Nlrp2 deletion ameliorates kidney damage in a mouse model of cystinosis

Cystinosis is a rare autosomal recessive disorder caused by mutations in the CTNS gene that encodes cystinosin, a ubiquitous lysosomal cystine/H+ antiporter. The hallmark of the disease is progressive accumulation of cystine and cystine crystals in virtually all tissues. At the kidney level, human c...

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Main Authors: Marianna Nicoletta Rossi, Valentina Matteo, Francesca Diomedi-Camassei, Ester De Leo, Olivier Devuyst, Mohamed Lamkanfi, Ivan Caiello, Elena Loricchio, Francesco Bellomo, Anna Taranta, Francesco Emma, Fabrizio De Benedetti, Giusi Prencipe
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1373224/full
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author Marianna Nicoletta Rossi
Marianna Nicoletta Rossi
Valentina Matteo
Francesca Diomedi-Camassei
Ester De Leo
Olivier Devuyst
Mohamed Lamkanfi
Ivan Caiello
Elena Loricchio
Francesco Bellomo
Anna Taranta
Francesco Emma
Fabrizio De Benedetti
Giusi Prencipe
author_facet Marianna Nicoletta Rossi
Marianna Nicoletta Rossi
Valentina Matteo
Francesca Diomedi-Camassei
Ester De Leo
Olivier Devuyst
Mohamed Lamkanfi
Ivan Caiello
Elena Loricchio
Francesco Bellomo
Anna Taranta
Francesco Emma
Fabrizio De Benedetti
Giusi Prencipe
author_sort Marianna Nicoletta Rossi
collection DOAJ
description Cystinosis is a rare autosomal recessive disorder caused by mutations in the CTNS gene that encodes cystinosin, a ubiquitous lysosomal cystine/H+ antiporter. The hallmark of the disease is progressive accumulation of cystine and cystine crystals in virtually all tissues. At the kidney level, human cystinosis is characterized by the development of renal Fanconi syndrome and progressive glomerular and interstitial damage leading to end-stage kidney disease in the second or third decade of life. The exact molecular mechanisms involved in the pathogenesis of renal disease in cystinosis are incompletely elucidated. We have previously shown upregulation of NLRP2 in human cystinotic proximal tubular epithelial cells and its role in promoting inflammatory and profibrotic responses. Herein, we have investigated the role of NLRP2 in vivo using a mouse model of cystinosis in which we have confirmed upregulation of Nlrp2 in the renal parenchyma. Our studies show that double knock out Ctns-/- Nlrp2-/- animals exhibit delayed development of Fanconi syndrome and kidney tissue damage. Specifically, we observed at 4-6 months of age that animals had less glucosuria and calciuria and markedly preserved renal tissue, as assessed by significantly lower levels of inflammatory cell infiltration, tubular atrophy, and interstitial fibrosis. Also, the mRNA expression of some inflammatory mediators (Cxcl1 and Saa1) and the rate of apoptosis were significantly decreased in 4-6-month old kidneys harvested from Ctns-/- Nlrp2-/- mice compared to those obtained from Ctns-/-mice. At 12-14 months of age, renal histological was markedly altered in both genetic models, although double KO animals had lower degree of polyuria and low molecular weight proteinuria and decreased mRNA expression levels of Il6 and Mcp1. Altogether, these data indicate that Nlrp2 is a potential pharmacological target for delaying progression of kidney disease in cystinosis.
