Genetic susceptibility and loss of Nr4a1 enhances macrophage-mediated renal injury in CKD

Lindsey Westbrook, Ashley C. Johnson, Kevin R. Regner, Jan M. Williams, David L. Mattson, Patrick B. Kyle, Jeffery R. Henegar, Michael R. Garrett

Research output: Contribution to journalArticle

Abstract

Nuclear hormone receptors of the NR4A subgroup have been implicated in cancer, atherosclerosis, and metabolic disease. However, little is known about the role of these receptors in kidney health or disease. Nr4a1-deficient rats (Nr4a1-/-) developed on a genetic background susceptible to kidney injury (fawn-hooded hypertensive rat [FHH]) were evaluated for BP, proteinuria, renal function, and metabolic parameters from 4 to 24 weeks-of-age. By week 24, Nr4a1-/- rats exhibited significantly higher proteinuria (approximately 4-fold) and decreased GFR compared with FHH controls. The severity of tubular atrophy, tubular casts, and interstitial fibrosis increased significantly in Nr4a1-/- rats and was accompanied by a large increase in immune cell infiltration, predominantly macrophages and to a lesser extent T cells and B cells. Global transcriptome and network analyses at weeks 8, 16, and 24 identified several proinflammatory genes and pathways differentially regulated between strains. Bone marrow crosstransplantation studies demonstrated that kidney injury in Nr4a1-/- rats was almost completely rescued by bone marrow transplanted from FHH controls. In vitro, macrophages isolated from Nr4a1-/- rats demonstrated increased immune activation compared with FHH-derived macrophages. In summary, the loss of Nr4a1 in immune cells appears to cause the increased kidney injury and reduced renal function observed in the Nr4a1-/- model.

Original languageEnglish (US)
Pages (from-to)2499-2510
Number of pages12
JournalJournal of the American Society of Nephrology
Volume25
Issue number11
DOIs
StatePublished - Nov 1 2014
Externally publishedYes

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Genetic Predisposition to Disease
Macrophages
Kidney
Wounds and Injuries
Proteinuria
Bone Marrow
Metabolic Diseases
Gene Expression Profiling
Cytoplasmic and Nuclear Receptors
Atrophy
Atherosclerosis
Fibrosis
B-Lymphocytes

ASJC Scopus subject areas

  • Nephrology

Cite this

Westbrook, L., Johnson, A. C., Regner, K. R., Williams, J. M., Mattson, D. L., Kyle, P. B., ... Garrett, M. R. (2014). Genetic susceptibility and loss of Nr4a1 enhances macrophage-mediated renal injury in CKD. Journal of the American Society of Nephrology, 25(11), 2499-2510. https://doi.org/10.1681/ASN.2013070786

Genetic susceptibility and loss of Nr4a1 enhances macrophage-mediated renal injury in CKD. / Westbrook, Lindsey; Johnson, Ashley C.; Regner, Kevin R.; Williams, Jan M.; Mattson, David L.; Kyle, Patrick B.; Henegar, Jeffery R.; Garrett, Michael R.

In: Journal of the American Society of Nephrology, Vol. 25, No. 11, 01.11.2014, p. 2499-2510.

Research output: Contribution to journalArticle

Westbrook, L, Johnson, AC, Regner, KR, Williams, JM, Mattson, DL, Kyle, PB, Henegar, JR & Garrett, MR 2014, 'Genetic susceptibility and loss of Nr4a1 enhances macrophage-mediated renal injury in CKD', Journal of the American Society of Nephrology, vol. 25, no. 11, pp. 2499-2510. https://doi.org/10.1681/ASN.2013070786
Westbrook, Lindsey ; Johnson, Ashley C. ; Regner, Kevin R. ; Williams, Jan M. ; Mattson, David L. ; Kyle, Patrick B. ; Henegar, Jeffery R. ; Garrett, Michael R. / Genetic susceptibility and loss of Nr4a1 enhances macrophage-mediated renal injury in CKD. In: Journal of the American Society of Nephrology. 2014 ; Vol. 25, No. 11. pp. 2499-2510.
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