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Published on: May 9, 2025
Resident Macrophages in Cystic Kidney Disease
Zhang Li1, Kurt A Zimmerman2, Bradley K Yoder1
1Department of Cell, Developmental, and Integrative Biology, University of Alabama at Birmingham, Birmingham, Alabama.
Abstract:
Interstitial inflammation is an important feature of cystic kidney disease. Renal macrophages are the most well-studied inflammatory cell in the kidney, and their involvement in cyst formation has been reported in different animal models and patients with cystic kidney disease. Originally, it was believed that renal macrophages were maintained from a constant supply of bone marrow-derived circulating monocytes, and could be recruited to the kidney in response to local inflammation. However, this idea has been challenged using fate-mapping methods, by showing that at least two distinct developmental origins of macrophages are present in the adult mouse kidney. The first type, infiltrating macrophages, are recruited from circulating monocytes and gradually develop macrophage properties on entering the kidney. The second, resident macrophages, predominantly originate from embryonic precursors, colonize the kidney during its development, and proliferate in situ to maintain their population throughout adulthood. Infiltrating and resident macrophages work together to maintain homeostasis and properly respond to pathologic conditions, such as AKI, cystic kidney disease, or infection. This review will briefly summarize current knowledge of resident macrophages in cystic kidney disease.
Insights
Resident macrophages, originating from embryonic precursors, are key players in cystic kidney disease alongside infiltrating macrophages. Understanding these distinct kidney macrophage populations is crucial for managing this condition.
Area of Science:
- Nephrology
- Immunology
- Developmental Biology
Background:
- Interstitial inflammation is a hallmark of cystic kidney disease.
- Renal macrophages are implicated in cyst formation across various models and human patients.
- Previous understanding suggested macrophages were solely derived from circulating monocytes.
Purpose of the Study:
- To review current knowledge on resident macrophages in cystic kidney disease.
- To highlight the distinct origins and roles of renal macrophage populations.
- To emphasize the contribution of resident macrophages to kidney pathology.
Main Methods:
- Review of existing literature on renal macrophages and cystic kidney disease.
- Discussion of fate-mapping studies identifying macrophage origins.
- Analysis of the functional roles of infiltrating and resident macrophages.
Main Results:
- Two distinct renal macrophage populations exist: infiltrating and resident.
- Infiltrating macrophages are recruited from circulating monocytes.
- Resident macrophages originate from embryonic precursors and proliferate in situ.
Conclusions:
- Resident macrophages play a significant role in cystic kidney disease.
- Both infiltrating and resident macrophages contribute to kidney homeostasis and disease response.
- Further research into resident macrophage biology is warranted for therapeutic strategies.
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