Acute skin exposure to ultraviolet light triggers neutrophil-mediated kidney inflammation

S Skopelja-Gardner, J Tai, X Sun… - Proceedings of the …, 2021 - National Acad Sciences
S Skopelja-Gardner, J Tai, X Sun, L Tanaka, JA Kuchenbecker, JM Snyder, P Kubes
Proceedings of the National Academy of Sciences, 2021National Acad Sciences
Photosensitivity to ultraviolet (UV) light affects up to∼ 80% of lupus patients. Sunlight
exposure can exacerbate local as well as systemic manifestations of lupus, including
nephritis, by mechanisms that are poorly understood. Here, we report that acute skin
exposure to UV light triggers a neutrophil-dependent injury response in the kidney
characterized by upregulated expression of endothelial adhesion molecules as well as
inflammatory and injury markers associated with transient proteinuria. We showed that UV …
Photosensitivity to ultraviolet (UV) light affects up to ∼80% of lupus patients. Sunlight exposure can exacerbate local as well as systemic manifestations of lupus, including nephritis, by mechanisms that are poorly understood. Here, we report that acute skin exposure to UV light triggers a neutrophil-dependent injury response in the kidney characterized by upregulated expression of endothelial adhesion molecules as well as inflammatory and injury markers associated with transient proteinuria. We showed that UV light stimulates neutrophil migration not only to the skin but also to the kidney in an IL-17A–dependent manner. Using a photoactivatable lineage tracing approach, we observed that a subset of neutrophils found in the kidney had transited through UV light–exposed skin, suggesting reverse transmigration. Besides being required for the renal induction of genes encoding mediators of inflammation (vcam-1, s100A9, and Il-1b) and injury (lipocalin-2 and kim-1), neutrophils significantly contributed to the kidney type I interferon signature triggered by UV light. Together, these findings demonstrate that neutrophils mediate subclinical renal inflammation and injury following skin exposure to UV light. Of interest, patients with lupus have subpopulations of blood neutrophils and low-density granulocytes with similar phenotypes to reverse transmigrating neutrophils observed in the mice post-UV exposure, suggesting that these cells could have transmigrated from inflamed tissue, such as the skin.
National Acad Sciences