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spelling doaj.art-a1638def141045a1a1850f75b41d76d32024-04-03T04:50:34ZengFrontiers Media S.A.Frontiers in Immunology1664-32242024-04-011510.3389/fimmu.2024.13732241373224Nlrp2 deletion ameliorates kidney damage in a mouse model of cystinosisMarianna Nicoletta Rossi0Marianna Nicoletta Rossi1Valentina Matteo2Francesca Diomedi-Camassei3Ester De Leo4Olivier Devuyst5Mohamed Lamkanfi6Ivan Caiello7Elena Loricchio8Francesco Bellomo9Anna Taranta10Francesco Emma11Fabrizio De Benedetti12Giusi Prencipe13Laboratory of Immuno-Rheumatology, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyDepartment of Science, University of Rome “Roma Tre”, Rome, ItalyLaboratory of Immuno-Rheumatology, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyDepartment of Laboratories, Pathology Unit, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyDivision of Nephrology, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyMechanisms of Inherited Kidney Disorders Group, Institute of Physiology, University of Zurich, Zurich, SwitzerlandLaboratory of Medical Immunology, Department of Internal Medicine and Paediatrics, Ghent University, Ghent, BelgiumLaboratory of Immuno-Rheumatology, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyLaboratory of Immuno-Rheumatology, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyDivision of Nephrology, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyDivision of Nephrology, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyDivision of Nephrology, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyLaboratory of Immuno-Rheumatology, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyLaboratory of Immuno-Rheumatology, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyCystinosis is a rare autosomal recessive disorder caused by mutations in the CTNS gene that encodes cystinosin, a ubiquitous lysosomal cystine/H+ antiporter. The hallmark of the disease is progressive accumulation of cystine and cystine crystals in virtually all tissues. At the kidney level, human cystinosis is characterized by the development of renal Fanconi syndrome and progressive glomerular and interstitial damage leading to end-stage kidney disease in the second or third decade of life. The exact molecular mechanisms involved in the pathogenesis of renal disease in cystinosis are incompletely elucidated. We have previously shown upregulation of NLRP2 in human cystinotic proximal tubular epithelial cells and its role in promoting inflammatory and profibrotic responses. Herein, we have investigated the role of NLRP2 in vivo using a mouse model of cystinosis in which we have confirmed upregulation of Nlrp2 in the renal parenchyma. Our studies show that double knock out Ctns-/- Nlrp2-/- animals exhibit delayed development of Fanconi syndrome and kidney tissue damage. Specifically, we observed at 4-6 months of age that animals had less glucosuria and calciuria and markedly preserved renal tissue, as assessed by significantly lower levels of inflammatory cell infiltration, tubular atrophy, and interstitial fibrosis. Also, the mRNA expression of some inflammatory mediators (Cxcl1 and Saa1) and the rate of apoptosis were significantly decreased in 4-6-month old kidneys harvested from Ctns-/- Nlrp2-/- mice compared to those obtained from Ctns-/-mice. At 12-14 months of age, renal histological was markedly altered in both genetic models, although double KO animals had lower degree of polyuria and low molecular weight proteinuria and decreased mRNA expression levels of Il6 and Mcp1. Altogether, these data indicate that Nlrp2 is a potential pharmacological target for delaying progression of kidney disease in cystinosis.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1373224/fullcystinosisinflammationfibrosisNLRP2chronic kidney disease
spellingShingle Marianna Nicoletta Rossi
Marianna Nicoletta Rossi
Valentina Matteo
Francesca Diomedi-Camassei
Ester De Leo
Olivier Devuyst
Mohamed Lamkanfi
Ivan Caiello
Elena Loricchio
Francesco Bellomo
Anna Taranta
Francesco Emma
Fabrizio De Benedetti
Giusi Prencipe
Nlrp2 deletion ameliorates kidney damage in a mouse model of cystinosis
Frontiers in Immunology
cystinosis
inflammation
fibrosis
NLRP2
chronic kidney disease
title Nlrp2 deletion ameliorates kidney damage in a mouse model of cystinosis
title_full Nlrp2 deletion ameliorates kidney damage in a mouse model of cystinosis
title_fullStr Nlrp2 deletion ameliorates kidney damage in a mouse model of cystinosis
title_full_unstemmed Nlrp2 deletion ameliorates kidney damage in a mouse model of cystinosis
title_short Nlrp2 deletion ameliorates kidney damage in a mouse model of cystinosis
title_sort nlrp2 deletion ameliorates kidney damage in a mouse model of cystinosis
topic cystinosis
inflammation
fibrosis
NLRP2
chronic kidney disease
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1373224/full
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