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Role of NFAT5 in inflammatory disorders associated with osmotic stress
1Departments of Nephrology and Physiology, Inner City Campus, University of Munich, Munich, Germany.
Abstract:
Nuclear factor of activated T cells 5 (NFAT5) is the most recently described member of the Rel family of transcription factors, including NF-κB and NFAT1-4, which play central roles in inducible gene expression during the immune response. NFAT5 was initially described to drive osmoprotective gene expression in renal medullary cells, which are routinely faced by high extracellular osmolalities. Recent data however indicate profound biological importance of the mammalian osmotic stress response in view of NFAT5 dependent gene regulation in non-renal tissues. In mononuclear cells and epithelial cells, NFAT5 stimulates the expression of various pro-inflammatory cytokines during elevated ambient tonicity. Accordingly, compared to plasma, the interstitial tonicity of lymphoid organs like spleen and thymus and that of liver is substantially hypertonic under physiological conditions. In addition, anisotonic disorders (hypernatremia, diabetes mellitus, dehydration) entail systemic hyperosmolality, and, in inflammatory disorders, the skin, intestine, and cornea are sites of local hyperosmolality. This article summarizes the current knowledge regarding systemic and local osmotic stress in anisotonic and inflammatory disorders in view of NFAT5 activation and regulation, and NFAT5 dependent cytokine production.
Insights
Nuclear factor of activated T cells 5 (NFAT5) regulates gene expression in response to osmotic stress. NFAT5 plays a crucial role in both renal and non-renal tissues, influencing immune responses and cytokine production.
Area of Science:
- Molecular Biology
- Immunology
- Physiology
Background:
- Nuclear factor of activated T cells 5 (NFAT5) is a transcription factor involved in the immune response.
- Initially identified for its role in renal osmoprotection, NFAT5 is now recognized for its broader biological significance.
- Elevated tonicity in non-renal tissues and systemic anisotonic disorders highlights the importance of the osmotic stress response.
Purpose of the Study:
- To review the current understanding of NFAT5 activation and regulation.
- To explore the role of NFAT5 in cytokine production under osmotic stress.
- To discuss the implications of NFAT5 in anisotonic and inflammatory disorders.
Main Methods:
- Literature review of studies on NFAT5.
- Analysis of NFAT5-dependent gene regulation in various cell types.
- Examination of NFAT5's role in physiological and pathological conditions involving osmotic stress.
Main Results:
- NFAT5 stimulates pro-inflammatory cytokine expression in mononuclear and epithelial cells under elevated tonicity.
- Physiological hypertonicity exists in lymphoid organs and the liver.
- Systemic hyperosmolality occurs in conditions like dehydration and diabetes mellitus, with local hyperosmolality in inflammatory sites.
Conclusions:
- NFAT5 is a key regulator of the osmotic stress response beyond the kidney.
- NFAT5 activation contributes to inflammation in various tissues.
- Understanding NFAT5's role is critical for managing anisotonic and inflammatory diseases.
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