Chang Ting-Ting, Li Szu-Yuan, Tsai Ming-Tsun, Chiang Chih-Hung, Chen Ching, Chen Jaw-Wen
Department and Institute of Pharmacology, National Yang Ming Chiao Tung University, Taipei, Taiwan.
School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Clin Sci (Lond). 2024 Nov 20;138(22):1451-1466. doi: 10.1042/CS20241713.
Acute kidney injury (AKI) increases the risk of chronic kidney disease (CKD). CXC motif chemokine ligand 5 (CXCL5) is up-regulated in kidney diseases. We aimed to investigate the direct effect of CXCL5 on the pathology of AKI. Serum and renal expression of CXCL5 were increased in animals with renal ischemia-reperfusion injury or unilateral ureteral obstruction. CXCL5-knockout mice exhibited reduced systemic oxidative stress and preserved renal function in the acute and chronic phases of AKI, as evidenced by reductions in serum BUN and creatinine levels, the urinary albumin-to-creatinine ratio, and the kidney-to-body weight ratio. CXCL5-knockout mice improved AKI-induced tubular injury and fibrosis, reduced renal macrophage infiltration, and reduced expression of NADPH oxidase and inflammatory and fibrotic proteins. CXCL5 activated p47 to up-regulate ROS generation and induce cellular damages through CXCR2. CXCL5 knockdown exerted antioxidative, anti-inflammatory, anti-fibrotic, and anti-apoptotic effects on hypoxia-reoxygenation-stimulated renal proximal tubular epithelial cells. Clinical data indicated elevated circulating and renal CXCL5 in CKD patients, and renal CXCL5 was correlated with increased renal fibrosis and decreased estimated glomerular filtration rate. Altogether, CXCL5 levels increased in experimental AKI and clinical CKD, and in vivo and in vitro CXCL5 inhibition may reduce acute tubular injury and prevent the subsequent progression from AKI to CKD.
急性肾损伤(AKI)会增加慢性肾脏病(CKD)的风险。CXC基序趋化因子配体5(CXCL5)在肾脏疾病中表达上调。我们旨在研究CXCL5对AKI病理的直接影响。在肾缺血-再灌注损伤或单侧输尿管梗阻的动物中,血清和肾脏中CXCL5的表达增加。CXCL5基因敲除小鼠在AKI的急性和慢性阶段表现出全身氧化应激减轻和肾功能保留,血清尿素氮和肌酐水平、尿白蛋白与肌酐比值以及肾脏与体重比值降低证明了这一点。CXCL5基因敲除小鼠改善了AKI诱导的肾小管损伤和纤维化,减少了肾脏巨噬细胞浸润,并降低了NADPH氧化酶以及炎症和纤维化蛋白的表达。CXCL5激活p47以上调活性氧生成并通过CXCR2诱导细胞损伤。CXCL5基因敲低对缺氧-复氧刺激的肾近端小管上皮细胞具有抗氧化、抗炎、抗纤维化和抗凋亡作用。临床数据表明CKD患者循环和肾脏中的CXCL5升高,并且肾脏CXCL5与肾纤维化增加和估计肾小球滤过率降低相关。总之,实验性AKI和临床CKD中CXCL5水平升高,体内和体外抑制CXCL5可能会减少急性肾小管损伤并防止随后从AKI进展为CKD。
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