Interleukin 17A Participates in Renal Inflammation Associated to Experimental and Human Hypertension

Hypertension is now considered as an inflammatory disease, and the kidney is a key end-organ target. Experimental and clinical studies suggest that interleukin 17A (IL-17A) is a promising therapeutic target in immune and chronic inflammatory diseases, including hypertension and kidney disease. Eleva...

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Main Authors: Macarena Orejudo (Author), Raul R. Rodrigues-Diez (Author), Raquel Rodrigues-Diez (Author), Ana Garcia-Redondo (Author), Laura Santos-Sánchez (Author), Javier Rández-Garbayo (Author), Pablo Cannata-Ortiz (Author), Adrian M. Ramos (Author), Alberto Ortiz (Author), Rafael Selgas (Author), Sergio Mezzano (Author), Carolina Lavoz (Author), Marta Ruiz-Ortega (Author)
Format: Book
Published: Frontiers Media S.A., 2019-09-01T00:00:00Z.
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Summary:Hypertension is now considered as an inflammatory disease, and the kidney is a key end-organ target. Experimental and clinical studies suggest that interleukin 17A (IL-17A) is a promising therapeutic target in immune and chronic inflammatory diseases, including hypertension and kidney disease. Elevated circulating IL-17A levels have been observed in hypertensive patients. Our aim was to investigate whether chronically elevated circulating IL-17A levels could contribute to kidney damage, using a murine model of systemic IL-17A administration. Blood pressure increased after 14 days of IL-17A infusion in mice when compared with that in control mice, and this was associated to kidney infiltration by inflammatory cells, including CD3+ and CD4+ lymphocytes and neutrophils. Moreover, proinflammatory factors and inflammatory-related intracellular mechanisms were upregulated in kidneys from IL-17A-infused mice. In line with these findings, in the model of angiotensin II infusion in mice, IL-17A blockade, using an anti-IL17A neutralizing antibody, reduced kidney inflammatory cell infiltrates and chemokine overexpression. In kidney biopsies from patients with hypertensive nephrosclerosis, IL-17A positive cells, mainly Th17 and γδ T lymphocytes, were found. Overall, the results support a pathogenic role of IL-17A in hypertensive kidney disease-associated inflammation. Therapeutic approaches targeting this cytokine should be explored to prevent hypertension-induced kidney injury.
Item Description:1663-9812
10.3389/fphar.2019.01015