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Published ahead of print on January 30, 2008
Journal of the American Society of Nephrology
© 2008 American Society of Nephrology
doi: 10.1681/ASN.2007030392
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Received March 31, 2007
Accepted on September 5, 2007

BASIC RESEARCH

T-bet Deficiency Attenuates Renal Injury in Experimental Crescentic Glomerulonephritis

Richard K.S. Phoon , A. Richard Kitching , Dragana Odobasic , Lynelle K. Jones , Timothy J. Semple , and Stephen R. Holdsworth 1

Centre for Inflammatory Diseases, Monash University, Department of Medicine, Monash Medical Centre, Clayton, Victoria, Australia


1 To whom correspondence should be addressed. E-mail: stephen.holdsworth{at}med.monash.edu.au.


   Abstract

T-bet is a transcription factor that is essential for T helper (Th)1 lineage commitment and optimal IFN-{gamma} production by CD4+ T cells. We examined the role of T-bet in the development of experimental crescentic glomerulonephritis, which is induced by Th1-predominant, delayed-type hypersensitivity-like responses directed against a nephritogenic antigen. Anti-glomerular basement membrane (GBM) glomerulonephritis was induced in T-bet-/- and wild-type C57BL/6 mice. Compared with wild-type controls, renal injury was attenuated in T-bet-/- mice with glomerulonephritis, evidenced by less proteinuria, glomerular crescents, and tubulointerstitial inflammation. Accumulation of glomerular CD4+ T cells and macrophages was decreased, and was associated with reduced intrarenal expression of the potent Th1 chemoattractants CCL5/RANTES and CXCL9/Mig. Supporting the pro-inflammatory nature of T-bet signaling, assessment of systemic immunity confirmed that T-bet-/- mice had a reduction in Th1 immunity. The kinetic profile of T-bet mRNA in wild-type mice supported the hypothesis that T-bet deficiency attenuates renal injury in part by shifting the Th1/Th2 balance away from a Th1 phenotype. Expression of renal and splenic IL-17A, characteristically expressed by the Th17 subset of effector T cells, which have been implicated in the pathogenesis of autoimmune disease, was increased in T-bet-/- mice. We conclude that T-bet directs Th1 responses that induce renal injury in experimental crescentic glomerulonephritis.


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