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Chronic Nuclear Factor-Kappa B Inhibition Prevents Experimental Aging Nephropathy

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Autor(es):
Tessaro, Helena Mendonca ; Zambom, Fernanda Florencia Fregnan ; Foresto-Neto, Orestes ; Ribeiro, Sara Cristina Fim ; de Sena, Claudia Ramos ; Malheiros, Denise Maria Avancini Costa ; Camara, Niels Olsen Saraiva ; Fujihara, Clarice Kazue ; Zatz, Roberto
Número total de Autores: 9
Tipo de documento: Artigo Científico
Fonte: Gerontology; v. N/A, p. 13-pg., 2024-11-27.
Resumo

Introduction: The pathogenesis of aging nephropathy (AN) is yet to be elucidated. Intrarenal angiotensin II (AngII) and activation of the nuclear factor-kappa B (NF-kappa B) and NOD-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome pathways exert a relevant pathogenic role in the progression of chronic kidney disease. We sought to investigate whether monotherapy with losartan and combined treatment with losartan and the NF-kappa B inhibitor pyrrolidine dithiocarbamate (PDTC) would attenuate experimental AN. Materials and Methods: Forty adult male Munich-Wistar rats were distributed among four groups: 12M (n = 10), untreated 12-month-old rats; 15M (n = 10), untreated 15-month-old rats; 15M(Los) (n = 8), rats receiving losartan (50 mg/kg/d); and 15M(Los+PDTC) (n = 8), rats receiving losartan and PDTC (60 mg/kg/d). All treatments were given by mouth from 12 to 15 months of age. Results: Group 15M exhibited slightly decreased tail-cuff pressure and marked increase in albuminuria, sclerotic glomeruli, cortical collagen-1 deposition and infiltration by myofibroblasts, AngII-positive cells, and proinflammatory M1 macrophages, whereas the amount of anti-inflammatory M2 macrophages was reduced. In addition, the renal abundance of TLR4, nuclear p65, and IL-6 was increased, indicating activation of the NF-kappa B pathway, without evidence of simultaneous activation of the NLRP3 cascade. Losartan treatment decreased cortical collagen-1 deposition, myofibroblasts, and AngII-positive cells and partially restored renal M2 but had no significant effect on albuminuria, glomerulosclerosis, or NF-kappa B activation. Combined losartan+PDTC prevented all the observed abnormalities. Discussion: Simultaneous blockade of renal AngII and inhibition of the NF-kappa B pathway may represent a novel alternative to limit the decline of renal function with age. (AU)

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