ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005

email@asn-online.org

202-640-4660

The Latest on X

Kidney Week

Please note that you are viewing an archived section from 2023 and some content may be unavailable. To unlock all content for 2023, please visit the archives.

Abstract: TH-OR04

Analysis of the Immune Cell Landscape Identifies Immunosenescence as a Therapeutic Target in Rhabdomyolysis-Induced AKI

Session Information

Category: Acute Kidney Injury

  • 103 AKI: Mechanisms

Authors

  • Rao, Snigdha N., INSERM U1297, Toulouse, FRANCE, France
  • Saulnier-Blache, Jean Sébastien, INSERM U1297, Toulouse, FRANCE, France
  • Schanstra, Joost, INSERM U1297, Toulouse, FRANCE, France
  • Belliere, Julie, INSERM U1297, Toulouse, FRANCE, France
Background

Rhabdomyolysis (RM) accounts for 10% of the acute kidney injury (AKI) cases. The role of macrophages in the development of RM-AKI lesions has been clearly established, but a high resolution understanding of the changes in the immune landscape could help to improve targeted strategies.

Methods

Single-cell RNA sequencing was used in the murine glycerol-induced RM-AKI model to dissect the transcriptomic characteristics of CD45+ live cells sorted from kidneys 2 days after injury. A combination of senolytics (dasatinib and quercetin) was administered to mice exposed or not to RM-AKI.

Results

Unsupervised clustering of nearly 17,000 single-cell transcriptomes identified 7 known immune cell clusters. Sub-clustering of the mononuclear phagocyte cells (MPC), including monocytes, macrophages and dendritic cells, revealed 9 distinct cell sub-populations differently modified with RM. One macrophage cluster was particularly interesting since it behaved as a critical node in a trajectory connecting one MCHIIhigh cluster only present in control to 2 MCHIIlow clusters only present RM-AKI. Because this crucial cluster expressed senescence hallmark genes, the effect of combined dasatinib and quercetin (DQ) senolytics treatment was evaluated. DQ treatment in RM-AKI improved kidney function and blocked the known phenotypic switch from F4/80highCD11blow to F4/80lowCD11bhigh MPC.

Conclusion

scRNASeq identified novel renal myeloid subtypes after RM-AKI and unmasked a transition macrophage population affected by cellular senescence processes. This work provides a proof-of-concept that immunosenescence occurs during AKI and that senolytics deserve attention as potential nephroprotective drugs.