Interferon Regulatory Factor-5 in Resident Macrophage Promotes Polycystic Kidney Disease

Kurt A Zimmerman1, Jifeng Huang2, Lan He2

  • 1Department of Cell, Developmental, and Integrative Biology, University of Alabama at Birmingham, Birmingham, Alabama.

Kidney360
|January 25, 2021
PubMed
Abstract

Insights

Interferon regulatory factor-5 (IRF5) in macrophages drives cyst growth in polycystic kidney disease by promoting inflammatory cytokines. Inhibiting IRF5 in resident macrophages reduces cyst progression.

Area of Science:

  • Nephrology
  • Immunology
  • Genetics

Background:

  • Autosomal dominant polycystic kidney disease (ADPKD) stems from mutations in PKD1 or PKD2.
  • Macrophages and inflammatory cytokines exacerbate cyst development in ADPKD.
  • Key transcription factors in macrophages regulating cytokine production and ADPKD progression remain unidentified.

Purpose of the Study:

  • To investigate the role of macrophage-localized interferon regulatory factor-5 (IRF5) in ADPKD progression.
  • To test if IRF5 drives cyst-promoting cytokine production and accelerates disease in a mouse model.

Main Methods:

  • Utilized a conditional Pkd1 mouse model of ADPKD undergoing unilateral nephrectomy (1K).
  • Assessed macrophage accumulation and Irf5 expression in kidneys post-nephrectomy using qRT-PCR and flow cytometry.
  • Administered IRF5 antisense oligonucleotide (ASO) to evaluate its impact on macrophage activity and cystogenesis.

Main Results:

  • 1K Pkd1 mice showed increased resident and infiltrating macrophages and elevated Irf5 expression in resident macrophages.
  • IRF5 ASO treatment reduced macrophage infiltration, Irf5 expression in resident macrophages, and overall cyst severity.
  • IRF5 inhibition decreased Il6 expression in resident macrophages, correlating with reduced STAT3 phosphorylation.

Conclusions:

  • IRF5 in resident macrophages is a key driver of inflammatory cytokine production.
  • IRF5-mediated inflammation accelerates cystogenesis in ADPKD.
  • Targeting IRF5 in macrophages presents a potential therapeutic strategy for ADPKD.