Alternatively activated macrophages as therapeutic agents for kidney disease: in vivo stability is a key factor

Senthilkumar Alagesan1, Matthew D Griffin1

  • 1Regenerative Medicine Institute (REMEDI) and College of Medicine, Nursing and Health Sciences, National University of Ireland, Galway, Ireland.

Kidney International
|April 1, 2014
PubMed

Insights

Alternatively activated macrophages (AAM) infusion failed to protect against kidney injury in mice. Macrophages lost their anti-inflammatory (M2) phenotype in the injured kidney due to local proliferation.

Area of Science:

  • Immunology
  • Nephrology
  • Regenerative Medicine

Background:

  • Alternatively activated macrophages (AAM) are recognized for their anti-inflammatory properties.
  • AAM infusion shows therapeutic potential for inflammatory kidney diseases in preclinical models.
  • Adriamycin nephropathy is a common model for studying kidney inflammation and injury.

Purpose of the Study:

  • To investigate the therapeutic efficacy of ex vivo-generated AAM in a mouse model of Adriamycin-induced nephropathy.
  • To determine the fate and functional phenotype of infused AAM within the injured kidney microenvironment.

Main Methods:

  • Bone marrow-derived macrophages were differentiated into AAM ex vivo.
  • AAM were infused into mice subjected to Adriamycin nephropathy.
  • Macrophage phenotype and proliferation were assessed in kidney tissue post-infusion.

Main Results:

  • Infused AAM failed to ameliorate disease severity in the Adriamycin nephropathy model.
  • Adopted macrophages exhibited a loss of their anti-inflammatory (M2) phenotype.
  • Localized colony-stimulating factor-1-dependent macrophage proliferation was observed in the injured kidneys.

Conclusions:

  • The therapeutic benefit of AAM infusion is limited in this kidney injury model.
  • In vivo conditions within the injured kidney promote phenotypic and functional alterations in infused macrophages.
  • Macrophage proliferation mediated by local factors may counteract the intended therapeutic effects of AAM.

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