Key result
A hyper-triglyceride-rich lipoprotein state exacerbated immune complex-mediated renal injury in mice, demonstrated by greater haematuria and glomerular cellularity.
Why the study?
Does a hyper-triglyceride-rich lipoprotein environment exacerbate renal injury in an immune complex-mediated nephritis model compared to LDL-driven hypercholesterolemia?
Does a hyper-triglyceride-rich lipoprotein environment exacerbate renal injury in an immune complex-mediated nephritis model compared to LDL-driven hypercholesterolemia?
A hyper-triglyceride-rich lipoprotein state may be more detrimental to the kidneys than LDL-driven hypercholesterolemia during immune complex-mediated nephritis by priming the kidney for exacerbated macrophage-mediated damage.
Should not yet change lipid management in nephritis; leaves open whether triglyceride-rich states worsen human immune complex disease.
Summary Hyperlipidaemia accompanies chronic renal disease either as a consequence of the renal dysfunction or as part of generalized metabolic derangements. Under both situations, the lipid profile is characterized by accumulation of triglyceride-rich lipoproteins (TGRLs). This lipid profile is recognized as a risk factor for cardiovascular complications. Whether it may pose a risk for renal injury as well remains unclear. A hyper-TGRL state was generated in C57BL/6 mice using poloxamer-407 (P-407) and immune complex-mediated renal injury was triggered using the accelerated nephrotoxic nephritis (ANTN) model. The hyper-TGRL animals were hypersensitive to ANTN demonstrated by greater haematuria and glomerular cellularity. These changes were accompanied by increased glomerular accumulation of CD68+ macrophages. The hypersensitive response to ANTN was not seen in low-density lipoprotein receptor knock-out mice fed with a high fat diet, where triglyceride levels were lower but cholesterol levels comparable to those obtained using P-407. These data indicate that a hyper-TGRL state might be more detrimental to the kidneys than low-density lipoprotein-driven hypercholesterolaemia during immune complex-mediated nephritis. We speculate that the hyper-TGRL environment primes the kidney to exacerbated renal damage following an inflammatory insult with increased accumulation of macrophages that may play a key role in mediating the injurious effects.
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Saja et al. (2018) studied Immune complex-mediated renal injury (accelerated nephrotoxic nephritis). Hyper-triglyceride-rich lipoprotein (TGRL) state generated using poloxamer-407 vs. Low-density lipoprotein receptor knock-out mice fed with a high fat diet was evaluated on Haematuria, glomerular cellularity, and glomerular accumulation of CD68+ macrophages. A hyper-triglyceride-rich lipoprotein state exacerbated immune complex-mediated renal injury in mice, demonstrated by greater haematuria and glomerular cellularity.
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