Affiliation:
1. Departments of Microbiology, Nephrology, Immunology and Paediatrics, Astrid Lindgren Children's Hospital, Karolinska Hospital and Karolinska Institute and Department of Infectious Diseases, Huddinge University Hospital and Karolinska Institute, Stockholm, Sweden
Abstract
SUMMARY
The aim of the present study was to investigate whether the IL-1 family cytokines, in addition to IL-6 and IL-8, could be induced in normal human cortical epithelial cells in response to bacterial stimuli. Human renal tissue was obtained from 9 patients undergoing elective tumour nephrectomy. Renal cortical epithelial cells of tubular origin were prepared from the unaffected tissue. The proximal tubular cells were stimulated for 2, 6 and 24 h with a heat-inactivated pyelonephritogenic Escherichia coli strain DS-17. Cultured unstimulated tubular cells served as controls. IL-1α, IL-1β, IL-1 receptor antagonist, IL-6, IL-8, IL-10, TNF-α, G-CSF and GM-CSF were analysed using immunohistochemistry at the single cell level. The nonstimulated cells were found to express low levels of IL-6 and IL-8 (mean value < 3% of total cells). In contrast, E. coli exposure resulted in significantly increased incidences of IL-6 and IL-8 expressing cells (mean values ≈18% of total cells) peaking within two hours of stimulation (P < 0·008 and P < 0·02 versus non-stimulated cells, respectively). A gradual decrease was thereafter observed at 6 and 24 h, respectively, although persistently higher compared to controls. A different kinetic response was found for IL-1α, IL-1β and IL-1 receptor antagonist-expressing cells, which peaked 24 h after E. coli stimulation (mean values 3–10%) (P < 0·008, P < 0·02, P < 0·02 versus non-stimulated cells, respectively). Low levels of TNF-α and GM-CSF were found in 3 of the 9 donated epithelial cells, peaking at 2 h, and IL-10 and G-CSF producing cells in 1 patient each. In conclusion we found that heat-inactivated pyelonephritic E. coli induced a proinflammatory cytokine response in the normal human proximal tubular cells including the IL-1 family, IL-6 and IL-8.
Publisher
Oxford University Press (OUP)
Subject
Immunology,Immunology and Allergy
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