CD8 + CD103 + iTregs protect against ischemia-reperfusion-induced acute kidney Injury by inhibiting pyroptosis

Apoptosis. 2024 Oct;29(9-10):1709-1722. doi: 10.1007/s10495-024-02001-z. Epub 2024 Jul 28.

Abstract

The occurrence of acute kidney injury (AKI) is elevated, one of the main causes is ischemia-reperfusion (I/R). However, no specific therapy is currently available to treat I/R-induced AKI (I/R-AKI). Treg cells have been demonstrated to perform an anti-inflammatory role in a range of autoimmune and inflammatory illnesses. However, there is limited available information about the possible functions of CD8 + CD103 + iTregs in I/R-AKI. We utilized renal tubular epithelial cells (RTECs) subjected to hypoxia-reoxygenation (H/R) and I/R-AKI mouse model to investigate whether CD8 + CD103 + iTregs could attenuate AKI and the underlying mechanism. In vitro, co-cultured with CD8 + CD103 + iTregs alleviated H/R-induced cell injury. After treatment of CD8 + CD103 + iTregs rather than control cells, a significant improvement of I/R-AKI was observed in vivo, including decreased serum creatinine (sCr) and blood urea nitrogen (BUN) levels, reduced renal pathological injury, lowered tubular apoptosis and inhibition of the transition from AKI to chronic kidney disease (CKD). Mechanically, CD8 + CD103 + iTregs alleviated H/R-induced cell injury and I/R-AKI partly by suppressing RTECs pyroptosis via inhibiting the NLRP3/Caspase-1 axis. Our study provides a novel perspective on the possibility of CD8 + CD103 + iTregs for the treatment of I/R-AKI.

Keywords: Acute kidney injury; CD8 + CD103 + Treg; Hypoxia-reoxygenation; Ischemia-reperfusion; Pyroptosis.

MeSH terms

  • Acute Kidney Injury* / immunology
  • Acute Kidney Injury* / pathology
  • Acute Kidney Injury* / prevention & control
  • Animals
  • Antigens, CD / genetics
  • Antigens, CD / metabolism
  • CD8 Antigens / genetics
  • CD8 Antigens / metabolism
  • CD8-Positive T-Lymphocytes / immunology
  • Disease Models, Animal
  • Epithelial Cells / metabolism
  • Epithelial Cells / pathology
  • Integrin alpha Chains* / genetics
  • Integrin alpha Chains* / metabolism
  • Kidney Tubules / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • NLR Family, Pyrin Domain-Containing 3 Protein / genetics
  • NLR Family, Pyrin Domain-Containing 3 Protein / metabolism
  • Pyroptosis*
  • Reperfusion Injury* / complications
  • Reperfusion Injury* / immunology
  • Reperfusion Injury* / pathology
  • T-Lymphocytes, Regulatory* / immunology

Substances

  • Integrin alpha Chains
  • alpha E integrins
  • CD8 Antigens
  • Antigens, CD
  • NLR Family, Pyrin Domain-Containing 3 Protein
  • Nlrp3 protein, mouse