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Inhibition of IRE1α Alleviates Renal Fibrosis and Downregulates M1 Macrophage Activation via the p38 MAPK Pathway
Zichan Guo1,2, Yuting Shen2,3, Xiaxia Yu2
1Faculty of Life Sciences, Northwest University, Xi'an, China.
Abstract:
The enhanced M1 macrophage activation and proportion significantly promote the progression of renal fibrosis in the unilateral ureteral obstruction (UUO) model, while the underlying mechanisms need to be further studied. Here, we examined whether or not endoplasmic reticulum (ER) stress contributed to M1 macrophage activation and the mechanisms in this process. In the UUO mouse model, the proportion of M1 macrophages could be significantly increased in the early renal fibrosis, with the ER stress activated. The inhibitor of ER stress (4-PBA) significantly suppressed the activation of M1 macrophages and alleviated the renal fibrosis in the UUO mouse model. Furthermore, the renal fibrosis could be relieved after the administration of IRE1α inhibitor (4μ8C), with the downregulation of ER stress and M1 macrophage activation. Mechanistically, ER stress-enhanced activation of M1 macrophages was regulated through the IRE1α/XBP1s-p38 MAPK pathway. IRE1α-deficient macrophages could alleviate the renal fibrosis in the UUO mouse model. Thus, our findings suggest that the ER stress pathway regulates M1 macrophage activation in the UUO model, which provides a novel therapeutic approach for renal fibrosis.
Insights
Endoplasmic reticulum (ER) stress drives M1 macrophage activation, worsening kidney fibrosis in a mouse model. Inhibiting ER stress or specific pathways like IRE1α shows promise for treating renal fibrosis.
Area of Science:
- Nephrology
- Immunology
- Cellular Biology
Background:
- M1 macrophage activation and endoplasmic reticulum (ER) stress are implicated in renal fibrosis progression.
- The precise mechanisms linking ER stress to M1 macrophage activation in kidney fibrosis require elucidation.
Purpose of the Study:
- To investigate the role of ER stress in M1 macrophage activation within the unilateral ureteral obstruction (UUO) mouse model.
- To elucidate the underlying molecular mechanisms connecting ER stress to M1 macrophage activation and renal fibrosis.
Main Methods:
- Utilized the UUO mouse model to study renal fibrosis.
- Administered ER stress inhibitors (4-PBA) and IRE1α inhibitors (4μ8C).
- Examined M1 macrophage activation, ER stress markers, and the IRE1α/XBP1s-p38 MAPK pathway.
Main Results:
- UUO induced significant M1 macrophage activation and ER stress in early renal fibrosis.
- ER stress inhibition (4-PBA) suppressed M1 macrophage activation and alleviated renal fibrosis.
- IRE1α inhibition (4μ8C) reduced ER stress, M1 macrophage activation, and improved renal fibrosis.
- ER stress-mediated M1 macrophage activation was found to be regulated by the IRE1α/XBP1s-p38 MAPK pathway.
Conclusions:
- ER stress significantly contributes to M1 macrophage activation in the UUO model of renal fibrosis.
- Targeting the ER stress pathway, particularly the IRE1α/XBP1s-p38 MAPK axis, offers a novel therapeutic strategy for renal fibrosis.
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