Heart and Kidney Institute, College of Pharmacy, University of Houston, Houston, Texas.
Am J Physiol Renal Physiol. 2022 Jul 1;323(1):F33-F47. doi: 10.1152/ajprenal.00283.2021. Epub 2022 May 9.
Ischemia-reperfusion (I/R) is considered the primary cause of acute kidney injury and is higher among older individuals. Although ischemic episodes are hard to predict and prevent, detrimental ischemic effects could be mitigated by exogenous intervention. This study aimed to identify the protective role of angiotensin (1-7) [ANG(1-7)] against I/R-induced renal injury in adult versus aged rats. Adult and aged male Fisher 344 rats were subjected to 40 min of bilateral renal ischemia followed by 28 days of reperfusion. ANG(1-7) was administered intraperitoneally in ischemic rats for 28 days with or without the Mas receptor antagonist A779. I/R increased blood pressure, plasma creatinine, urinary 8-isoprostane, and renal infiltration of pro- and anti-inflammatory macrophages and reduced glomerular filtration rate in both adult and aged rats compared with sham rats. In addition to causing glomerular sclerosis and tubular damage, I/R increased the expression of the following pathogenic miRNAs: miR-20a-5p, miR-21-5p, miR-24-3p, and miR-194-5p in both age groups. ANG(1-7) treatment of ischemic rats mitigated oxidative stress and renal inflammation, restored renal structure and function, and reduced high blood pressure. Also, ANG(1-7) suppressed the expression of pathogenic miRNAs. In addition, ANG(1-7) treatment of I/R rats increased the expression of the redox-sensitive transcription factor nuclear factor-erythroid factor 2-related factor 2 (NRF2) and phase II antioxidant enzymes. The beneficial effects of ANG(1-7) were sensitive to A779. Collectively, these data suggest that ANG(1-7) associated with NRF2 activation could alleviate post-I/R-induced kidney injury, and therefore serve as a potential therapeutic compound to protect against biochemical and morphological pathologies of I/R in both adults and aged populations. This is the first study to show that ANG(1-7) via Mas receptors could activate the redox-sensitive nuclear factor-erythroid factor 2-related factor 2 (NRF2)-phase II antioxidant system and protect against ischemia-reperfusion (I/R)-induced renal injury, identifying ANG(1-7), Mas receptor agonists, or NRF2 activators as potential therapeutic interventions to protect against renal and cardiovascular diseases. Moreover, miRNAs have differential expression in adult versus aged rats, and I/R modulates miRNA expression in both age groups, indicating their involvement in kidney disease.
缺血再灌注(I/R)被认为是急性肾损伤的主要原因,在老年人中更为常见。虽然缺血事件难以预测和预防,但通过外源性干预可以减轻有害的缺血效应。本研究旨在确定血管紧张素(1-7)[ANG(1-7)]在成年和老年大鼠中对缺血再灌注诱导的肾损伤的保护作用。成年和老年雄性 Fisher 344 大鼠接受双侧肾缺血 40 分钟,然后再灌注 28 天。在缺血大鼠中,ANG(1-7)通过腹膜内给药 28 天,并用或不用 Mas 受体拮抗剂 A779 处理。与假手术大鼠相比,I/R 增加了成年和老年大鼠的血压、血浆肌酐、尿 8-异前列腺素和促炎和抗炎巨噬细胞的肾浸润,并降低了肾小球滤过率。除了引起肾小球硬化和肾小管损伤外,I/R 还增加了两组致病 miRNA 的表达:miR-20a-5p、miR-21-5p、miR-24-3p 和 miR-194-5p。缺血大鼠的 ANG(1-7)治疗减轻了氧化应激和肾炎症,恢复了肾功能和结构,并降低了高血压。此外,ANG(1-7)抑制了致病 miRNA 的表达。此外,ANG(1-7)治疗 I/R 大鼠增加了氧化还原敏感转录因子核因子-红细胞 2 相关因子 2(NRF2)和 II 相抗氧化酶的表达。ANG(1-7)的有益作用对 A779 敏感。总的来说,这些数据表明,ANG(1-7)与 NRF2 激活相关可减轻 I/R 后诱导的肾损伤,因此可作为一种潜在的治疗化合物,以保护成年人和老年人免受 I/R 的生化和形态病理学影响。这是第一项表明 ANG(1-7)通过 Mas 受体可以激活氧化还原敏感的核因子-红细胞 2 相关因子 2(NRF2)-II 相抗氧化系统并保护缺血再灌注(I/R)诱导的肾损伤的研究,确定 ANG(1-7)、Mas 受体激动剂或 NRF2 激活剂作为潜在的治疗干预措施,以保护肾脏和心血管疾病。此外,miRNA 在成年和老年大鼠中的表达存在差异,I/R 调节两组大鼠中 miRNA 的表达,表明它们参与了肾脏疾病。
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