Granulocyte colony-stimulating factor treatment ameliorates lupus nephritis through the expansion of regulatory T cells

This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.Abstract Background Granulocyte colony-stimulating factor (G-CSF) can induce regulatory T cells (Tregs) as well as myeloid-derived suppressor cells (MDSCs). Despite the immune modulatory effects of G-CSF, results of G-CSF treatment in systemic lupus erythematosus are still controversial. We therefore investigated whether G-CSF can ameliorate lupus nephritis and studied the underlying mechanisms. Methods NZB/W F1 female mice were treated with G-CSF or phosphate-buffered saline for 5 consecutive days every week from 24 weeks of age, and were analyzed at 36 weeks of age. Results G-CSF treatment decreased proteinuria and serum anti-dsDNA, increased serum complement component 3 (C3), and attenuated renal tissue injury including deposition of IgG and C3. G-CSF treatment also decreased serum levels of BUN and creatinine, and ultimately decreased mortality of NZB/W F1 mice. G-CSF treatment induced expansion of CD4+CD25+Foxp3+ Tregs, with decreased renal infiltration of T cells, B cells, inflammatory granulocytes and monocytes in both kidneys and spleen. G-CSF treatment also decreased expression levels of MCP-1, IL-6, IL-2, and IL-10 in renal tissues as well as serum levels of MCP-1, IL-6, TNF-α, IL-10, and IL-17. When Tregs were depleted by PC61 treatment, G-CSF-mediated protective effects on lupus nephritis were abrogated. Conclusions G-CSF treatment ameliorated lupus nephritis through the preferential expansion of CD4+CD25+Foxp3+ Tregs. Therefore, G-CSF has a therapeutic potential for lupus nephritis

Consensus conference on best practices in live kidney donation: recommendations to optimize education, access, and care.

Live donor kidney transplantation is the best treatment option for most patients with late-stage chronic kidney disease; however, the rate of living kidney donation has declined in the United States. A consensus conference was held June 5-6, 2014 to identify best practices and knowledge gaps pertaining to live donor kidney transplantation and living kidney donation. Transplant professionals, patients, and other key stakeholders discussed processes for educating transplant candidates and potential living donors about living kidney donation; efficiencies in the living donor evaluation process; disparities in living donation; and financial and systemic barriers to living donation. We summarize the consensus recommendations for best practices in these educational and clinical domains, future research priorities, and possible public policy initiatives to remove barriers to living kidney donation

Insectivory in Potamotrygon signata (Chondrichthyes: Potamotrygonidae), an endemic freshwater stingray from the Parnaíba River basin, northeastern Brazil

Potamotrygon signata is an endemic freshwater stingray species in the Parnaíba River basin, Brazil. After its original description, only citations in systematic lists were recorded in the literature and the biology of the species remains unknown, including the feeding habits. The aim of this study is to characterize the overall diet of P. signata based on analysing stomach contents and to provide preliminary information on intraspecific diet variability between sexes and maturity stages. The stomach contents of 56 specimens of P. signata were analyzed. The taxonomic identification of food items showed the presence of 13 prey orders, including insects, mollusks, crustaceans and teleost fish. The Index of Relative Importance (IRI%) indicated P. signata as an insectivorous species, with a dominance of Diptera larvae (60.64%) and Ephemeroptera nymphs (34.68%). Differences in diet were observed between sexes, as well as between mature and immature individuals. The IRI% of females showed a similar occurrence of Diptera and Ephemeroptera (47.12% and 47.86%, respectively), whereas for males, Ephemeroptera was the main item (79.56%). Immature individuals showed a dominance of Diptera (76.20%) while mature individuals showed a similar occurrence of Diptera (46.95%) and Ephemeroptera (47.23%). The observed sexual and ontogenetic differences in diet may be related to distinct nutritional requirements of males and females, and to the variation of morphological aspects of the oral apparatus and dentition of males and females and of immature individuals and adults. The essentially insectivorous diet of the species is possibly adaptively advantageous in the Caatinga semi-arid environment, where the availability of fish as prey may be subject to strong seasonal variation