Institute of Medical Sciences, University of Toronto, Toronto, ON M5S 1A8, Canada.
Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1G6, Canada.
Int J Mol Sci. 2020 Dec 17;21(24):9620. doi: 10.3390/ijms21249620.
Renal ischemia reperfusion injury (IRI) is associated with inflammation, including neutrophil infiltration that exacerbates the initial ischemic insult. The molecular pathways involved are poorly characterized and there is currently no treatment. We performed an in silico analysis demonstrating changes in NFκB-mediated gene expression in early renal IRI. We then evaluated NFκB-blockade with a BRD4 inhibitor on neutrophil adhesion to endothelial cells in vitro, and tested BRD4 inhibition in an in vivo IRI model. BRD4 inhibition attenuated neutrophil adhesion to activated endothelial cells. In vivo, IRI led to increased expression of cytokines and adhesion molecules at 6 h post-IRI with sustained up-regulated expression to 48 h post-IRI. These effects were attenuated, in part, with BRD4 inhibition. Absolute neutrophil counts increased significantly in the bone marrow, blood, and kidney 24 h post-IRI. Activated neutrophils increased in the blood and kidney at 6 h post-IRI and remained elevated in the kidney until 48 h post-IRI. BRD4 inhibition reduced both total and activated neutrophil counts in the kidney. IRI-induced tubular injury correlated with neutrophil accumulation and was reduced by BRD4 inhibition. In summary, BRD4 inhibition has important systemic and renal effects on neutrophils, and these effects are associated with reduced renal injury.
肾缺血再灌注损伤(IRI)与炎症有关,包括中性粒细胞浸润,从而加重最初的缺血损伤。涉及的分子途径尚未得到很好的描述,目前尚无治疗方法。我们进行了一项计算机分析,证明了早期肾 IRI 中 NFκB 介导的基因表达变化。然后,我们在体外评估了 BRD4 抑制剂对中性粒细胞与内皮细胞黏附的作用,并在体内 IRI 模型中测试了 BRD4 抑制作用。BRD4 抑制可减轻中性粒细胞与激活的内皮细胞的黏附。在体内,IRI 导致细胞因子和黏附分子在 IRI 后 6 小时表达增加,并持续上调至 IRI 后 48 小时。BRD4 抑制部分减轻了这些影响。骨髓、血液和肾脏中的中性粒细胞计数在 IRI 后 24 小时显著增加。激活的中性粒细胞在 IRI 后 6 小时增加,并在 IRI 后 48 小时在肾脏中保持升高。BRD4 抑制可减少肾脏中的总和激活中性粒细胞计数。IRI 诱导的肾小管损伤与中性粒细胞积累相关,并可通过 BRD4 抑制减轻。总之,BRD4 抑制对中性粒细胞具有重要的全身和肾脏作用,这些作用与减轻肾脏损伤有关。
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