Delivery of Recombinant Adeno-Associated Virus-Mediated Human Tissue Kallikrein for Therapy of Chronic Renal Failure in Rats

The tissue kallikrein-kinin system is important in regulating cardiovascular and renal function, and dysregulation of the system has been implicated in heart and kidney pathologies. These findings suggest that if balance can be restored to the kallikrein-kinin axis, then associated disease progressi...

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Veröffentlicht in:Human gene therapy 2008-04, Vol.19 (4), p.318-330
Hauptverfasser: LING TU, XIZHEN XU, ZELDIN, Darryl C, DAO WEN WANG, HUAIBING WAN, CHANGQING ZHOU, JUANJUAN DENG, GANG XU, XIAO XIAO, YIPU CHEN, EDIN, Matthew L, VOLTZ, James W
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container_end_page 330
container_issue 4
container_start_page 318
container_title Human gene therapy
container_volume 19
creator LING TU
XIZHEN XU
ZELDIN, Darryl C
DAO WEN WANG
HUAIBING WAN
CHANGQING ZHOU
JUANJUAN DENG
GANG XU
XIAO XIAO
YIPU CHEN
EDIN, Matthew L
VOLTZ, James W
description The tissue kallikrein-kinin system is important in regulating cardiovascular and renal function, and dysregulation of the system has been implicated in heart and kidney pathologies. These findings suggest that if balance can be restored to the kallikrein-kinin axis, then associated disease progression may be attenuated. To test this hypothesis, recombinant adeno-associated virus (rAAV)-mediated human tissue kallikrein (HK) expression was induced in a rodent model of chronic renal failure involving 5/6 nephrectomy (nephrectomy plus 70% reduction of remaining kidney). rAAV-HK treatment attenuated the rise in blood pressure, glomerular sclerosis, and tubulointerstitial injury observed in this model. rAAV-HK treatment also attenuated renal function decline as measured by urinary microalbumin, osmolarity, and cGMP levels. Reverse transcriptase-polymerase chain reaction analysis showed that rAAV-HK-treated rats had higher levels of bradykinin receptor-2 (B(2)R) and dopamine receptor-1 mRNAs. In contrast, angiotensin II receptor-1, endothelin receptor-A, and vasopressin receptor-2 mRNAs were markedly downregulated in kidneys from HK-treated rats. Bradykinin induced similar changes in receptor levels and prevented transforming growth factor-beta(1)-induced tubulointerstitial fibrosis. The effects of bradykinin could be reversed with the B(2)R antagonist HOE-140. Together, these findings suggest that restoration of the kallikrein-kinin system reduces kidney injury and protects renal function in 5/6-nephrectomized rats via changes in the expression and activation of G protein-coupled receptors including B(2)R.
doi_str_mv 10.1089/hum.2007.138
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These findings suggest that if balance can be restored to the kallikrein-kinin axis, then associated disease progression may be attenuated. To test this hypothesis, recombinant adeno-associated virus (rAAV)-mediated human tissue kallikrein (HK) expression was induced in a rodent model of chronic renal failure involving 5/6 nephrectomy (nephrectomy plus 70% reduction of remaining kidney). rAAV-HK treatment attenuated the rise in blood pressure, glomerular sclerosis, and tubulointerstitial injury observed in this model. rAAV-HK treatment also attenuated renal function decline as measured by urinary microalbumin, osmolarity, and cGMP levels. Reverse transcriptase-polymerase chain reaction analysis showed that rAAV-HK-treated rats had higher levels of bradykinin receptor-2 (B(2)R) and dopamine receptor-1 mRNAs. In contrast, angiotensin II receptor-1, endothelin receptor-A, and vasopressin receptor-2 mRNAs were markedly downregulated in kidneys from HK-treated rats. Bradykinin induced similar changes in receptor levels and prevented transforming growth factor-beta(1)-induced tubulointerstitial fibrosis. The effects of bradykinin could be reversed with the B(2)R antagonist HOE-140. Together, these findings suggest that restoration of the kallikrein-kinin system reduces kidney injury and protects renal function in 5/6-nephrectomized rats via changes in the expression and activation of G protein-coupled receptors including B(2)R.