IL-10 is a pluripotent
cytokine that plays a pivotal role in the regulation of immune and inflammatory responses. Whereas short-term administration of
IL-10 has shown benefit in acute
glomerulonephritis, no studies have addressed the potential benefits of
IL-10 in
chronic renal disease. Chronically elevated blood levels of
IL-10 in rats were achieved by administration of a recombinant adeno-associated virus serotype 1
IL-10 (rAAV1-IL-10) vector. Control rats were given a similar dose of rAAV1-GFP. Four weeks after injection,
IL-10 levels in serum were measured by ELISA, and
chronic renal disease was induced by a 5/6
nephrectomy (n = 6 in each group). Eight weeks later, rats were killed and renal tissue was obtained for
RNA,
protein, and immunohistochemical analysis. Serum levels of
IL-10 were 12-fold greater in the rAAV1-IL-10 group by 4 wk after rAAV1-IL-10 administration (345 +/- 169 versus 28 +/- 15 pg/ml; P = 0.001), and levels were maintained throughout the experiment. rAAV1-IL-10 treatment resulted in less
proteinuria (P < 0.05), lower serum
creatinine (P < 0.05), and higher
creatinine clearances (P < 0.01) compared with rAAV1-GFP-treated rats. Renal interstitial infiltration was significantly attenuated by rAAV1-IL-10 administration as assessed by numbers of CD4+, CD8+, monocyte-macrophages (ED-1+) and dendritic (OX-62+) cells (P < 0.05), and this correlated with reductions in the renal expression of monocyte (renal
monocyte chemoattractant protein-1 mRNA and
protein) and T cell (
RANTES mRNA)
chemokines. rAAV1-IL-10 administration decreased
mRNA levels of IFN-gamma and
IL-2 in the kidney. The reduction in inflammatory cells was associated with a significant reduction in glomerulosclerosis and interstitial
fibrosis. It is concluded that
IL-10 blocks
inflammation and improves renal function in this model of
chronic renal disease. The feasibility of long-term overexpression of a gene using the AAV serotype 1 vector system in a model of renal disease is also demonstrated.