Regulation of renal fibrosis by macrophage polarization

Bixia Pan1, Guohui Liu, Zongpei Jiang

  • 1Department of Nephrology, Dongguan People's Hospital, Dongguan, China.

Abstract

Insights

M2 macrophages drive renal fibrosis by releasing TGFβ1 and suppressing BMP7, promoting epithelial-to-mesenchymal transition (EMT). Targeting M2 macrophages offers a novel therapeutic strategy for renal fibrosis and failure.

Area of Science:

  • Nephrology
  • Immunology
  • Cell Biology

Background:

  • Renal fibrosis progression to end-stage renal disease necessitates understanding underlying molecular mechanisms.
  • Transforming growth factor β 1 (TGFβ1) and bone morphogenic protein 7 (BMP7) counteract each other in renal tubular epithelial cell (EMT) during injury.
  • Macrophages are implicated in renal fibrosis, but their direct link to EMT remains unclear.

Purpose of the Study:

  • To investigate the role of macrophages in renal fibrosis and their relationship with epithelial-to-mesenchymal transition (EMT).
  • To elucidate the specific macrophage subtypes involved in promoting renal fibrosis.

Main Methods:

  • Utilized a mouse unilateral ureteral obstruction (UUO) model.
  • Analyzed macrophage populations and subpopulations using flow cytometry.
  • Investigated the impact of M2 macrophage depletion and adoptive transplantation on renal fibrosis and EMT.

Main Results:

  • Recruited macrophages in the injured kidney were predominantly M2 subtype.
  • M2 macrophages secreted high levels of TGFβ1, suppressing BMP7 and enhancing EMT-driven renal fibrosis.
  • Depletion of M2 macrophages, but not M1, significantly inhibited EMT and renal fibrosis.
  • Adoptive transfer of M2 macrophages exacerbated renal fibrosis.

Conclusions:

  • M2 macrophages play a critical role in promoting renal fibrosis through TGFβ1/BMP7 imbalance and EMT.
  • M2 macrophages represent a key therapeutic target for mitigating renal fibrosis and preventing renal failure.