Department of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Cooperate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany.
Department of Nephropathology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Krankenhausstraße 8-10, 91054, Erlangen, Germany.
J Mol Med (Berl). 2022 Sep;100(9):1321-1330. doi: 10.1007/s00109-022-02234-y. Epub 2022 Aug 2.
Calcification and chronic inflammation of the vascular wall is a high-risk factor for cardiovascular mortality, especially in patients with chronic uremia. For the reduction or prevention of rapid disease progression, no specific treatment options are currently available. This study aimed to evaluate an adenine-based uremic mouse model for studying medial vessel calcification and senescence-associated secretory phenotype (SASP) changes of aortic tissue to unravel molecular pathogenesis and provide a model for therapy testing. The dietary adenine administration induced a stable and similar degree of chronic uremia in DBA2/N mice with an increase of uremia blood markers such as blood urea nitrogen, calcium, creatinine, alkaline phosphatase, and parathyroid hormone. Also, renal fibrosis and crystal deposits were detected upon adenine feeding. The uremic condition is related to a moderate to severe medial vessel calcification and subsequent elastin disorganization. In addition, expression of osteogenic markers as Bmp-2 and its transcription factor Sox-9 as well as p21 as senescence marker were increased in uremic mice compared to controls. Pro-inflammatory uremic proteins such as serum amyloid A, interleukin (Il)-1β, and Il-6 increased. This novel model of chronic uremia provides a simple method for investigation of signaling pathways in vascular inflammation and calcification and therefore offers an experimental basis for the development of potential therapeutic intervention studies.
血管壁的钙化和慢性炎症是心血管死亡率的一个高危因素,尤其是在慢性尿毒症患者中。为了减少或预防疾病的快速进展,目前还没有特定的治疗选择。本研究旨在评估一种基于腺嘌呤的尿毒症小鼠模型,用于研究主动脉组织的中层血管钙化和衰老相关分泌表型(SASP)变化,以揭示分子发病机制,并为治疗测试提供模型。饮食中添加腺嘌呤可诱导 DBA2/N 小鼠发生稳定且相似程度的慢性尿毒症,导致尿毒症血液标志物如血尿素氮、钙、肌酐、碱性磷酸酶和甲状旁腺激素水平升高。此外,在给予腺嘌呤后还检测到肾脏纤维化和晶体沉积。尿毒症与中膜血管的中度至重度钙化以及随后的弹性蛋白紊乱有关。此外,与对照组相比,尿毒症小鼠中骨形成标志物如 Bmp-2 及其转录因子 Sox-9 以及衰老标志物 p21 的表达增加。促炎尿毒症蛋白如血清淀粉样蛋白 A、白细胞介素(Il)-1β 和 Il-6 增加。这种慢性尿毒症的新型模型提供了一种简单的方法来研究血管炎症和钙化中的信号通路,因此为潜在治疗干预研究的发展提供了实验基础。