Lupus & antiphospholipid syndrome

Granulin in renal tubular epithelia is associated with interstitial inflammation and activates the TLR9-IFN-α pathway in lupus nephritis

LupusPublished Mechanistic study

Authors' conclusion

The expression of GRN in RTECs is associated with interstitial inflammation and therapeutic response. GRN may mediate the activation of the TLR9-IFN-α pathway in RTECs and involve in the micro-environment of inflammatory response in LN.

Study context

Population
Renal sections from lupus nephritis (LN) and non-LN patients; Granulin (GRN)-overexpressing renal tubular epithelial cells (RTECs)
Participants
57 vs 30
Comparison
LN vs non-LN renal sections; GRN-overexpressing RTECs
  • LNn = 57
  • Non-LNn = 30reference
Methodological detailshistological study, cytological study
  • Histological study
  • Cytological study

Main finding

As reported in the abstract

  • GRN highly expressed in LN RTECs with tubulointerstitial inflammation (TII) and well co-localized with TLR9
  • ROC analysis suggested a potential relationship between GRN expression in RTECs and therapeutic response
  • IFN-α highly expressed in LN RTECs with TII; IFN-α intensity positively correlated with GRN–TLR9 co-localization intensity
  • LN serum, especially from LN with TII, activates TLR9 expression in RTECs
  • GRN engages TLR9 to activate IFN-α expression in RTECs
  • TLR9 inhibitors suppress IFN-α expression in RTECs, dose-dependently

Original publication

Granulin in renal tubular epithelia is associated with interstitial inflammation and activates the TLR9-IFN-α pathway in lupus nephritis. Lupus. Published 9 February 2024. doi:10.1177/09612033241232575

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