In acute bacterial renal infections, which are most frequently caused by Es
cherichia coli, tubuloepithelial cells are involved with respect to bacteri
al adherence, invasion and cytotoxicity. In addition, cytokines expressed b
y tubuloepithelial cells may be relevant for the recruitment of inflammator
y cells and tissue damage in bacterial interstitial nephritis. We asked whi
ch inflammatory cytokines are produced by primary human tubuloepithelial ce
lls following in vitro exposure to E, coli and found no release of IL-6, IL
-8 and TNF-alpha by tubular cells challenged by bacteria. Purified virulenc
e factors (fimbriae, lipopolysaccharide) from E. coli were also without eff
ects on cytokine release by tubular cells. Since lymphocytic infiltration i
s a characteristic feature in the chronic form of interstitial nephritis, M
HC class II expression by tubular cells in response to bacterial coincubati
on was analyzed. Exposure to both IFN-gamma and E. coli enhanced MHC class
II expression on tubuloepithelial cells. In conclusion, tubuloepithelial ce
lls may play an active role in the local defense against bacteria, e.g, by
expressing MHC class II molecules. However, in vitro inflammatory cytokines
are not induced by E, coli in this cell population. Copyright (C) 2001 S.
Karger AG. Basel.