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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

NLRP3 inflammasome inhibition ameliorates tubulointerstitial injury in the remnant kidney model

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Foresto-Neto, Orestes [1] ; Avila, Victor Ferreira [1] ; Alarcon Arias, Simone Costa [1] ; Fregnan Zambom, Fernanda Florencia [1] ; Tono Rempel, Lisienny Campoli [1] ; Faustino, Viviane Dias [1] ; Machado, Flavia Gomes [1] ; Avancini Costa Malheiros, Denise Maria [1] ; Abensur, Hugo [1] ; Saraiva Camara, Niels Olsen [2, 1] ; Zatz, Roberto [1] ; Fujihara, Clarice Kazue [1]
Total Authors: 12
[1] Univ Sao Paulo, Fac Med, Dept Clin Med, Renal Div, Sao Paulo - Brazil
[2] Univ Sao Paulo, Inst Biomed Sci, Lab Transplantat Immunobiol, Sao Paulo - Brazil
Total Affiliations: 2
Document type: Journal article
Source: LABORATORY INVESTIGATION; v. 98, n. 6, p. 773-782, JUN 2018.
Web of Science Citations: 6

Recent studies suggest that NLRP3 inflammasome activation is involved in the pathogenesis of chronic kidney disease (CKD). Allopurinol (ALLO) inhibits xanthine oxidase (XOD) activity, and, consequently, reduces the production of uric acid (UA) and reactive oxygen species (ROS), both of which can activate the NLRP3 pathway. Thus, ALLO can contribute to slow the progression of CKD. We investigated whether inhibition of XOD by ALLO reduces NLRP3 activation and renal injury in the 5/6 renal ablation (Nx) model. Adult male Munich-Wistar rats underwent Nx and were subdivided into the following two groups: Nx, receiving vehicle only, and Nx + ALLO, Nx rats given ALLO, 36 mg/Kg/day in drinking water. Rats undergoing sham operation were studied as controls (C). Sixty days after surgery, Nx rats exhibited marked albuminuria, creatinine retention, and hypertension, as well as glomerulosclerosis, tubular injury, and cortical interstitial expansion/inflammation/fibrosis. Such changes were accompanied by increased XOD activity and UA renal levels, associated with augmented heme oxigenase-1 and reduced superoxide dismutase-2 renal contents. Both the NF-kappa B and NLRP3 signaling pathways were activated in Nx. ALLO normalized both XOD activity and the parameters of oxidative stress. ALLO also attenuated hypertension and promoted selective tubulointerstitial protection, reducing urinary NGAL and cortical interstitial injury/inflammation. ALLO reduced renal NLRP3 activation, without interfering with the NF-kappa B pathway. These observations indicate that the tubulointerstitial antiinflammatory and antifibrotic effects of ALLO in the Nx model involve inhibition of the NLRP3 pathway, and reinforce the view that ALLO can contribute to arrest or slow the progression of CKD. (AU)

FAPESP's process: 11/19576-4 - Allopurinol administration in 5/6 renal ablation (Nx) rats: possible renoprotective effects independent of uric acid
Grantee:Orestes Foresto Neto
Support type: Scholarships in Brazil - Scientific Initiation
FAPESP's process: 13/12256-0 - The role of innate immunity in pathogenesis of diabetic nephropathy
Grantee:Orestes Foresto Neto
Support type: Scholarships in Brazil - Doctorate (Direct)
FAPESP's process: 12/10926-5 - Pathogenesis and treatment of chronic kidney disease: role of innate immunity in glomerular, tubular and interstitial injury
Grantee:Roberto Zatz
Support type: Research Projects - Thematic Grants