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Regulation and function of CX3CR1 and its ligand CX3CL1 in kidney disease
Sibylle von Vietinghoff1,2, Christian Kurts3
1First Medical Clinic, Nephrology Section, University Clinic of the Rheinische Friedrich Wilhelms University Bonn, Venusberg Campus 1, 53127, Bonn, Germany. Sibylle.von_Vietinghoff@uk-bonn.de.
Insights
The chemokine CX3CL1 (fractalkine) and its receptor CX3CR1 are key regulators of leukocyte behavior in the kidney. Their dysregulation is implicated in various kidney diseases and systemic inflammation.
Area of Science:
- Nephrology
- Immunology
- Molecular Biology
Background:
- Leukocyte trafficking to the kidney is regulated by chemokines.
- CX3CL1 (fractalkine) and its receptor CX3CR1 are highly expressed in kidney diseases.
- CX3CL1 is produced by renal endothelium and tubular epithelium, attracting leukocytes.
Purpose of the Study:
- To review the role and regulatory mechanisms of the CX3CL1-CX3CR1 axis in kidney inflammation.
- To discuss the involvement of CX3CR1+ myeloid cells in kidney damage.
- To explore the systemic effects of CX3CL1-CX3CR1 in renal impairment.
Main Methods:
- Review of existing literature on CX3CL1 and CX3CR1 in kidney diseases.
- Analysis of experimental models of kidney inflammation.
- Examination of clinical data on CX3CR1+ monocytes in renal impairment.
Main Results:
- CX3CR1 is essential for myeloid cell homing to the kidney in homeostasis and inflammation.
- The CX3CL1-CX3CR1 axis is dysregulated in IgA nephritis, lupus erythematosus, and transplant rejection.
- CX3CR1+ myeloid cells contribute to contrast-agent and sepsis-induced kidney damage.
Conclusions:
- The CX3CL1-CX3CR1 axis plays a critical role in localized and systemic renal inflammation.
- Understanding this axis offers potential therapeutic targets for kidney diseases.
- CX3CR1+ monocyte levels may serve as a biomarker for renal impairment and cardiovascular risk.
Abstract:
Attraction, retention, and differentiation of leukocytes to and within the kidney are governed by chemokines. The chemokine CX3CL1 (fractalkine) and its receptor CX3CR1 are exemplary in this regard as they are highly expressed and further upregulated in a range of kidney diseases. CX3CL1 is chiefly produced by renal endothelium and tubular epithelium, where it promotes leukocyte attraction. Recent data suggest that in addition to established soluble mediators, cellular interactions may enhance CX3CL1 expression. The receptor CX3CR1 is essential in myeloid phagocyte homing to the kidney at homeostasis, after acute cell depletion and in inflammation. CX3CR1 and its ligand are highly regulated in human kidney diseases such as IgA nephritis, systemic lupus erythematosus, and inflammatory conditions such as transplant rejection. A mechanistic role of CX3CR1 has been established in experimental models of nephrotoxic nephritis and renal candidiasis. It is debated in fibrosis. Recent publications demonstrate a role for CX3CR1+ myeloid cells in radio-contrast-agent and sepsis-induced kidney damage. Systemically, circulating CX3CR1+ monocytes reversibly increase in individuals with renal impairment and correlate with their cardiovascular risk. In this review, we discuss role and regulatory mechanisms of the CX3CL1-CX3CR1 axis in both localized and systemic effects of renal inflammation.
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