CpG-ODN PRETREATMENT PROTECTS AGAINST SEPTIC AKI VIA TLR9-IL17-DEPENDENT MOBILLIZATION OF SPLENIC LSK CELLS

 

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https://storage.unitedwebnetwork.com/files/1099/8d2a9d394ffe3ed72e1cc98bd04bf72d.pdf
CpG-ODN PRETREATMENT PROTECTS AGAINST SEPTIC AKI VIA TLR9-IL17-DEPENDENT MOBILLIZATION OF SPLENIC LSK CELLS

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Ryutaro
Shida
Taro Aoki aoki88@hama-med.ac.jp Hamamatsu University School of Medicine nephrology Hamamatsu Japan -
Tiemi Ema em@hama-med.ac.jp Hamamatsu University School of Medicine nephrology Hamamatsu Japan -
Naoko Katahashi kths@hama-med.ac.jp Hamamatsu University School of Medicine nephrology Hamamatsu Japan -
Naoko Tsuji ntsuji@hama-med.ac.jp Hamamatsu University School of Medicine nephrology Hamamatsu Japan -
Sayaka Ishigaki ishigaki@hama-med.ac.jp Hamamatsu University School of Medicine nephrology Hamamatsu Japan -
Takamasa Iwakura tkms0421@hama-med.ac.jp Hamamatsu University School of Medicine nephrology Hamamatsu Japan -
Shinsuke Isobe isobe58@hama-med.ac.jp Hamamatsu University School of Medicine nephrology Hamamatsu Japan -
Tomoyuki Fuzikura tfuji@hama-med.ac.jp Hamamatsu University School of Medicine nephrology Hamamatsu Japan -
Naro Ohashi ohashi-n@hama-med.ac.jp Hamamatsu University School of Medicine nephrology Hamamatsu Japan -
Hideo Yasuda ysdh@hama-med.ac.jp Hamamatsu University School of Medicine nephrology Hamamatsu Japan -
Ryutaro Shida shidaryu0831@gmail.com Hamamatsu University School of Medicine nephrology Hamamatsu Japan *
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Septic acute kidney injury (AKI) is a major complication of sepsis, and we have shown that the toll-like receptor (TLR) 9-IL-17 pathway contributed to the development of septic AKI. CpG-oligodeoxynucleotides (ODNs) are specific ligands for TLR9 and have been reported to improve survival and reduce bacterial titers when administered before sepsis. We observed that CpG-ODN administration induced marked splenomegaly in mice, peaking around day 7. This study investigated the mechanism of CpG–ODN–mediated protection, focusing on the role of splenic responses.

Male C57BL/6J, TLR9 knockout (KO), and IL-17 KO mice received intraperitoneal CpG-ODN or vehicle 7 days before sepsis induction by cecal ligation and puncture (CLP). Kidney function was assessed by serum blood urea nitrogen (BUN) 18 h after CLP, and survival was subsequently monitored. Splenic Lineage⁻ Sca-1⁺ c-Kit⁺ (LSK) cells, representing hematopoietic stem cell-enriched populations, were quantified by flow cytometry 7 days after CpG-ODN administration. To determine the contribution of the spleen and LSK cells, mice underwent splenectomy or total body irradiation (TBI) for LSK cell depletion before CpG-ODN treatment and CLP.

CpG-ODN pretreatment induced significant splenomegaly (mean 191mg in CpG-ODN group vs. 71mg in vehicle group, P < 0.0001) and increased splenic LSK cell counts (mean 1,052,854 vs. 56,683 cells, P < 0.0001). These effects were not observed in TLR9 KO or IL-17 KO mice, confirming dependence on TLR9- and IL–17–dependent pathways. CpG-ODN pretreatment significantly improved survival after CLP and reduced BUN levels (39.6 vs. 62.7 mg/dL, P = 0.00065). In contrast, no survival benefit of CpG-ODN pretreatment was observed in TLR9 KO or IL-17 KO mice. Importantly, splenectomy or TBI for LSK cell depletion abolished the survival advantage conferred by CpG-ODN, suggesting that the mobilization of LSK cells in the spleen is essential for protection.

Pretreatment with CpG-ODN improves sepsis survival and preserves kidney function, potentially through TLR9-IL-17-dependent immune pathways and mobilization of splenic LSK cells. These findings identify a novel immunomodulatory pathway that may inform therapeutic strategies to improve sepsis outcomes.

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