</description><identifier>ISSN: 1043-0342</identifier><identifier>EISSN: 1557-7422</identifier><identifier>DOI: 10.1089/hum.2007.138</identifier><identifier>PMID: 18402547</identifier><identifier>CODEN: HGTHE3</identifier><language>eng</language><publisher>Larchmont, NY: Liebert</publisher><subject>Albuminuria ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Animals ; Applied cell therapy and gene therapy ; Biological and medical sciences ; Biotechnology ; Blood Pressure ; Bradykinin - pharmacology ; Chronic kidney failure ; Creatinine - blood ; Cyclic GMP - urine ; Dependovirus - genetics ; Dosage and administration ; Drug therapy ; Fundamental and applied biological sciences. Psychology ; Gene therapy ; Genetic Therapy ; Health aspects ; Health. Pharmaceutical industry ; Humans ; Industrial applications and implications. Economical aspects ; Kallikrein ; Kidney - metabolism ; Kidney - pathology ; Kidney Failure, Chronic - genetics ; Kidney Failure, Chronic - therapy ; Male ; Medical sciences ; Models, Animal ; Nephrectomy ; Phosphatidylinositol 3-Kinases - metabolism ; Proto-Oncogene Proteins c-akt - metabolism ; Rats ; Rats, Wistar ; Recombinant Proteins - administration &amp; dosage ; Recombinant Proteins - genetics ; Recombinant Proteins - therapeutic use ; Risk factors ; Signal Transduction ; Tissue Kallikreins - administration &amp; dosage ; Tissue Kallikreins - genetics ; Tissue Kallikreins - therapeutic use ; Transforming Growth Factor beta1 - pharmacology ; Transfusions. Complications. Transfusion reactions. Cell and gene therapy</subject><ispartof>Human gene therapy, 2008-04, Vol.19 (4), p.318-330</ispartof><rights>2008 INIST-CNRS</rights><rights>COPYRIGHT 2008 Mary Ann Liebert, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-8ef351a325e94c0ab0bfb4bbe0991d8ad7dfaf17f213a51c80048475e2a7becf3</citedby><cites>FETCH-LOGICAL-c479t-8ef351a325e94c0ab0bfb4bbe0991d8ad7dfaf17f213a51c80048475e2a7becf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20316632$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18402547$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LING TU</creatorcontrib><creatorcontrib>XIZHEN XU</creatorcontrib><creatorcontrib>ZELDIN, Darryl C</creatorcontrib><creatorcontrib>DAO WEN WANG</creatorcontrib><creatorcontrib>HUAIBING WAN</creatorcontrib><creatorcontrib>CHANGQING ZHOU</creatorcontrib><creatorcontrib>JUANJUAN DENG</creatorcontrib><creatorcontrib>GANG XU</creatorcontrib><creatorcontrib>XIAO XIAO</creatorcontrib><creatorcontrib>YIPU CHEN</creatorcontrib><creatorcontrib>EDIN, Matthew L</creatorcontrib><creatorcontrib>VOLTZ, James W</creatorcontrib><title>Delivery of Recombinant Adeno-Associated Virus-Mediated Human Tissue Kallikrein for Therapy of Chronic Renal Failure in Rats</title><title>Human gene therapy</title><addtitle>Hum Gene Ther</addtitle><description>The tissue kallikrein-kinin system is important in regulating cardiovascular and renal function, and dysregulation of the system has been implicated in heart and kidney pathologies. These findings suggest that if balance can be restored to the kallikrein-kinin axis, then associated disease progression may be attenuated. To test this hypothesis, recombinant adeno-associated virus (rAAV)-mediated human tissue kallikrein (HK) expression was induced in a rodent model of chronic renal failure involving 5/6 nephrectomy (nephrectomy plus 70% reduction of remaining kidney). rAAV-HK treatment attenuated the rise in blood pressure, glomerular sclerosis, and tubulointerstitial injury observed in this model. rAAV-HK treatment also attenuated renal function decline as measured by urinary microalbumin, osmolarity, and cGMP levels. Reverse transcriptase-polymerase chain reaction analysis showed that rAAV-HK-treated rats had higher levels of bradykinin receptor-2 (B(2)R) and dopamine receptor-1 mRNAs. In contrast, angiotensin II receptor-1, endothelin receptor-A, and vasopressin receptor-2 mRNAs were markedly downregulated in kidneys from HK-treated rats. Bradykinin induced similar changes in receptor levels and prevented transforming growth factor-beta(1)-induced tubulointerstitial fibrosis. The effects of bradykinin could be reversed with the B(2)R antagonist HOE-140. Together, these findings suggest that restoration of the kallikrein-kinin system reduces kidney injury and protects renal function in 5/6-nephrectomized rats via changes in the expression and activation of G protein-coupled receptors including B(2)R.</description><subject>Albuminuria</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Animals</subject><subject>Applied cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Biotechnology</subject><subject>Blood Pressure</subject><subject>Bradykinin - pharmacology</subject><subject>Chronic kidney failure</subject><subject>Creatinine - blood</subject><subject>Cyclic GMP - urine</subject><subject>Dependovirus - genetics</subject><subject>Dosage and administration</subject><subject>Drug therapy</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gene therapy</subject><subject>Genetic Therapy</subject><subject>Health aspects</subject><subject>Health. Pharmaceutical industry</subject><subject>Humans</subject><subject>Industrial applications and implications. Economical aspects</subject><subject>Kallikrein</subject><subject>Kidney - metabolism</subject><subject>Kidney - pathology</subject><subject>Kidney Failure, Chronic - genetics</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Models, Animal</subject><subject>Nephrectomy</subject><subject>Phosphatidylinositol 3-Kinases - metabolism</subject><subject>Proto-Oncogene Proteins c-akt - metabolism</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>Recombinant Proteins - administration &amp; dosage</subject><subject>Recombinant Proteins - genetics</subject><subject>Recombinant Proteins - therapeutic use</subject><subject>Risk factors</subject><subject>Signal Transduction</subject><subject>Tissue Kallikreins - administration &amp; dosage</subject><subject>Tissue Kallikreins - genetics</subject><subject>Tissue Kallikreins - therapeutic use</subject><subject>Transforming Growth Factor beta1 - pharmacology</subject><subject>Transfusions. Complications. Transfusion reactions. Cell and gene therapy</subject><issn>1043-0342</issn><issn>1557-7422</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkl1rFDEUhgdR7IfeeS0DolfOms_JzE1hWa0VK0JZvQ1nMifd6EyyJjOFQn-8WXepFiQXyUme85CQtyheULKgpGnfbeZxwQhRC8qbR8UxlVJVSjD2OK-J4BXhgh0VJyn9IIRyWaunxRFtBGFSqOPi7j0O7gbjbRlseYUmjJ3z4Kdy2aMP1TKlYBxM2JffXZxT9QX7fXkxj-DLtUtpxvIzDIP7GdH50oZYrjcYYftHudrE4J3Jag9DeQ5umCOWmbuCKT0rnlgYEj4_zKfFt_MP69VFdfn146fV8rIyQrVT1aDlkgJnElthCHSks53oOiRtS_sGetVbsFRZRjlIahpCRCOURAaqQ2P5aXG2927nbsTeoJ8iDHob3QjxVgdw-uGJdxt9HW4046pmUmbBm4Mghl8zpkmPLhkcBvAY5qTrlgpJZZ3BV3vwGgbUztuQfWYH6yVVbd1KzkWmFv-h8uhxdCZ4tC7vP2h4u28wMaQU0d7fnRK9S4HOKdC7FOicgoy__Pe9f-HDt2fg9QGAZGCwEbxx6Z5jhNO65oz_Bjp_vCE</recordid><startdate>20080401</startdate><enddate>20080401</enddate><creator>LING TU</creator><creator>XIZHEN XU</creator><creator>ZELDIN, Darryl C</creator><creator>DAO WEN WANG</creator><creator>HUAIBING WAN</creator><creator>CHANGQING ZHOU</creator><creator>JUANJUAN