IL-11 is required for A1 adenosine receptor-mediated protection against ischemic AKI

J Am Soc Nephrol. 2013 Oct;24(10):1558-70. doi: 10.1681/ASN.2013010114. Epub 2013 Jun 27.

Abstract

A1 adenosine receptor activation ameliorates ischemic AKI through the induction of renal proximal tubular sphingosine kinase-1. However, systemic adverse effects may limit A1 adenosine receptor-based therapy for ischemic AKI, indicating a need to identify alternative therapeutic targets within this pathway. Here, we evaluated the function of renal proximal tubular IL-11, a clinically approved hematopoietic cytokine, in A1 adenosine receptor-mediated induction of sphingosine kinase-1 and renal protection. Treatment of human proximal tubule epithelial (HK-2) cells with a selective A1 adenosine receptor agonist, chloro-N(6)-cyclopentyladenosine (CCPA), induced the expression of IL-11 mRNA and protein in an extracellular signal-regulated kinase-dependent manner, and administration of CCPA in mice induced renal synthesis of IL-11. Pretreatment with CCPA protected against renal ischemia-reperfusion injury in wild-type mice, but not in IL-11 receptor-deficient mice. Administration of an IL-11-neutralizing antibody abolished the renal protection provided by CCPA. Similarly, CCPA did not induce renal IL-11 expression or protect against renal ischemia-reperfusion injury in mice lacking the renal proximal tubular A1 adenosine receptor. Finally, treatment with CCPA induced sphingosine kinase-1 in HK-2 cells and wild-type mice, but not in IL-11 receptor-deficient or renal proximal tubule A1 adenosine receptor-deficient mice. Taken together, these results suggest that induction of renal proximal tubule IL-11 is a critical intermediary in A1 adenosine receptor-mediated renal protection that warrants investigation as a novel therapeutic target for the treatment of ischemic AKI.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Acute Kidney Injury / metabolism*
  • Acute Kidney Injury / prevention & control*
  • Adenosine / analogs & derivatives
  • Adenosine / pharmacology
  • Adenosine / therapeutic use
  • Adenosine A1 Receptor Agonists / pharmacology
  • Adenosine A1 Receptor Agonists / therapeutic use
  • Animals
  • Cell Line
  • Humans
  • Interleukin-11 / biosynthesis
  • Interleukin-11 / physiology*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Receptor, Adenosine A1 / genetics
  • Receptor, Adenosine A1 / physiology*
  • Reperfusion Injury / metabolism*
  • Reperfusion Injury / prevention & control*

Substances

  • Adenosine A1 Receptor Agonists
  • Interleukin-11
  • Receptor, Adenosine A1
  • 2-chloro-N(6)cyclopentyladenosine
  • Adenosine