title: Renal tubular epithelial and T cell interactions in autoimmune renal disease.
abstract: Interaction between epithelial cells and T cells may initiate autoimmune tissue destruction. Renal tubular epithelial cells may participate in such immune interactions since they: (1) can be induced to express surface molecules which facilitate engagement with T cells; (2) secrete and express membrane bound cytokines; (3) are exposed to peptides from blood and the glomerular filtrate and are capable of processing these potentially immunogenic peptides. We have recently established T cell clones captured from the interstitium of MRL-lpr mice with lupus nephritis. These T cell clones are unique and are regulated by the lpr gene. They express the alpha/beta T cell receptor, and beta cell markers, but do not display CD4 or CD8 on their surface. These T cell clones proliferate to renal tubular cells but not to cells from other tissues and secrete IFN-gamma which induces class II and ICAM-1 on renal tubular epithelial cells. Expression of class II and ICAM-1 induced by IFN-gamma renders these epithelial cells capable of triggering T cell hybridomas to proliferate and secrete IL-2. Therefore, renal tubular epithelial cells are capable of processing and presenting antigen. This review will focus on the dynamic interaction of renal epithelial cells and T cells and discuss its importance in the initiation of autoimmune renal injury.
authors.affiliation: Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
authors.forename: V R
authors.initials: VR
authors.lastname: Kelley
authors.forename: C
authors.initials: C
authors.lastname: Diaz-Gallo
authors.forename: A M
authors.initials: AM
authors.lastname: Jevnikar
authors.forename: G G
authors.initials: GG
authors.lastname: Singer
mesh_terms: D000818:Animals; D000938:Antigen-Presenting Cells / Q000276:immunology; D001327:Autoimmune Diseases / Q000209:etiology*; D015815:Cell Adhesion Molecules / Q000096:biosynthesis; D016207:Cytokines / Q000096:biosynthesis; D004848:Epithelium / Q000276:immunology; D000949:Histocompatibility Antigens Class II / Q000096:biosynthesis; D018799:Intercellular Adhesion Molecule-1; D007674:Kidney Diseases / Q000209:etiology*; D007684:Kidney Tubules / Q000276:immunology; D008181:Lupus Nephritis / Q000235:genetics / Q000276:immunology; D008213:Lymphocyte Activation; D051379:Mice; D013601:T-Lymphocytes / Q000276:immunology
chemical_list: D015815:Cell Adhesion Molecules; D016207:Cytokines; D000949:Histocompatibility Antigens Class II; D018799:Intercellular Adhesion Molecule-1