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]

Afiliação do(s) autor(es)

^[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

• Tipo de documento: Artigo Científico
• Fonte: LABORATORY INVESTIGATION; v. 98, n. 6, p. 773-782, JUN 2018.
• Citações Web of Science: 6

Resumo

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)

• Processo FAPESP: 11/19576-4 - Administração do alopurinol em ratos submetidos à ablação renal de 5/6 (Nx): possível efeito renoprotetor independente do ácido úrico
• Beneficiário: Orestes Foresto Neto
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica
• Processo FAPESP: 13/12256-0 - O papel da imunidade inata na patogênese da nefropatia diabética experimental
• Beneficiário: Orestes Foresto Neto
• Modalidade de apoio: Bolsas no Brasil - Doutorado Direto
• Processo FAPESP: 12/10926-5 - Patogênese e terapêutica da doença renal crônica: papel da imunidade inata na lesão de glomérulos, túbulos e interstício
• Beneficiário: Roberto Zatz
• Modalidade de apoio: Auxílio à Pesquisa - Temático