PSTPIP2 ameliorates aristolochic acid nephropathy by suppressing interleukin-19-mediated neutrophil extracellular trap formation

  1. Changlin Du
  2. Chuanting Xu
  3. Pengcheng Jia
  4. Na Cai
  5. Zhenming Zhang
  6. Wenna Meng
  7. Lu Chen
  8. Zhongnan Zhou
  9. Qi Wang
  10. Rui Feng
  11. Jun Li
  12. Xiaoming Meng
  13. Cheng Huang  Is a corresponding author
  14. Taotao Ma  Is a corresponding author
  1. Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, China
12 figures, 2 tables and 1 additional file

Figures

Figure 1 with 1 supplement
PSTPIP2 expression was decreased in the aristolochic acid I (AAI)-induced acute aristolochic acid nephropathy model in vivo and injured mouse renal tubular epithelial cells (mRTECs) in vitro.

(A) Representative H&E-stained images of kidney sections. Kidneys were isolated on day 0, 1, 3, and 5 after AAI treatment (n = 6 per group). Scale bar, 50 μm. (B) Western blotting analysis of …

Figure 1—figure supplement 1
Aristolochic acid I (AAI)-induced acute aristolochic acid nephropathy (AAN) in vivo model and mouse renal tubular epithelial cell (mRTEC) injury in vitro model.

(A) Establishment of AAI-induced acute AAN mouse model (n = 6 per group). (B) Serum creatinine (Cr) assay at various times after AAI treatment (n = 6). (C) Blood urea nitrogen (BUN) assay at various …

Figure 2 with 1 supplement
Pstpip2-cKI attenuates aristolochic acid I (AAI)-induced kidney damage.

(A) Scheme illustrating the genetic approach for generating Pstpip2 conditional knock-in (cKI) mice. (B) Genotypes of Pstpip2-cKI mice were confirmed using PCR. The floxed allele showed a …

Figure 2—figure supplement 1
Pstpip2-cKI reduced aristolochic acid I (AAI)-induced kidney apoptosis.

(A) TUNEL staining of kidney sections after AAI treatment for 3 d and quantification (n = 3). Scale bar, 50 μm. (B) Caspase-3 activity in kidney tissues quantified after AAI treatment for 3 d (n = …

AAV9-mediated Pstpip2 reduction re-induces renal injury and kidney apoptosis in Pstpip2-cKI mice.

(A) Scheme illustrating the rescue experiment in Pstpip2-cKI mice. (B) Fluorescence-labeled AAV9–PSTPIP2 was localized in the kidney. (C) Real-time PCR analysis of PSTPIP2 in kidney tissues (n = 6 …

Figure 4 with 2 supplements
Changes in renal Pstpip2 expression affect neutrophil infiltration and inflammatory factor production in mice with aristolochic acid I (AAI)-induced acute renal injury.

(A) Representative images of immunohistochemistry (IHC) staining with Ly6G+. Scale bar, 50 μm. Quantification of the percentage of Ly6G+ neutrophil infiltration. n = 6. (B, C) mRNA level of renal …

Figure 4—figure supplement 1
Mice were pretreated with anti-mouse Ly6G or IgG control antibody followed by aristolochic acid I (AAI) treatment.

(A) Schematic of intraperitoneal (IP) injection of anti-mouse Ly6G neutralizing antibody or IgG control antibody; purified anti-mouse Ly6G (10 µg/g mouse), and IgG control antibody (10 µg/g mouse) …

Figure 4—figure supplement 2
In vivo neutrophil depletion attenuates aristolochic acid I (AAI)-induced kidney damage in mice.

(A, B) Serum creatinine (Cr) and blood urea nitrogen (BUN) assay of mice pretreated with anti-mouse Ly6G or IgG control antibody, followed by AAI treatment (n = 6 per group). (C) Representative H&E-s…

Figure 5 with 4 supplements
Pstpip2 conditional knock-in in the kidney significantly decreased neutrophil extracellular trap (NET) formation.

(A) Serum nucleosome level after aristolochic acid I (AAI) treatment for 3 d (n = 5). (B, C) Serum myeloperoxidase (MPO) and dsDNA level after AAI treatment for 3 d (n = 6). (D) Protein level of …

Figure 5—figure supplement 1
AAV9-mediated Pstpip2 restoration re-induces neutrophil extracellular trap (NET) formation in Pstpip2-cKI mice.

(A) Serum nucleosome level (n = 6 per group). (B) Serum myeloperoxidase (MPO) level (n = 6 per group). (C) Serum dsDNA level (n = 6 per group). (D) Protein level of citrullinated histone 3 (Cit-H3) …

Figure 5—figure supplement 2
Neutrophil extracellular trap (NET) formation inhibitor, GSK484, or DNase I inhibited formation of NETs in aristolochic acid I (AAI)-treated mice.

