Interleukin-24 is a novel diagnostic biomarker for the severity of acute kidney injury

There is a clinical need for sensitive acute kidney injury (AKI) biomarkers that enable early therapeutic interventions and prediction of disease prognosis. In this study, we monitored interleukin (IL)-24 expressed in kidneys with severe AKI that progresses to atrophic kidney in a mouse model of isc...

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Veröffentlicht in:Medical molecular morphology 2020-06, Vol.53 (2), p.115-123
Hauptverfasser: Tabata, Tomotake, Sugiyama, Noriyuki, Otsuki, Yoshinori, Kondo, Yoichi
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container_title Medical molecular morphology
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creator Tabata, Tomotake
Sugiyama, Noriyuki
Otsuki, Yoshinori
Kondo, Yoichi
description There is a clinical need for sensitive acute kidney injury (AKI) biomarkers that enable early therapeutic interventions and prediction of disease prognosis. In this study, we monitored interleukin (IL)-24 expressed in kidneys with severe AKI that progresses to atrophic kidney in a mouse model of ischemia–reperfusion injury (IRI). Therefore, we evaluated IL-24 as a potential biomarker not only for early diagnosis of AKI, but also for predicting progression to chronic kidney disease (CKD). Serum IL-24 was detected earlier than the elevation of serum creatinine levels and urinary IL-24 was detected as early as neutrophil gelatinase associated lipocalin (NGAL) in severe AKI (60 min of IRI). In addition, serum and urine IL-24 levels tended to increase in relation to ischemia duration. In such kidneys, vascular smooth muscle cells expressed IL-24 in response to the injury in the renal tubular epithelial cell and its target was the renal tubular epithelial cell itself. IL-24 may play a pivotal role in the communication between tubular epithelial cells and vascular smooth muscle cells and, in conclusion, IL-24 can be used as a sensitive biomarker for AKI.
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In this study, we monitored interleukin (IL)-24 expressed in kidneys with severe AKI that progresses to atrophic kidney in a mouse model of ischemia–reperfusion injury (IRI). Therefore, we evaluated IL-24 as a potential biomarker not only for early diagnosis of AKI, but also for predicting progression to chronic kidney disease (CKD). Serum IL-24 was detected earlier than the elevation of serum creatinine levels and urinary IL-24 was detected as early as neutrophil gelatinase associated lipocalin (NGAL) in severe AKI (60 min of IRI). In addition, serum and urine IL-24 levels tended to increase in relation to ischemia duration. In such kidneys, vascular smooth muscle cells expressed IL-24 in response to the injury in the renal tubular epithelial cell and its target was the renal tubular epithelial cell itself. 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Sugiyama, Noriyuki ; Otsuki, Yoshinori ; Kondo, Yoichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-8690502a2c7b21a5d43d146074be51703948d2522b683713a69967e30a89adfe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute Kidney Injury - blood</topic><topic>Acute Kidney Injury - diagnosis</topic><topic>Acute Kidney Injury - pathology</topic><topic>Acute Kidney Injury - urine</topic><topic>Anatomy</topic><topic>Animals</topic><topic>Atrophy - blood</topic><topic>Atrophy - diagnosis</topic><topic>Atrophy - pathology</topic><topic>Atrophy - urine</topic><topic>Biomarkers</topic><topic>Biomarkers - blood</topic><topic>Biomarkers - metabolism</topic><topic>Biomarkers - urine</topic><topic>Cell Communication</topic><topic>Cell interactions</topic><topic>Cells, Cultured</topic><topic>Creatinine</topic><topic>Cytokines</topic><topic>Cytokines - blood</topic><topic>Cytokines - metabolism</topic><topic>Cytokines - urine</topic><topic>Disease Models, Animal</topic><topic>Disease Progression</topic><topic>Epithelial cells</topic><topic>Epithelial Cells - pathology</topic><topic>Gelatinase</topic><topic>Humans</topic><topic>Interleukin 24</topic><topic>Ischemia</topic><topic>Kidney diseases</topic><topic>Kidney Tubules - blood supply</topic><topic>Kidney Tubules - cytology</topic><topic>Kidney Tubules - pathology</topic><topic>Kidneys</topic><topic>Lipocalin</topic><topic>Lipocalin-2 - blood</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine &amp; 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In this study, we monitored interleukin (IL)-24 expressed in kidneys with severe AKI that progresses to atrophic kidney in a mouse model of ischemia–reperfusion injury (IRI). Therefore, we evaluated IL-24 as a potential biomarker not only for early diagnosis of AKI, but also for predicting progression to chronic kidney disease (CKD). Serum IL-24 was detected earlier than the elevation of serum creatinine levels and urinary IL-24 was detected as early as neutrophil gelatinase associated lipocalin (NGAL) in severe AKI (60 min of IRI). In addition, serum and urine IL-24 levels tended to increase in relation to ischemia duration. In such kidneys, vascular smooth muscle cells expressed IL-24 in response to the injury in the renal tubular epithelial cell and its target was the renal tubular epithelial cell itself. IL-24 may play a pivotal role in the communication between tubular epithelial cells and vascular smooth muscle cells and, in conclusion, IL-24 can be used as a sensitive biomarker for AKI.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>31802235</pmid><doi>10.1007/s00795-019-00239-0</doi><tpages>9</tpages></addata></record>
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subjects Acute Kidney Injury - blood
Acute Kidney Injury - diagnosis
Acute Kidney Injury - pathology
Acute Kidney Injury - urine
Anatomy
Animals
Atrophy - blood
Atrophy - diagnosis
Atrophy - pathology
Atrophy - urine
Biomarkers
Biomarkers - blood
Biomarkers - metabolism
Biomarkers - urine
Cell Communication
Cell interactions
Cells, Cultured
Creatinine
Cytokines
Cytokines - blood
Cytokines - metabolism
Cytokines - urine
Disease Models, Animal
Disease Progression
Epithelial cells
Epithelial Cells - pathology
Gelatinase
Humans
Interleukin 24
Ischemia
Kidney diseases
Kidney Tubules - blood supply
Kidney Tubules - cytology
Kidney Tubules - pathology
Kidneys
Lipocalin
Lipocalin-2 - blood
Male
Medical diagnosis
Medicine
Medicine & Public Health
Mice
Molecular Medicine
Muscle, Smooth, Vascular - cytology
Muscle, Smooth, Vascular - pathology
Myocytes, Smooth Muscle - pathology
Original Paper
Pathology
Primary Cell Culture
Prognosis
Reperfusion
Reperfusion Injury - blood
Reperfusion Injury - diagnosis
Reperfusion Injury - pathology
Reperfusion Injury - urine
Severity of Illness Index
Smooth muscle
Therapeutic applications
title Interleukin-24 is a novel diagnostic biomarker for the severity of acute kidney injury
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