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Published ahead of print on April 23, 2009
J Am Soc Nephrol 20: 1275-1281, 2009
© 2009 American Society of Nephrology
doi: 10.1681/ASN.2008060559

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BASIC RESEARCH

P2X7 Deficiency Attenuates Renal Injury in Experimental Glomerulonephritis

Simon R.J. Taylor*, Clare M. Turner{dagger},{ddagger}, James I. Elliott§, John McDaid{dagger}, Reiko Hewitt{dagger}, Jennifer Smith{dagger}, Matthew C. Pickering§, Darren L. Whitehouse||, H. Terence Cook, Geoffrey Burnstock**, Charles D. Pusey{dagger}, Robert J. Unwin{ddagger} and Frederick W.K. Tam{dagger}

* MRC Clinical Sciences Centre, {dagger} Imperial College Kidney and Transplant Institute, and § Department of Molecular Genetics and Rheumatology, Division of Medicine, and Department of Pathology, Division of Investigative Science, Imperial College London, and {ddagger} Centre for Nephrology and ** Autonomic Neuroscience Centre, University College London (Royal Free Campus), London, United Kingdom; and || Department of Chemistry, Institutes for Pharmaceutical Discovery, LLC, Branford, Connecticut

Correspondence: Dr. Frederick W.K. Tam, Imperial College Kidney and Transplant Institute, Division of Medicine, Imperial College London, Hammersmith Hospital, Du Cane Road, London W12, UK. Phone: 020-8383-2354; Fax: 020-8383-2062; E-mail: f.tam{at}imperial.ac.uk

Received for publication June 1, 2008. Accepted for publication January 22, 2009.

The P2X7 receptor is a ligand-gated cation channel that is normally expressed by a variety of immune cells, including macrophages and lymphocytes. Because it leads to membrane blebbing, release of IL-1β, and cell death by apoptosis or necrosis, it is a potential therapeutic target for a variety of inflammatory diseases. Although the P2X7 receptor is usually not detectable in normal renal tissue, we previously reported increased expression of both mRNA and protein in mesangial cells and macrophages infiltrating the glomeruli in animal models of antibody-mediated glomerulonephritis. In this study, we used P2X7-knockout mice in the same experimental model of glomerulonephritis and found that P2X7 deficiency was significantly renoprotective compared with wild-type controls, evidenced by better renal function, a striking reduction in proteinuria, and decreased histologic glomerular injury. In addition, the selective P2X7 antagonist A-438079 prevented the development of antibody-mediated glomerulonephritis in rats. These results support a proinflammatory role for P2X7 in immune-mediated renal injury and suggest that the P2X7 receptor is a potential therapeutic target.







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