Kidney Expression of Toll Like Receptors in Lupus Nephritis: Quantification and Clinicopathological Correlations

Mediators Inflamm. 2016:2016:7697592. doi: 10.1155/2016/7697592. Epub 2016 Aug 21.

Abstract

Objective. The study aimed at locating and quantifying Toll Like Receptor (TLR) 3, 7, 8, and 9 expression in kidney of patients with lupus nephritis (LN) and correlating them with clinicopathological features. Methods. Kidney sections from 26 LN patients and 4 controls were analyzed by immunohistochemistry using anti-human TLR3, TLR7, TLR8, and TLR9 polyclonal antibodies; the number of TLR-positive nuclei/mm(2) was evaluated on digitalized images. Results. Compared to controls, LN showed a significantly higher amount of glomerular and tubulointerstitial TLR9 (p = 0.003 and p = 0.007), whole and tubulointerstitial TLR3 (p = 0.026 and p = 0.031), and a higher tubulointerstitial TLR7 (p = 0.022). TLR9 positively correlated with activity index (p = 0.0063) and tubular TLR7 with chronicity index (p = 0.026). TLR9 positively correlated with Renal-SLEDAI (p = 0.01). Conclusions. This is the first study quantifying kidney expressions of TLRs in LN patients; the results show an overexpression of TLR3, TLR7, and TLR9 and demonstrate a correlation with clinicopathological indices supporting a role of these mediators in the pathogenesis of LN.

MeSH terms

  • Adult
  • Female
  • Humans
  • Immunohistochemistry
  • Kidney / metabolism*
  • Kidney / pathology
  • Lupus Nephritis / metabolism*
  • Lupus Nephritis / pathology
  • Male
  • Middle Aged
  • Toll-Like Receptor 3 / metabolism
  • Toll-Like Receptor 7 / metabolism
  • Toll-Like Receptor 8 / metabolism
  • Toll-Like Receptor 9 / metabolism
  • Young Adult

Substances

  • TLR3 protein, human
  • TLR7 protein, human
  • TLR8 protein, human
  • TLR9 protein, human
  • Toll-Like Receptor 3
  • Toll-Like Receptor 7
  • Toll-Like Receptor 8
  • Toll-Like Receptor 9