Sir, Response to Dr Sanjay et al We wish to thank Sanjay et al for spotting the typo in our report on the awareness and use of nutritional supplementations for patients with age-related macular degeneration. We stand corrected: only 9.2-30% were familiar with this condition as a cause for loss of vision. We would like to take this opportunity to congratulate our colleagues in Singapore for their excellent work in furthering the dissemination of information on this critically important topic and hope that their efforts will be imitated worldwide.
IntroductionPathophysiological changes associated with chronic kidney disease impair angiogenic processes and increase renal fibrosis. Progenitor-like cells derived from adult kidney have been previously used to promote regeneration in acute kidney injury, even though it remained unclear whether the cells could be beneficial in chronic kidney disease (CKD).MethodsIn this study, we established a CKD model by five-sixths nephrectomy and mouse kidney progenitor-like cells (MKPCs) were intravenously administered weekly for 5 weeks after establishing CKD. We examined the impact of MKPCs on the progression of renal fibrosis and the potential of MKPCs to preserve the angiogenic process and prevent endothelial mesenchymal transition in vivo and in vitro.ResultsOur results demonstrate that the MKPCs delayed interstitial fibrosis and the progression of glomerular sclerosis and ameliorated the decline of kidney function. At 17 weeks, the treated mice exhibited lower blood pressures, higher hematocrit levels, and larger kidney sizes than the control mice. In addition, the MKPC treatment prolonged the survival of the mice with chronic kidney injuries. We observed a decreased recruitment of macrophages and myofibroblasts in the interstitium and the increased tubular proliferation. Notably, MKPC both decreased the level of vascular rarefaction and prevented endothelial mesenchymal transition (EndoMT) in the remnant kidneys. Moreover, the conditioned medium from the MKPCs ameliorated endothelial cell death under hypoxic culture conditions and prevented TGF-β-induced EndoMT through downregulation of phosphorylated Smad 3 in vitro.ConclusionsMKPCs may be a beneficial treatment for kidney diseases characterized by progressive renal fibrosis. The enhanced preservation of angiogenic processes following MKPC injections may be associated with decreased fibrosis in the remnant kidney. These findings provide further understanding of the mechanisms involved in these processes and will help develop new cell-based therapeutic strategies for regenerative medicine in renal fibrosis.Electronic supplementary materialThe online version of this article (doi:10.1186/s13287-015-0241-8) contains supplementary material, which is available to authorized users.
Summary. Using water intake as an indicator of vasopressin deficiency, the minimum quantity of vasopressin in tlie neurohypophysis necessary for water balance was measured in rats with different degrees of electrolytic lesions placed in the hypothalamus. The minimum quantity of vasopressin in the rat neurohypophysis necessary for water balance was found to be 50 miliiunits. equivalent to about 8X of the total amount of vasopressin found in the posterior pituitary of normal rats.INTRODUCTION.
and naïve CD8+ Tregs was observed when using immature allogeneic pDCs and myeloid CD4-OX62+ DCs, but less when using immature myeloid CD4+OX62+ DCs and mature pDCs. Suppression of MLRs by tolerogenic CD8+ Tregs was stronger vs. naïve CD8+ Tregs when using pDCs. Suppression of MLRs by tolerogenic CD8+ Tregs was donor alloantigen-specifi c when alloantigen was presented by both immature donor pDCs or recipient pDCs loaded with donor antigens. Suppression of CD4+CD25-T cells in MLRs by tolerogenic CD8+ Tregs was cell contact independent. Contact between tolerogenic CD8+ Tregs and pDCs was critical for their suppressive function. IDO and iNOS were involved since the use of specifi c inhibitors abrogated MLR inhibition in vitro and triggered rejection of tolerated grafts in vivo. Conclusion: Tolerogenic CD8+ Tregs are generated as early as in 1 week after CD40Ig treatment in the spleen, which is the main storage organ, and from where they migrate into the graft. Bone marrow is an alternative generation site for tolerogenic CD8+ Tregs. In vitro, the alloantigen-specifi c suppression by tolerogenic CD8+ Tregs is preferentially mediated by immature pDCs. Cell contact between pDCs and CD8+ Tregs is necessary for the tolerogenic function through the induction of IDO and iNOS.
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