IL‐12 directs severe renal injury, crescent formation and Th1 responses in murine glomerulonephritis

Glomerular crescent formation characterizes severe glomerulonephritis (GN). Evidence suggests that crescent formation results from a delayed‐type hypersensitivity‐like Th1 response. As IL‐12 directs Th1 responses, we tested the hypothesis that IL‐12 is important in crescentic GN. Neutralization of IL‐12 attenuated crescent formation and cell‐mediated injury in C57BL/6 mice sensitized to and challenged with sheep anti‐mouse glomerular basement membrane (GBM) globulin. Recombinant IL‐12 induced severe crescentic GN with enhanced Th1 responses in C57BL/6 mice in which non‐crescentic GN was induced by injecting anti‐GBM globulin into naive mice. BALB/c mice do not develop significant crescent formation in these models, due either to regulatory effects of IL‐4, or to deficits in IL‐12 production/responsiveness. Administering IL‐12 to BALB/c mice with GN induced Th1 responses and crescent formation, whereas IL‐4‐deficient BALB/c mice did not develop cell‐mediated crescentic injury when GN was induced in sensitized mice. These results establish a central role for IL‐12 in severe crescentic GN.

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