4-1BB-mediated signals confer protection against folic acid-induced nephrotoxicity

Xiaozhong Li1, Jihong Dai, Yuhua Qiu

  • 1Children Hospital & Medical Bio-tech Institute Affiliated to Soochow University, #303 Jingde Road, Suzhou Jiangsu 215003, China. xiaozhonglicn@yeah.net

Abstract

Insights

Targeting 4-1BB (a co-stimulatory molecule) in folic acid-induced nephrotoxicity reduced kidney damage and improved renal function. This approach attenuated early immune pathology and reversed later-stage immune suppression in mice.

Area of Science:

  • Nephrology
  • Immunology
  • Molecular Biology

Background:

  • The role of co-stimulatory molecules in renal diseases is not fully understood, particularly 4-1BB in nonimmune-mediated tubulointerstitial fibrosis.
  • Folic acid-induced nephrotoxicity (FAN) in mice serves as a model to investigate 4-1BB's function in renal disease.

Purpose of the Study:

  • To explore the role of the co-stimulatory molecule 4-1BB in folic acid-induced nephrotoxicity.
  • To evaluate the therapeutic potential of targeting 4-1BB in a mouse model of renal tubulointerstitial fibrosis.

Main Methods:

  • CD1 mice were administered folic acid to induce nephrotoxicity.
  • Kidneys were analyzed using histochemistry, T cell profiling, and renal function tests.
  • Mice were co-treated with agonistic anti-4-1BB monoclonal antibodies.

Main Results:

  • Co-treatment with anti-4-1BB antibodies reduced renal tubulointerstitial lesions and improved renal function (decreased BUN and sCr levels).
  • 4-1BB treatment modulated T cell profiles, attenuating early-stage immunopathology and reversing late-stage immunosuppression.
  • Histochemistry revealed reduced kidney damage in 4-1BB treated mice.

Conclusions:

  • 4-1BB signaling exerts immunoregulatory effects in the context of folic acid-induced nephrotoxicity.
  • Targeting 4-1BB can attenuate early immune-mediated pathology and reverse the immunocompromised state in later disease stages.
  • These findings suggest 4-1BB as a potential therapeutic target for nonimmune-mediated renal tubulointerstitial fibrosis.

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