Th17 cells promote autoimmune anti-myeloperoxidase glomerulonephritis

Poh-Yi Gan1, Oliver M Steinmetz, Diana S Y Tan

  • 1Centre for Inflammatory Diseases, Monash University Department of Medicine, Monash Medical Centre, 246 Clayton Road, Clayton, VIC 3168, Australia.

Insights

Interleukin-17A (IL-17A) drives autoimmune kidney damage in anti-myeloperoxidase (MPO) vasculitis. Blocking IL-17A protected mice, suggesting it

Area of Science:

  • Immunology
  • Nephrology
  • Autoimmunity

Background:

  • Anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV) involves autoantibodies against myeloperoxidase (MPO).
  • The role of T helper 17 (Th17) cells and their effector cytokine, IL-17A, in MPO-specific autoimmunity and kidney injury remains unclear.

Purpose of the Study:

  • To investigate the hypothesis that Th17 cells mediate injurious anti-MPO autoimmunity in experimental anti-MPO glomerulonephritis (GN).

Main Methods:

  • Mice were immunized with MPO to induce autoimmunity and systemic IL-17A production.
  • Disease was triggered by anti-glomerular basement membrane antibodies, leading to glomerular MPO deposition.
  • Mice deficient in IL-17A were compared to wild-type controls.
  • Direct MPO injection into kidneys of MPO-sensitized mice assessed IL-17A's role in renal delayed-type hypersensitivity.

Main Results:

  • Wild-type mice developed necrotizing GN with leukocyte influx and albuminuria.
  • Mice deficient in IL-17A were significantly protected from GN.
  • IL-17A deficiency reduced neutrophil recruitment and glomerular MPO deposition.
  • In the kidney, IL-17A deficiency decreased macrophage accumulation and CCL5 mRNA expression.

Conclusions:

  • IL-17A plays a significant role in the pathophysiology of autoimmune anti-MPO GN.
  • IL-17A contributes to neutrophil recruitment and MPO deposition in the kidneys.
  • IL-17A may represent a potential therapeutic target for anti-MPO AAV.