4.6 Article

Assessing the Global Impact on the Mouse Kidney After Traumatic Brain Injury: A Transcriptomic Study

Journal

JOURNAL OF INFLAMMATION RESEARCH
Volume 15, Issue -, Pages 4833-4851

Publisher

DOVE MEDICAL PRESS LTD
DOI: 10.2147/JIR.S375088

Keywords

traumatic brain injury; nephropathy; complement system; lactate metabolism; immune cell infiltration

Categories

Funding

  1. Chi-Mei Medical Center [CMNDMC11005]
  2. Ministry of National Defense-Medical Affairs Bureau [MND-MAB-D-111071, MND-MAB-104-46]
  3. Tri-Service General Hospital [TSGH-D-111104, TSGH-E-110116]
  4. National Science and Technology Council, Taiwan (R.O.C.) [NSTC-111-2314-B-016 -019-MY3]

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In this study, animal models combined with bioinformatics strategies were used to investigate the potential changes in overall renal transcriptional expression after traumatic brain injury. The results showed that traumatic brain injury may affect the expression of mitochondria function-related genes in renal cells and promote autoinflammation in kidney tissue through mechanisms related to immune cell migration. The findings provide new insights into the effects of brain trauma on the kidney.
Purpose: In this study, we use animal models combined with bioinformatics strategies to investigate the potential changes in overall renal transcriptional expression after traumatic brain injury. Methods: Microarray analysis was performed after kidney acquisition using unilateral controlled cortical impact as the primary mouse TBI model. Multi-oriented gene set enrichment analysis was performed for differentially expressed genes.Results: The results showed that TBI affected the gene set associated with mitochondria function in kidney cells, and a negative enrichment of gene sets associated with immune cell migration and epidermal development was also observed. Analysis of the disease phenotype gene set revealed that differential expression of mitochondria-related genes was associated with lactate metabolism. Alternatively, activation and adhesion of immune cells associated with the complement system may promote autoinflammation in kidney tissue. The simulated immune cell infiltration analysis showed an increase in the proportion of activated memory CD4 T cells and a decrease in the proportion of resting memory CD4 T cells, suggesting that activated memory CD4 T cell infiltration may be involved in the inflammation of renal tissue and cause damage to renal cells, such as principal cells, mesangial cells and loops of Henle cells.Conclusion: This study is the first to reveal the effects of brain trauma on the kidney. TBI may affect the expression of mitochondria function-related gene sets in renal cells by increasing lactate. It may also affect renal mesangial cells by inducing increased infiltration of immune cells through mechanisms related to complement system activation or autoimmune antibodies.

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