Cold ischemia in the absence of alloreactivity induces chronic transplant nephropathy through a process mediated by the platelet-activating factor

Ischemia-reperfusion injury is considered a risk factor for the development of chronic transplant nephropathy (CTN) although the mechanisms that mediate its effects have not been completely established. We have previously shown that treatment with a platelet-activating factor (PAF) receptor antagoni...

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Veröffentlicht in:Transplantation 2000-12, Vol.70 (11), p.1624-1631
Hauptverfasser: HERRERO-FRESNEDA, Immaculada, TORRAS, Joan, LLOBERAS, Nuria, RIERA, Marta, CRUZADO, Josep M, CONDOM, Enric, MERLOS, Manel, ALSINA, Jeroni, GRINYO, Josep M
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container_end_page 1631
container_issue 11
container_start_page 1624
container_title Transplantation
container_volume 70
creator HERRERO-FRESNEDA, Immaculada
TORRAS, Joan
LLOBERAS, Nuria
RIERA, Marta
CRUZADO, Josep M
CONDOM, Enric
MERLOS, Manel
ALSINA, Jeroni
GRINYO, Josep M
description Ischemia-reperfusion injury is considered a risk factor for the development of chronic transplant nephropathy (CTN) although the mechanisms that mediate its effects have not been completely established. We have previously shown that treatment with a platelet-activating factor (PAF) receptor antagonist (UR12670) protected kidneys from the progression to chronic nephropathy induced by warm ischemia. Here we examine the contribution of cold ischemia to the development of late functional and structural kidney changes in rats subjected to syngeneic renal transplantation and the role of PAF in this chronic nephropathy. Lewis rats were used as kidney donors and recipients, which were transplanted either immediately or after a cold ischemia period of 5 hr. Contralateral nephrectomy was performed on the seventh day after transplantation. Cyclosporine was administered for 15 days after transplantation. Groups were as follows: Sy, immediate transplantation; SyI, transplantation after 5 hr of cold ischemia; SyIUr, transplantation after 5 hr of cold ischemia plus UR12670 from the transplantation day to the end of the study, at 24 weeks. Serum creatinine, creatinine clearance, and proteinuria were determined every 4 weeks. Urinary
doi_str_mv 10.1097/00007890-200012150-00015
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We have previously shown that treatment with a platelet-activating factor (PAF) receptor antagonist (UR12670) protected kidneys from the progression to chronic nephropathy induced by warm ischemia. Here we examine the contribution of cold ischemia to the development of late functional and structural kidney changes in rats subjected to syngeneic renal transplantation and the role of PAF in this chronic nephropathy. Lewis rats were used as kidney donors and recipients, which were transplanted either immediately or after a cold ischemia period of 5 hr. Contralateral nephrectomy was performed on the seventh day after transplantation. Cyclosporine was administered for 15 days after transplantation. Groups were as follows: Sy, immediate transplantation; SyI, transplantation after 5 hr of cold ischemia; SyIUr, transplantation after 5 hr of cold ischemia plus UR12670 from the transplantation day to the end of the study, at 24 weeks. Serum creatinine, creatinine clearance, and proteinuria were determined every 4 weeks. Urinary</description><identifier>ISSN: 0041-1337</identifier><identifier>EISSN: 1534-6080</identifier><identifier>DOI: 10.1097/00007890-200012150-00015</identifier><identifier>PMID: 11190497</identifier><identifier>CODEN: TRPLAU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Animals ; Biological and medical sciences ; Cold Temperature - adverse effects ; Creatinine - blood ; Kidney - blood supply ; Kidney - physiology ; Kidney Transplantation - immunology ; Kidney Transplantation - pathology ; Kidneys ; Male ; Medical sciences ; Nephrology. Urinary tract diseases ; Platelet Activating Factor - pharmacology ; Platelet Activating Factor - urine ; platelet-activating factor ; Rats ; Rats, Inbred Lew ; Reperfusion Injury - chemically induced ; Reperfusion Injury - complications ; Reperfusion Injury - etiology ; Time Factors ; Urinary system involvement in other diseases. 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We have previously shown that treatment with a platelet-activating factor (PAF) receptor antagonist (UR12670) protected kidneys from the progression to chronic nephropathy induced by warm ischemia. Here we examine the contribution of cold ischemia to the development of late functional and structural kidney changes in rats subjected to syngeneic renal transplantation and the role of PAF in this chronic nephropathy. Lewis rats were used as kidney donors and recipients, which were transplanted either immediately or after a cold ischemia period of 5 hr. Contralateral nephrectomy was performed on the seventh day after transplantation. Cyclosporine was administered for 15 days after transplantation. Groups were as follows: Sy, immediate transplantation; SyI, transplantation after 5 hr of cold ischemia; SyIUr, transplantation after 5 hr of cold ischemia plus UR12670 from the transplantation day to the end of the study, at 24 weeks. Serum creatinine, creatinine clearance, and proteinuria were determined every 4 weeks. Urinary</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Cold Temperature - adverse effects</subject><subject>Creatinine - blood</subject><subject>Kidney - blood supply</subject><subject>Kidney - physiology</subject><subject>Kidney Transplantation - immunology</subject><subject>Kidney Transplantation - pathology</subject><subject>Kidneys</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Platelet Activating Factor - pharmacology</subject><subject>Platelet Activating Factor - urine</subject><subject>platelet-activating factor</subject><subject>Rats</subject><subject>Rats, Inbred Lew</subject><subject>Reperfusion Injury - chemically induced</subject><subject>Reperfusion Injury - complications</subject><subject>Reperfusion Injury - etiology</subject><subject>Time Factors</subject><subject>Urinary system involvement in other diseases. 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source MEDLINE; Journals@Ovid Ovid Autoload
subjects Animals
Biological and medical sciences
Cold Temperature - adverse effects
Creatinine - blood
Kidney - blood supply
Kidney - physiology
Kidney Transplantation - immunology
Kidney Transplantation - pathology
Kidneys
Male
Medical sciences
Nephrology. Urinary tract diseases
Platelet Activating Factor - pharmacology
Platelet Activating Factor - urine
platelet-activating factor
Rats
Rats, Inbred Lew
Reperfusion Injury - chemically induced
Reperfusion Injury - complications
Reperfusion Injury - etiology
Time Factors
Urinary system involvement in other diseases. Miscellaneous
title Cold ischemia in the absence of alloreactivity induces chronic transplant nephropathy through a process mediated by the platelet-activating factor
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