L Li, L Huang, H Ye, SP Song, A Bajwa, SJ Lee, EK Moser, K Jaworska, GR Kinsey, YJ Day, J Linden, PI Lobo, DL Rosin, MD Okusa. (2012). " Dendritic cells tolerized with adenosine A₂AR agonist attenuate acute kidney injury. " J Clin Invest. 122, 3931-42. PMID: 23093781 DOI: 10.1172/JCI63170
DC-mediated NKT cell activation is critical in initiating the immune response following kidney ischemia/reperfusion injury (IRI), which mimics human acute kidney injury (AKI). Adenosine is an important antiinflammatory molecule in tissue inflammation, and adenosine 2A receptor (A₂AR) agonists protect kidneys from IRI through their actions on leukocytes. In this study, we showed that mice with A₂AR-deficient DCs are more susceptible to kidney IRI and are not protected from injury by A₂AR agonists. In addition, administration of DCs treated ex vivo with an A₂AR agonist protected the kidneys of WT mice from IRI by suppressing NKT production of IFN-γ and by regulating DC costimulatory molecules that are important for NKT cell activation. A₂AR agonists had no effect on DC antigen presentation or on Tregs. We conclude that ex vivo A₂AR-induced tolerized DCs suppress NKT cell activation in vivo and provide a unique and potent cell-based strategy to attenuate organ IRI