Dr Alikhan |
Published this week in the internationally top-ranking Journal
of the American Society of Nephrology, postdoctoral scientist Dr Maliha Alikhan’s
study helps us understand how toll-like receptors (TLRs) work in inflammation
and in acute kidney injury (AKI).
AKI is a major cause of morbidity and mortality for
hospitalised patients throughout the world.
In a world-first, Dr Alikhan has characterised and defined an
unexpected protective role of the protein Toll-like receptor 9 (TLR9) in inflammation
that results in AKI.
“Our research used a
model of a very common form of kidney disease, where disease onset is often predictable
and develops after medical procedures and therapies,” said Dr Alikhan.
“We found that TLR9,
that senses danger signals, limits kidney injury by helping protective cells called
regulatory T cells move to the kidney to limit damage.”
Helping regulatory cells move to sites of inflammation could
be a more specific way of treating inflammatory diseases and AKI.
“Our findings were new and quite unexpected,” added Dr
Alikhan.
“The thinking has
been these toll-like receptors sense danger in the body and tend to promote
inflammation to increase tissue injury. We have found that for TLR9, the
opposite occurs in AKI.”
This improved understanding and novel insight into both how
TLR9 works in the body and the mechanisms of AKI could lead to new therapeutic
applications that improve patient outcomes.
“This project was built on the work of the late Dr Shaun
Summers, an esteemed Monash University clinician researcher and it has been
gratifying to publish it in a high impact journal,” said Dr Alikhan.