(A) Schematic of GSK484 or DNase I injection in mice experiments. DNase I (10 U/100 μL, 0.9% NaCl) or GSK484 (4 mg/kg) was administered daily for 3 d before AAI treatment. (B, C) Serum nucleosome …

Figure 5—figure supplement 3
Inhibition of neutrophil extracellular traps (NETs) formation attenuates aristolochic acid I (AAI)-induced kidney damage and apoptosis.

(A, B) Serum creatinine (Cr) and blood urea nitrogen (BUN) assay performed on AAI-treated mice co-treated with GSK484 or DNase I (n = 6 per group). (C) H&E staining of kidney sections of AAI-treated …

Figure 5—figure supplement 4
Conditional medium (CM) derived from primary neutrophils of aristolochic acid nephropathy (AAN) mice co-treated with neutrophil extracellular traps (NETs) inhibitor prevents apoptosis of mouse renal tubular epithelial cells (mRTECs).

(A) Primary renal neutrophils were isolated from aristolochic acid I (AAI)- and DNase I-treated mice. (B) The level of neutrophil elastase (NE) in the primary renal neutrophils culture supernatant …

Figure 6 with 1 supplement
Expression of interleukin-19 (IL-19) was associated with kidney injury and regulated by PSTPIP2.

(A) PSTPIP2 was overexpressed in mouse renal tubular epithelial cells (mRTECs) by the plasmid pEGFP-C1/PSTPIP2; the cells were subsequently treated with aristolochic acid I (AAI, 40 μM) for 20 hr. (B

Figure 6—figure supplement 1
Expression of interleukin-19 (IL-19) in mouse kidneys and mouse tubular epithelial cells (mRTECs) in aristolochic acid I (AAI)-induced aristolochic acid nephropathy (AAN).

(A) Immunofluorescence (IF) staining of IL-19 (red) and E-cadherin (green) in kidney tissues of AAI-induced AAN mice. E-cadherin was used as an epithelial cell marker (mRTECs, n = 6). Scale bar, 50 …

In vivo administration of rIL-19 in mice exacerbated the progression of aristolochic acid nephropathy.

(A) Representative H&E staining images of kidney sections from vehicle and rIL-19-treated mice after being administered with aristolochic acid I (AAI) (n = 6 per group). Scale bar, 50 μm. (B, C) …

Administration of rIL-19 in mice promotes neutrophil infiltration, inflammatory factor production, and formation of neutrophil extracellular traps in aristolochic acid nephropathy.

(A, B) mRNA level of renal tissue monocyte chemoattractant protein-1 (MCP-1) and tumor necrosis factor-α (TNF-α) assessed by real-time PCR (n = 6 per group). (C) Representative images of …

Figure 9 with 1 supplement
Interleukin-19 (IL-19) induces neutrophil extracellular trap (NET) formation in vitro through IL-20Rβ receptor signaling.

(A) Schematic of Transwell migration assay for neutrophils. (B) Neutrophils were isolated from mouse bone marrow and loaded into the upper Transwell chamber. Serum-free RPMI-1640 medium (500 μL) …

Figure 9—figure supplement 1
Conditional medium (CM) derived from mouse bone marrow-derived neutrophils co-treated with interleukin-19 (IL-19) promotes apoptosis of injured mouse renal tubular epithelial cells (mRTECs).

(A) Mouse bone marrow-derived neutrophil/mRTEC-conditioned medium culture model. (B) Activity of caspase-3 quantified after treatment with different CMs (n = 3). (C) Protein levels of cleaved …

PSTPIP2 reduces interleukin-19 (IL-19) transcription by inhibiting NF-κB signaling.

(A) Co-immunoprecipitation (Co-IP) of PSTPIP2 and NF-κB p65 in mouse renal tubular epithelial cell (mRTEC) using anti-NF-κB p65 and anti-PSTPIP2 antibodies. (B) Western blotting results showed that …

PSTPIP2 alleviates aristolochic acid I-induced acute kidney injury and renal tubular epithelial cell apoptosis by suppressing interleukin-19-mediated neutrophil extracellular trap formation.
Author response image 1

