Lay A TRAP for myeloid cell response in diabetic kidney disease

Hiroshi Nishi1

  • 1Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.

Kidney International
|April 24, 2022
PubMed

Insights

ATRAP deficiency in diabetic mice reduces anti-inflammatory macrophage infiltration, worsening kidney injury and albuminuria. This highlights ATRAP's role in regulating angiotensin II signaling and immune responses in diabetic kidney disease.

Area of Science:

  • Nephrology
  • Endocrinology
  • Immunology

Background:

  • The renin-angiotensin system plays a critical role in diabetic kidney disease progression.
  • Angiotensin II receptor-associated protein (ATRAP) is a negative regulator of angiotensin II signaling.
  • Understanding ATRAP's function is key to developing new therapeutic strategies for diabetic kidney disease.

Purpose of the Study:

  • To investigate the role of ATRAP in diabetic kidney disease.
  • To explore the impact of ATRAP deficiency on kidney inflammation and injury.
  • To elucidate the crosstalk between glomerular injury, tubulointerstitial signaling, and innate immunity.

Main Methods:

  • Utilized a mouse model of diabetic kidney disease with ATRAP deficiency.
  • Employed adoptive transfer of ATRAP-expressing cells.
  • Performed tubule-specific depletion of ATRAP.
  • Assessed macrophage infiltration and albuminuria levels.

Main Results:

  • ATRAP deficiency in diabetic mice led to decreased anti-inflammatory macrophage infiltration.
  • ATRAP deficiency exacerbated albuminuria, indicating worsened kidney damage.
  • Adoptive transfer and tubule-specific depletion studies revealed crosstalk between glomerular injury and tubulointerstitial signaling.

Conclusions:

  • ATRAP deficiency impairs anti-inflammatory responses in diabetic kidney disease.
  • ATRAP plays a significant role in modulating innate immunity and angiotensin II signaling in the kidneys.
  • Targeting ATRAP may offer a novel therapeutic approach for managing diabetic kidney disease.

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