期刊
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
卷 23, 期 23, 页码 -出版社
MDPI
DOI: 10.3390/ijms232314573
关键词
ischemic preconditioning; NFkB-p65; pro-inflammatory cytokines; renal fibrosis; AKI to CKD transition
资金
- Mexican Council of Science and Technology (CONACyT) [A1-S-8715]
- Universidad Nacional Autonoma de Mexico [IN201619, IN201022]
- Aliados Estrategicos en Salud y Nutricion
After preconditioning with multiple episodes of mild or severe ischemia/reperfusion in experimental rats, it was found that the acute kidney injury caused by three episodes of IR had less long-term adverse effects on the kidneys, alleviating the progression to chronic kidney disease. This renal protection was associated with changes in molecular and cellular levels.
Preconditioning episodes of ischemia/reperfusion (IR) induce protection against acute kidney injury (AKI), however their long-term effect still unknown. We evaluated AKI to chronic kidney disease (CKD) transition, after three-mild or three-severe episodes of IR. AKI was induced by single bilateral IR (1IR), or three episodes of IR separated by 10-day intervals (3IR) of mild (20 min) or severe (45 min) ischemia. Sham-operated rats served as controls. During 9-months, the 1IR group (20 or 45 min) developed CKD evidenced by progressive proteinuria and renal fibrosis. In contrast, the long-term adverse effects of AKI were markedly ameliorated in the 3IR group. The acute response in 3IR, contrasted with the 1IR group, that was characterized by an increment in heme oxygenase-1 (HO-1) and an anti-inflammatory response mediated by a NFkB-p65 phosphorylation and IL-6 decrease, together with an increase in TGF-beta, and IL-10 expression, as well as in M2-macrophages. In addition, three episodes of IR downregulated endoplasmic reticulum (ER) stress markers expression, CHOP and BiP. Thus, repeated episodes of IR with 10-day intervals induced long-term renal protection accompanied with HO-1 overexpression and M2-macrophages increase.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据