Renal IL-17 expression in human ANCA-associated glomerulonephritis

J Velden, HJ Paust, E Hoxha… - American Journal …, 2012 - journals.physiology.org
J Velden, HJ Paust, E Hoxha, JE Turner, OM Steinmetz, G Wolf, WJ Jabs, F Özcan, J Beige
American Journal of Physiology-Renal Physiology, 2012journals.physiology.org
Interleukin-17A (IL-17) promotes inflammatory renal tissue damage in mouse models of
crescentic glomerulonephritis, including murine experimental autoimmune anti-
myeloperoxidase glomerulonephritis, which most likely depends on IL-17-producing Th17
cells. In human anti-neutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis,
however, the cellular sources of IL-17 remain to be elucidated. Therefore, we analyzed
human kidney biopsies of active necrotizing and crescentic ANCA-associated …
Interleukin-17A (IL-17) promotes inflammatory renal tissue damage in mouse models of crescentic glomerulonephritis, including murine experimental autoimmune anti-myeloperoxidase glomerulonephritis, which most likely depends on IL-17-producing Th17 cells. In human anti-neutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis, however, the cellular sources of IL-17 remain to be elucidated. Therefore, we analyzed human kidney biopsies of active necrotizing and crescentic ANCA-associated glomerulonephritis by immunohistochemistry using an IL-17-specific antibody and by immunofluorescent colocalization with cell type markers. We detected numerous IL-17-expressing (IL-17+) cells in the glomeruli and in the tubulointerstitium. Unexpectedly, most of these IL-17+ cells were polymorphonuclear neutrophilic granulocytes, while IL-17+ T cells and IL-17+ mast cells were present at significantly lower frequencies. IL-17 was not detected in other infiltrating or resident kidney cells. In those patients who had not received immunosuppressive treatment before biopsy, serum creatinine levels were positively correlated with tubulointerstitial IL-17+ neutrophils as well as IL-17+ T cells. Furthermore, we could demonstrate that purified human blood neutrophils expressed IL-17 protein and released it upon stimulation in vitro. In conclusion, these results support a pathogenic role for IL-17 in human ANCA-associated glomerulonephritis. Our data suggest that in the acute stage of the disease neutrophils may act as an important immediate-early innate source of IL-17 and may thereby initiate and promote ongoing renal inflammation. IL-17 may thus be a target for treating acute ANCA-associated glomerulonephritis.
American Physiological Society