NLRP3 INFLAMMASOME INHIBITION REDUCES FIBROSIS IN A POLYCYSTIC KIDNEY DISEASE MODEL

 

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NLRP3 INFLAMMASOME INHIBITION REDUCES FIBROSIS IN A POLYCYSTIC KIDNEY DISEASE MODEL

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Emily
Major
Emily Major e.major@latrobe.edu.au La Trobe University Department of Microbiology, Anatomy, Physiology, and Pharmacology  Melbourne Australia *
Jemma Gasperoni j.gasperoni@latrobe.edu.au La Trobe University Department of Biochemistry and Chemistry Melbourne Australia -
Sean Barton s.barton@latrobe.edu.au La Trobe University Department of Microbiology, Anatomy, Physiology, and Pharmacology  Melbourne Australia -
Jacqueline Phillips jacqueline.phillips@mq.edu.au Macquarie University Faculty of Medicine, Health and Human Sciences Sydney Australia -
Avril Robertson a.robertson3@uq.edu.au The University of Queensland School of Chemistry and Molecular Biosciences St Lucia Australia -
Quynh Nhu Dinh quynh.dinh@rmit.edu.au RMIT University School of Health and Biomedical Sciences Melbourne Australia -
Grant Drummond g.drummond@latrobe.edu.au La Trobe University Department of Microbiology, Anatomy, Physiology, and Pharmacology  Melbourne Australia -
Brooke Huuskes b.huuskes@latrobe.edu.au La Trobe University Department of Microbiology, Anatomy, Physiology, and Pharmacology  Melbourne Australia -
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Patients with polycystic kidney disease (PKD) have build-up of large fluid-filled cysts on their kidneys. The growth of the cysts eventually causes a reduction in kidney function and the need for kidney replacement therapy. Patients also have hypertension and are therefore at risk of dying form a cardiovascular event. The exact cause of cyst progression is not known, however the immune system, especially macrophages, are known to play a role. The NLRP3 inflammasome is found within macrophages, and in other models of kidney disease, inhibition of NLRP3 can decrease cardiovascular and inflammatory burden. Therefore the aim of this study was to determine if the NLRP3 inflammasome contributes to PKD progression, and if treatment with an NLRP3 inhibitor (MCC950) can reduce cardiovascular burden, cyst growth and fibrosis.

Lewis Polycystic Kidney (LPK) rats and wild-type (WT) littermates, received an intervention of either MCC950 (20 mg/kg, daily SC injections) or placebo from 6 to 16 weeks of age (n=15-16 per group, both sexes). Blood pressure (BP) was measured by tail cuff, and kidney function assessed by serum biochemistry. Kidney histopathology was evaluated for cystic burden and collagen localisation. Inflammasome components and collagen amount were quantified via qPCR and activated NLRP3 was determined by immunohistochemistry.

From 6 weeks of age, LPKs were hypertensive, which persisted throughout the experiment (6 weeks: 180.2 mmHg LPK vs 148.5 mmHg WT, P<0.001; 16 weeks: 200.6 mmHg LPK vs 138.2 mmHg WT, P<0.001). At 16 weeks of age, LPKs had impaired kidney function (P<0.001), increased kidney, heart and spleen weight (P<0.001) with numerous cysts and collagen deposition in kidneys (P<0.001). Gene expression of NLRP3 inflammasome components (NLRP3, ASC, pro-caspase-1), downstream pro-inflammatory cytokines, interleukin (IL)-1β and IL-18, and fibrosis genes (collagen I, III and VI) were all increased in LPKs (P<0.05). In LPKs, immunofluorescent microscopy demonstration the formation of ASC specs, specifically in the cystic epithelium. Intervention with the inflammasome inhibitor, MCC950, reduced collagen I, III and IV gene expression in LPKs (P<0.05), which was supported by histological semi-quantification of fibrosis using picrosirius red staining (P<0.05). MCC950 also decreased gene expression of pro-caspase-1, pro-IL- 1β and pro-IL-18 in LPKs (P<0.05). However, MCC950 did not protect LPKs from increases in BP, cyst number or size, nor did treatment preserve kidney function at endpoint. Inflammasome components NLRP3 and ASC were not reduced with MCC950.

The NLRP3 inflammasome is present in cystic kidneys of LPKs and not in WT, indicating that it may play a role is disease progression. Intervention with MCC950 reduced collagen content in LPKs suggesting, NLRP3 may play a role in promoting collagen production. However, MCC950 did not improve hypertension, kidney function, or cystic burden. This suggests that there may be a complex interplay between NLRP3 and other inflammasomes that contribute to the pathology of PKD.

Kewords