[HTML][HTML] KIM-1–mediated phagocytosis reduces acute injury to the kidney

L Yang, CR Brooks, S Xiao, V Sabbisetti… - The Journal of …, 2015 - Am Soc Clin Investig
L Yang, CR Brooks, S Xiao, V Sabbisetti, MY Yeung, LL Hsiao, T Ichimura, V Kuchroo
The Journal of clinical investigation, 2015Am Soc Clin Investig
Kidney injury molecule 1 (KIM-1, also known as TIM-1) is markedly upregulated in the
proximal tubule after injury and is maladaptive when chronically expressed. Here, we
determined that early in the injury process, however, KIM-1 expression is antiinflammatory
due to its mediation of phagocytic processes in tubule cells. Using various models of acute
kidney injury (AKI) and mice expressing mutant forms of KIM-1, we demonstrated a mucin
domain–dependent protective effect of epithelial KIM-1 expression that involves …
Kidney injury molecule 1 (KIM-1, also known as TIM-1) is markedly upregulated in the proximal tubule after injury and is maladaptive when chronically expressed. Here, we determined that early in the injury process, however, KIM-1 expression is antiinflammatory due to its mediation of phagocytic processes in tubule cells. Using various models of acute kidney injury (AKI) and mice expressing mutant forms of KIM-1, we demonstrated a mucin domain–dependent protective effect of epithelial KIM-1 expression that involves downregulation of innate immunity. Deletion of the mucin domain markedly impaired KIM-1–mediated phagocytic function, resulting in increased proinflammatory cytokine production, decreased antiinflammatory growth factor secretion by proximal epithelial cells, and a subsequent increase in tissue macrophages. Mice expressing KIM-1Δmucin had greater functional impairment, inflammatory responses, and mortality in response to ischemia- and cisplatin-induced AKI. Compared with primary renal proximal tubule cells isolated from KIM-1Δmucin mice, those from WT mice had reduced proinflammatory cytokine secretion and impaired macrophage activation. The antiinflammatory effect of KIM-1 expression was due to the interaction of KIM-1 with p85 and subsequent PI3K-dependent downmodulation of NF-κB. Hence, KIM-1–mediated epithelial cell phagocytosis of apoptotic cells protects the kidney after acute injury by downregulating innate immunity and inflammation.
The Journal of Clinical Investigation