DENG</creator><creator>GANG XU</creator><creator>XIAO XIAO</creator><creator>YIPU CHEN</creator><creator>EDIN, Matthew L</creator><creator>VOLTZ, James W</creator><general>Liebert</general><general>Mary Ann Liebert, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080401</creationdate><title>Delivery of Recombinant Adeno-Associated Virus-Mediated Human Tissue Kallikrein for Therapy of Chronic Renal Failure in Rats</title><author>LING TU ; XIZHEN XU ; ZELDIN, Darryl C ; DAO WEN WANG ; HUAIBING WAN ; CHANGQING ZHOU ; JUANJUAN DENG ; GANG XU ; XIAO XIAO ; YIPU CHEN ; EDIN, Matthew L ; VOLTZ, James W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-8ef351a325e94c0ab0bfb4bbe0991d8ad7dfaf17f213a51c80048475e2a7becf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Albuminuria</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Animals</topic><topic>Applied cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Biotechnology</topic><topic>Blood Pressure</topic><topic>Bradykinin - pharmacology</topic><topic>Chronic kidney failure</topic><topic>Creatinine - blood</topic><topic>Cyclic GMP - urine</topic><topic>Dependovirus - genetics</topic><topic>Dosage and administration</topic><topic>Drug therapy</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gene therapy</topic><topic>Genetic Therapy</topic><topic>Health aspects</topic><topic>Health. Pharmaceutical industry</topic><topic>Humans</topic><topic>Industrial applications and implications. Economical aspects</topic><topic>Kallikrein</topic><topic>Kidney - metabolism</topic><topic>Kidney - pathology</topic><topic>Kidney Failure, Chronic - genetics</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Models, Animal</topic><topic>Nephrectomy</topic><topic>Phosphatidylinositol 3-Kinases - metabolism</topic><topic>Proto-Oncogene Proteins c-akt - metabolism</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Recombinant Proteins - administration &amp; dosage</topic><topic>Recombinant Proteins - genetics</topic><topic>Recombinant Proteins - therapeutic use</topic><topic>Risk factors</topic><topic>Signal Transduction</topic><topic>Tissue Kallikreins - administration &amp; dosage</topic><topic>Tissue Kallikreins - genetics</topic><topic>Tissue Kallikreins - therapeutic use</topic><topic>Transforming Growth Factor beta1 - pharmacology</topic><topic>Transfusions. Complications. Transfusion reactions. 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subjects Albuminuria
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Applied cell therapy and gene therapy
Biological and medical sciences
Biotechnology
Blood Pressure
Bradykinin - pharmacology
Chronic kidney failure
Creatinine - blood
Cyclic GMP - urine
Dependovirus - genetics
Dosage and administration
Drug therapy
Fundamental and applied biological sciences. Psychology
Gene therapy
Genetic Therapy
Health aspects
Health. Pharmaceutical industry
Humans
Industrial applications and implications. Economical aspects
Kallikrein
Kidney - metabolism
Kidney - pathology
Kidney Failure, Chronic - genetics
Kidney Failure, Chronic - therapy
Male
Medical sciences
Models, Animal
Nephrectomy
Phosphatidylinositol 3-Kinases - metabolism
Proto-Oncogene Proteins c-akt - metabolism
Rats
Rats, Wistar
Recombinant Proteins - administration & dosage
Recombinant Proteins - genetics
Recombinant Proteins - therapeutic use
Risk factors
Signal Transduction
Tissue Kallikreins - administration & dosage
Tissue Kallikreins - genetics
Tissue Kallikreins - therapeutic use
Transforming Growth Factor beta1 - pharmacology
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
title Delivery of Recombinant Adeno-Associated Virus-Mediated Human Tissue Kallikrein for Therapy of Chronic Renal Failure in Rats
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