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Updated: Jan 22, 2026

Unilateral Ureteral Obstruction Model for Investigating Kidney Interstitial Fibrosis
Published on: April 25, 2025
Protective effects of GPR120 agonist-programmed macrophages on renal interstitial fibrosis in unilateral ureteral
Li Wang1, Xu Ren1, Xue-Fei Tian2
1Department of Nephrology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, 710005, China.
Abstract:
Macrophages in the kidney play different roles in renal interstitial fibrosis (RIF) depending on their phenotypes. M2 phenotype macrophages are believed to protect the kidney against RIF. Free fatty acid receptor GPR120 is expressed in macrophages, and its activation induces macrophage transition to M2 phenotype. In this study, the effects of GPR120 agonist-programmed macrophages on RIF were investigated. The peritoneal macrophages collected from rats were incubated with GPR120 agonist TUG891 in vitro for 24 h, and then they were transplanted autologously to the kidney with ureteral obstruction by intrarenal injection for 7 days on the same day following unilateral ureteral obstruction (UUO) operation. RIF was identified by Masson trichrome histological staining, and the expression of RIF-related proteins was analyzed by immunohistochemistry and western blot. It was observed that TUG891-programmed macrophages up-regulated the expression of CD206 and arginase-1 while the expression of interleukin-6 and tumor necrosis factor-α were down-regulated. RIF in rats was significantly increased following UUO, which was markedly alleviated by TUG891-programmed macrophages but not untreated macrophages. TUG891-programmed macrophages inhibited the abnormal expression of TGF-β1 and SMAD2. The abnormal expression of epithelial-mesenchymal transition (EMT)-related proteins including vimentin, α-SMA and β-catenin was also significantly decreased in rats with transplantation of TUG891-programmed macrophages as compared to UUO rats. This study suggests that autologous administration of peritoneal macrophages programmed in vitro by GPR120 agonist to kidney has a protective effect against RIF following UUO.
Insights
Programming macrophages with a GPR120 agonist effectively treats kidney fibrosis. This approach reprograms macrophages to an M2 phenotype, reducing inflammation and protecting against renal interstitial fibrosis (RIF).
Area of Science:
- Nephrology
- Immunology
- Cell Biology
Background:
- Macrophages exhibit diverse roles in renal interstitial fibrosis (RIF), with M2 phenotype macrophages offering protection.
- Free fatty acid receptor GPR120 activation promotes M2 macrophage polarization.
Purpose of the Study:
- To investigate the therapeutic potential of GPR120 agonist-programmed macrophages in treating RIF.
Main Methods:
- Peritoneal macrophages from rats were incubated with the GPR120 agonist TUG891 in vitro.
- Programmed macrophages were autologously transplanted into rats undergoing unilateral ureteral obstruction (UUO) to induce RIF.
- RIF was assessed using histological staining, immunohistochemistry, and Western blot to analyze protein expression.
Main Results:
- TUG891-programmed macrophages exhibited increased CD206 and arginase-1 expression, with decreased interleukin-6 and tumor necrosis factor-α.
- Transplantation of programmed macrophages significantly alleviated RIF in UUO rats.
- Programmed macrophages suppressed abnormal expression of TGF-β1, SMAD2, and epithelial-mesenchymal transition (EMT)-related proteins (vimentin, α-SMA, β-catenin).
Conclusions:
- Autologous administration of GPR120 agonist-programmed macrophages demonstrates a protective effect against RIF.
- This immunomodulatory strategy holds promise for RIF treatment by reprogramming macrophage phenotype.
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