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Published on: March 5, 2019
Immunosuppression-Independent Role of Regulatory T Cells against Hypertension-Driven Renal Dysfunctions
Salvatore Fabbiano1, Mauricio Menacho-Márquez1, Javier Robles-Valero1
1Centro de Investigación del Cáncer, Consejo Superior de Investigaciones Científicas (CSIC)-University of Salamanca, Salamanca, Spain Instituto de Biología Molecular y Celular del Cáncer, Consejo Superior de Investigaciones Científicas (CSIC)-University of Salamanca, Salamanca, Spain.
Insights
Regulatory T (TREG) cells protect against hypertension-induced cardiorenal damage. Their CD39 enzyme triggers neutrophil apoptosis, preventing inflammation and fibrosis in the heart and kidneys.
Area of Science:
- Immunology
- Cardiovascular Science
- Nephrology
Background:
- Hypertension-induced cardiorenal diseases pose a significant global health challenge.
- Hematopoietic cells contribute to cardiorenal damage via inflammatory and fibrotic pathways.
- Specific cell subtypes mediating this damage remain poorly understood.
Purpose of the Study:
- To identify specific cell subtypes involved in hypertension-associated cardiorenal damage.
- To elucidate the protective mechanisms employed by these cells.
- To explore potential therapeutic targets for cardiorenal diseases.
Main Methods:
- Investigated the role of CD39(+) regulatory T (TREG) cells in angiotensin II (AngII)-induced hypertension.
- Assessed the mechanism of TREG cell-mediated protection, focusing on CD39 activity.
- Utilized experimental and genetic models to alter TREG/TH cell ratios and evaluate cardiorenal outcomes.
Main Results:
- CD39(+) TREG cells protect against renal and cardiac damage in AngII-dependent hypertension.
- This protection is mediated by the ecto-ATP diphosphohydrolase activity of CD39, inducing neutrophil apoptosis.
- Altered TREG/TH cell ratios impacted neutrophil counts, cardiomyocyte hypertrophy, and cardiorenal fibrosis.
Conclusions:
- TREG cells act as a crucial barrier against hypertension-driven tissue fibrosis.
- CD39-mediated neutrophil apoptosis is a key protective mechanism.
- Targeting TREG cells offers potential therapeutic strategies for hypertension-linked cardiorenal diseases.
Abstract:
Hypertension-associated cardiorenal diseases represent one of the heaviest burdens for current health systems. In addition to hemodynamic damage, recent results have revealed that hematopoietic cells contribute to the development of these diseases by generating proinflammatory and profibrotic environments in the heart and kidney. However, the cell subtypes involved remain poorly characterized. Here we report that CD39(+) regulatory T (TREG) cells utilize an immunosuppression-independent mechanism to counteract renal and possibly cardiac damage during angiotensin II (AngII)-dependent hypertension. This mechanism relies on the direct apoptosis of tissue-resident neutrophils by the ecto-ATP diphosphohydrolase activity of CD39. In agreement with this, experimental and genetic alterations in TREG/TH cell ratios have a direct impact on tissue-resident neutrophil numbers, cardiomyocyte hypertrophy, cardiorenal fibrosis, and, to a lesser extent, arterial pressure elevation during AngII-driven hypertension. These results indicate that TREG cells constitute a first protective barrier against hypertension-driven tissue fibrosis and, in addition, suggest new therapeutic avenues to prevent hypertension-linked cardiorenal diseases.
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