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An Advanced Murine Model for Nonalcoholic Steatohepatitis in Association with Type 2 Diabetes
Published on: April 26, 2019
Obesity, immunomodulation and chronic kidney disease
1Center for Renal Translational Medicine, Division of Nephrology-Hypertension, Department of Medicine, Institute for Metabolomic Medicine, University of California San Diego, La Jolla, CA, United States.
Abstract:
Obesity-induced inflammation is associated with numerous pathologies and is an independent risk factor of chronic kidney disease (CKD). The prevalence of CKD is escalating and current therapeutic strategies are seriously lacking in efficacy, and immunomodulation has been suggested as a potential new therapeutic approach. Indeed, specialized pro-resolving mediators (SPMs), such as lipoxins (LXs), resolvins and protectins, have demonstrated protection in adipose inflammation, restoring insulin sensitivity and adiponectin production, while modulating leukocyte infiltration and promoting resolution in visceral adipose tissue. Furthermore, SPMs display direct renoprotective effect. Thus we review current evidence of immunomodulation as a potential strategy to subvert obesity-related CKD.
Insights
Obesity causes inflammation and chronic kidney disease (CKD). Specialized pro-resolving mediators (SPMs) show promise in treating obesity-related kidney inflammation and damage.
Area of Science:
- Immunology
- Nephrology
- Metabolic diseases
Background:
- Obesity-induced inflammation is a significant risk factor for chronic kidney disease (CKD).
- Current CKD therapies have limited efficacy, highlighting the need for novel strategies.
- Immunomodulation is emerging as a potential therapeutic avenue for obesity-related pathologies.
Purpose of the Study:
- To review the evidence for immunomodulation as a strategy to combat obesity-related CKD.
- To explore the role of specialized pro-resolving mediators (SPMs) in mitigating obesity-induced inflammation and kidney damage.
Main Methods:
- Literature review of studies investigating SPMs in adipose tissue inflammation and kidney protection.
- Analysis of research on SPMs' effects on insulin sensitivity, adiponectin production, and leukocyte infiltration.
- Examination of the direct renoprotective effects of SPMs.
Main Results:
- SPMs, including lipoxins (LXs), resolvins, and protectins, reduce adipose inflammation.
- SPMs restore insulin sensitivity and adiponectin production in adipose tissue.
- SPMs demonstrate direct renoprotective effects and modulate leukocyte infiltration.
Conclusions:
- Immunomodulation via SPMs represents a promising therapeutic strategy for obesity-related CKD.
- Targeting inflammatory pathways with SPMs could offer a novel approach to managing CKD progression in obese individuals.
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