Tables

Table 1
Primer sequences for the quantitative real-time PCR analysis of mouse renal tubular epithelial cells (mRTECs) and mouse tissues.
Terms(mouse)Forward primer (5'–3')Reverse primer (5'–3')
IL1αTCTATGATGCAAGCTATGGCTCACGGCTCTCCTTGAAGGTGA
IL1βGAAATGCCACCTTTTGACAGTGTGGATGCTCTCATCAGGACAG
IL3GGGATACCCACCGTTTAACCAAGGTTTACTCTCCGAAAGCTCTT
IL4GGTCTCAACCCCCAGCTAGTGCCGATGATCTCTCTCAAGTGAT
IL5GCAATGAGACGATGAGGCTTCGCCCCTGAAAGATTTCTCCAATG
IL6CTGCAAGAGACTTCCATCCAGAGTGGTATAGACAGGTCTGTTGG
IL7TTCCTCCACTGATCCTTGTTCTAGCAGCTTCCTTTGTATCATCAC
IL9ATGTTGGTGACATACATCCTTGCTGACGGTGGATCATCCTTCAG
IL10CTTACTGACTGGCATGAGGATCAGCAGCTCTAGGAGCATGTGG
IL11GCGCTGTTCTCCTAACCCGGAGTCCAGACTGTGATCTCCG
IL12αCAATCACGCTACCTCCTCTTTTCAGCAGTGCAGGAATAATGTTTC
IL13TGAGCAACATCACACAAGACCGGCCTTGCGGTTACAGAGG
IL14TCCTGAGTACATACTGTGTGGACGCTGCATAGGTTCGGGACTTC
IL15CATCCATCTCGTGCTACTTGTGGCCTCTGTTTTAGGGAGACCT
IL16AAGAGCCGGAAATCCACGAAAGTGCGAGGTCTGGGATATTGC
IL17ATCAGCGTGTCCAAACACTGAGCGCCAAGGGAGTTAAAGACTT
IL17FTGCTACTGTTGATGTTGGGACCAGAAATGCCCTGGTTTTGGT
IL18GTGAACCCCAGACCAGACTGCCTGGAACACGTTTCTGAAAGA
IL19CTCCTGGGCATGACGTTGATTGCATGGCTCTCTTGATCTCGT
IL20GTCTTGCCTTTGGACTGTTCTAGGTTTGCAGTAATCACACAGC
IL21GGACCCTTGTCTGTCTGGTAGTGTGGAGCTGATAGAAGTTCAGG
IL22ATGAGTTTTTCCCTTATGGGGACGCTGGAAGTTGGACACCTCAA
IL23CAGCAGCTCTCTCGGAATCTCTGGATACGGGGCACATTATTTTT
IL24GAGCCTGCCCAACTTTTTGTGTGTGTTGAAGAAAGGGCCAGT
IL25ACAGGGACTTGAATCGGGTCTGGTAAAGTGGGACGGAGTTG
IL27CTGTTGCTGCTACCCTTGCTTCTCCTGGCAATCGAGATTCAG
IL28BGTTCAAGTCTCTGTCCCCAAAAGTGGGAACTGCACCTCATGT
IL31TCAGCAGACGAATCAATACAGCTCGCTCAACACTTTGACTTTCT
IL33ATTTCCCCGGCAAAGTTCAGAACGGAGTCTCATGCAGTAGA
IL34TTGCTGTAAACAAAGCCCCATCCGAGACAAAGGGTACACATTT
IL40ACTGGAAGTTTATCCCCAAAGCCGGAGTCATGCACAACCTTTTT
Kim-1TAAACCAGAGATTCCCACACGATCTTGTTGAAATAGTCGTG
MCP-1GCTTGAGGTGGTTGTGGAAAACTCACCTGCTGCTACTCATTC
β-ActinGATTACTGCTCTGGCTCCTAGCGACTCATCGTACTCCTGCTTG
TNF-αCCCTCACACTCAGATCATCTTCTGCTACGACGTGGGCTACAG
Table 2
Clinical features of the patients with kidney diseases.
No.Pathological diagnosisSexAge (years)Serum creatinine (μmol/L)Serum IL-19 (ng/mL)
1Kidney transplantFemale19198.4278274.4815
2Kidney transplantFemale33144.0580297.7699
3Hydronephrosis with ureteral stonesMale48216.9878125.0563
4Hydronephrosis with nephrolithiasisMale47158.1964199.1192
5Renal allograft dysfunctionMale27450.1882308.2646
6Allograft dysfunction, renal allograftMale36444.1835161.4381
7Renal anemia, 5 CKD stageMale581225.2303340.7484
8CKD stage 3, type 2 diabetesFemale76129.5376199.1192
9Nephrotic syndrome with minimal change nephropathyFemale21160.7620231.6030
10Renal end-stage diseaseMale351250.3954391.4230
11Nephrotic syndromeMale56124.0242240.0487
12Polycystic kidney diseaseFemale57210.0129147.1452
13Renal end-stage diseaseFemale381229.0289468.0847
14Chronic renal failureMale57807.2540218.6095
15Hydronephrosis with nephroureterolithiasis, type I diabetesFemale5383.8521226.4056
16DiabetesMale6682.1029229.0043
17Nephrolithiasis with hydronephrosisMale34139.9357208.2147
18CKD stage 4Male55134.3601201.7179
19Membranous nephropathyMale40145.3473253.6919
20Nephrotic syndromeMale4676.5273262.7874
21HydronephrosisFemale5292.5981135.4511
22Renal insufficiencyMale82754.3408225.1062
23SLE, lupus nephritisMale32456.8682391.4230
24Hydronephrosis with nephrolithiasisFemale68128.7846266.6854
25DiabetesMale43107.3569283.5770
26Membranous nephropathyMale53174.3729442.0977
27Nephrotic syndromeMale46186.9453188.7244

Additional files

Download links