Mutation of RORγT reveals a role for Th17 cells in both injury and recovery from renal ischemia-reperfusion injury.
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| Abstract | 
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              To investigate T helper type 17 (Th17) cells in the setting of acute kidney injury, the gene encoding the master regulator of Th17 cell differentiation, that is, RAR-related orphan receptor-γ (RORγT), was mutated in Lewis rats using CRISPR/Cas9 technology. In response to 40 min of bilateral renal ischemia-reperfusion (I/R), RAR-related orphan receptor C () rats were resistant to injury relative to wild-type rats. This protection was associated with inhibition of IL-17 expression and reduced infiltration of CD4 cells, CD8 cells, B cells, and macrophages. To evaluate the effect of Th17 cells on repair, ischemia was increased to 50 min in rats. This maneuver equalized the initial level of injury in and rats 1 to 2 days post-I/R based on serum creatinine values. However, rats, but not rats, failed to successfully recover renal function and had high mortality by 4 days post-I/R. Histological assessment of kidney tubules showed evidence of repair by post-I/R in rats but persistent necrosis and elevated cell proliferation in rats. Adoptive transfer of CD4 cells from the spleen of rats or supplementation of exogenous rIL-17 by an osmotic minipump improved renal function and survival of rats following 50 min of I/R. This was associated with a relative decrease in the number of M-type macrophages and a relative increase in the percentage of T regulatory cells. Taken together, these data suggest that Th17 cells have both a deleterious and a beneficial role in kidney injury and recovery, contributing to early postischemic injury and inflammation but also possibly being critical in the resolution of inflammation during kidney repair.  | 
        
| Year of Publication | 
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              2020 
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| Journal | 
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              American journal of physiology. Renal physiology 
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| Volume | 
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              319 
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| Issue | 
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              5 
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| Number of Pages | 
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              F796-F808 
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| Date Published | 
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              2020 
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| ISSN Number | 
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              1931-857X 
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| URL | 
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              https://journals.physiology.org/doi/10.1152/ajprenal.00187.2020?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed 
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| DOI | 
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              10.1152/ajprenal.00187.2020 
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| Short Title | 
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              Am J Physiol Renal Physiol 
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