Systemic and sustained thioredoxin analogue prevents acute kidney injury and its-associated distant organ damage in renal ischemia reperfusion injury mice

The mortality of patients with acute kidney injury (AKI) remains high due to AKI associated-lung injury. An effective strategy for preventing both AKI and AKI-associated lung injury is urgently needed. Thioredoxin-1 (Trx) is a redox-active protein that possesses anti-oxidative, anti-apoptotic and an...

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Veröffentlicht in:Scientific reports 2020-11, Vol.10 (1), p.20635, Article 20635
Hauptverfasser: Nishida, Kento, Watanabe, Hiroshi, Miyahisa, Masako, Hiramoto, Yuto, Nosaki, Hiroto, Fujimura, Rui, Maeda, Hitoshi, Otagiri, Masaki, Maruyama, Toru
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creator Nishida, Kento
Watanabe, Hiroshi
Miyahisa, Masako
Hiramoto, Yuto
Nosaki, Hiroto
Fujimura, Rui
Maeda, Hitoshi
Otagiri, Masaki
Maruyama, Toru
description The mortality of patients with acute kidney injury (AKI) remains high due to AKI associated-lung injury. An effective strategy for preventing both AKI and AKI-associated lung injury is urgently needed. Thioredoxin-1 (Trx) is a redox-active protein that possesses anti-oxidative, anti-apoptotic and anti-inflammatory properties including modulation of macrophage migration inhibitory factor (MIF), but its short half-life limits its clinical application. Therefore, we examined the preventive effect of a long-acting Trx, which is a fusion protein of albumin and Trx (HSA-Trx), against AKI and AKI-associated lung injury. Recombinant HSA-Trx was expressed using a Pichia expression system. AKI-induced lung injury mice were generated by bilateral renal ischemia reperfusion injury (IRI). HSA-Trx administration attenuated renal IRI and its-associated lung injury. Both renal and pulmonary oxidative stress were suppressed by HSA-Trx. Moreover, HSA-Trx inhibited elevations of plasma IL-6 and TNF-α level, and suppressed IL-6–CXCL1/2-mediated neutrophil infiltration into lung and TNF-α-mediated pulmonary apoptosis. Additionally, HSA-Trx suppressed renal IRI-induced MIF expression in kidney and lung. Administration of HSA-Trx resulted in a significant increase in the survival rate of renal IRI mice. Collectively, HSA-Trx could have therapeutic utility in preventing both AKI and AKI-associated lung injury as a consequence of its systemic and sustained multiple biological action.
doi_str_mv 10.1038/s41598-020-75025-5
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An effective strategy for preventing both AKI and AKI-associated lung injury is urgently needed. Thioredoxin-1 (Trx) is a redox-active protein that possesses anti-oxidative, anti-apoptotic and anti-inflammatory properties including modulation of macrophage migration inhibitory factor (MIF), but its short half-life limits its clinical application. Therefore, we examined the preventive effect of a long-acting Trx, which is a fusion protein of albumin and Trx (HSA-Trx), against AKI and AKI-associated lung injury. Recombinant HSA-Trx was expressed using a Pichia expression system. AKI-induced lung injury mice were generated by bilateral renal ischemia reperfusion injury (IRI). HSA-Trx administration attenuated renal IRI and its-associated lung injury. Both renal and pulmonary oxidative stress were suppressed by HSA-Trx. Moreover, HSA-Trx inhibited elevations of plasma IL-6 and TNF-α level, and suppressed IL-6–CXCL1/2-mediated neutrophil infiltration into lung and TNF-α-mediated pulmonary apoptosis. Additionally, HSA-Trx suppressed renal IRI-induced MIF expression in kidney and lung. Administration of HSA-Trx resulted in a significant increase in the survival rate of renal IRI mice. 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subjects 631/154/152
692/699/1585/4
692/699/1785/3193
Acute Kidney Injury - metabolism
Acute Kidney Injury - prevention & control
Acute Lung Injury - drug therapy
Acute Lung Injury - metabolism
Animals
Anti-inflammatory agents
Anti-Inflammatory Agents - pharmacology
Antioxidants - metabolism
Apoptosis
Apoptosis - drug effects
Delayed-Action Preparations - pharmacology
Disease Models, Animal
Fusion protein
Humanities and Social Sciences
Inflammation
Interleukin 6
Interleukin-6 - metabolism
Ischemia
Kidney - drug effects
Kidney - metabolism
Kidneys
Leukocyte migration
Lung - drug effects
Lung - metabolism
Lungs
Macrophage migration inhibitory factor
Macrophage Migration-Inhibitory Factors - metabolism
Male
Mice
Mice, Inbred C57BL
multidisciplinary
Oxidation-Reduction - drug effects
Oxidative stress
Oxidative Stress - drug effects
Reactive Oxygen Species - metabolism
Reperfusion
Reperfusion Injury - drug therapy
Reperfusion Injury - metabolism
Science
Science (multidisciplinary)
Serum Albumin - metabolism
Survival
Thioredoxin
Thioredoxins - pharmacology
Tumor Necrosis Factor-alpha - metabolism
Tumor necrosis factor-α
title Systemic and sustained thioredoxin analogue prevents acute kidney injury and its-associated distant organ damage in renal ischemia reperfusion injury mice
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