Key result
Hypertension drives renal macrophage polarization toward an M2 phenotype with ~92% higher YM1 levels.
Why the study?
Macrophages contribute to blood pressure elevation and renal damage in hypertension, but their polarization status and underlying mechanisms have not been clarified.
Effect estimate: M2/M1 ratio reached 288%, YM1/Chi3l3 increased 91.89%
p-value: p=<0.05
In a hypertensive mouse model, nephropathy is linked to M2 macrophage polarization and elevated YM1/Chi3l3, suggesting its potential role as a tissue biomarker.
May link M2 polarization and YM1/Chi3l3 to murine hypertensive nephropathy; hypothesis-generating for biomarkers, requires human validation.
Macrophages contribute to a continuous increase in blood pressure and kidney damage in hypertension, but their polarization status and the underlying mechanisms have not been clarified. This study revealed an important role for M2 macrophages and the YM1/Chi3l3 protein in hypertensive nephropathy in a mouse model of hypertension. Bone marrow cells were isolated from the femurs and tibia of male FVB/N (control) and transgenic hypertensive animals that overexpressed the rat form of angiotensinogen (TGM(rAOGEN)123, TGM123-FVB/N). The cells were treated with murine M-CSF and subsequently with LPS+IFN- γ to promote their polarization into M1 macrophages and IL-4+IL-13 to trigger the M2 phenotype. We examined the kidneys of TGM123-FVB/N animals to assess macrophage polarization and end-organ damage. mRNA expression was evaluated using real-time PCR, and protein levels were assessed through ELISA, CBA, Western blot, and immunofluorescence. Histology confirmed high levels of renal collagen. Cells stimulated with LPS+IFN- γ in vitro showed no significant difference in the expression of CD86, an M1 marker, compared to cells from the controls or the hypertensive mice. When stimulated with IL-4+IL-13, however, macrophages of the hypertensive group showed a significant increase in CD206 expression, an M2 marker. The M2/M1 ratio reached 288%. Our results indicate that when stimulated in vitro , macrophages from hypertensive mice are predisposed toward polarization to an M2 phenotype. These data support results from the kidneys where we found an increased infiltration of macrophages predominantly polarized to M2 associated with high levels of YM1/Chi3l3 (91,89%), suggesting that YM1/Chi3l3 may be a biomarker of hypertensive nephropathy.
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Cavalcante et al. (2019) studied Hypertension and Hypertensive Nephropathy (n=18). Hypertension (TGM123-FVB/N transgenic model) vs. Normotensive controls (FVB/N) was evaluated on M2 macrophage polarization and YM1/Chi3l3 protein levels (M2/M1 ratio reached 288%, YM1/Chi3l3 increased 91.89%, p=<0.05). Macrophages from hypertensive mice were predisposed to an M2 phenotype (M2/M1 ratio 288%) and associated with high levels of YM1/Chi3l3 (91.89%) in the kidneys.
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