reduces kidney fibrosis in a chronic kidney disease (CKD) model. Blocking CD36 curtails inflammation and oxidative stress, offering a potential therapeutic target for renal fibrogenesis.
Area of Science:
- Nephrology
- Immunology
- Cardiovascular Research
Background:
- Scavenger receptors, like CD36, are implicated in atherosclerosis by processing oxidized lipoproteins.
- Atherogenic states correlate with chronic kidney disease (CKD) progression, suggesting scavenger receptors' role in renal fibrogenesis.
Purpose of the Study:
- To investigate the role of CD36, a class B scavenger receptor, in a hypercholesterolemic model of CKD-induced renal fibrogenesis.
Main Methods:
- CD36-deficient and wild-type mice were fed a high-fat Western diet.
- Mice underwent sham or unilateral ureteral obstruction surgery.
- Fibrosis, macrophage infiltration, NF-kappaB activation, oxidative stress, and myofibroblast accumulation were assessed.
Main Results:
- CD36-deficient mice exhibited significantly reduced renal fibrosis post-obstruction compared to wild-type mice.
- Macrophage infiltration was transiently increased in CD36-deficient mice.
- Reduced NF-kappaB activation, oxidative stress, and myofibroblast accumulation were observed in CD36-deficient mice.
Conclusions:
- CD36 is a key mediator of renal fibrogenesis in this CKD model.
- CD36 modulates proinflammatory and oxidative pathways contributing to kidney fibrosis.
- Targeting CD36 may offer a therapeutic strategy for mitigating CKD progression.
Abstract:
Scavenger receptors play a central role in atherosclerosis by processing oxidized lipoproteins and mediating their cellular effects. Recent studies suggested that the atherogenic state correlates with progression of chronic kidney disease (CKD); therefore, scavenger receptors are candidate mediators of renal fibrogenesis. Here, we investigated the role of CD36, a class B scavenger receptor, in a hypercholesterolemic model of CKD. We placed CD36-deficient mice and wild-type male mice on a high-fat Western diet for 7 to 8 wk and then performed either sham or unilateral ureteral obstruction surgery. CD36-deficient mice developed significantly less fibrosis compared with wild-type mice at days 3, 7, and 14 after obstruction. Compared with wild-type mice, CD36-deficient mice had significantly more interstitial macrophages at 7 d but not at 14 d. CD36-deficient mice exhibited reduced levels of activated NF-kappaB and oxidative stress (assessed by measuring fatty acid-derived hydroxyoctadecadienoic acid and protein carbonyl content) and decreased accumulation of interstitial myofibroblasts compared with wild-type mice. These data suggest that CD36 is a key modulator of proinflammatory and oxidative pathways that promote fibrogenesis in CKD.
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