Cholinergic agonists attenuate renal ischemia-reperfusion injury in rats

被引:121
作者
Yeboah, M. M. [1 ,2 ]
Xue, X. [1 ]
Duan, B. [3 ]
Ochani, M. [4 ]
Tracey, K. J. [4 ]
Susin, M. [5 ]
Metz, C. N. [1 ]
机构
[1] N Shore LIJ Hlth Syst, Feinstein Inst Med Res, Susan & Herman Merinoff Ctr Patient Oriented Res, Med Biochem Lab, Manhasset, NY 11030 USA
[2] N Shore LIJ Grad Sch Mol Med, Manhasset, NY USA
[3] Ang Biomed Corp, Garden City, NY USA
[4] N Shore LIJ Hlth Syst, Feinstein Inst Med Res, Lab Biomed Sci, Garden City, NY USA
[5] N Shore Univ Hosp, Dept Pathol, Manhasset, NY USA
关键词
inflammation; renal ischemia-reperfusion injury; TNF; nicotine; GTS-21; tubular epithelial cells;
D O I
10.1038/ki.2008.94
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Inflammation plays a significant role in the pathophysiology of renal ischemia-reperfusion injury. Local inflammation is modulated by the brain via the vagus nerve and nicotinic acetylcholine receptors such that electrical or pharmacologic stimulation of this cholinergic anti-inflammatory pathway results in suppression of proinflammatory cytokine production. We examined the effects of cholinergic stimulation using agonists, nicotine or GTS-21, given before or after bilateral renal ischemia-reperfusion injury in rats. Pretreatment of rats with either agonist significantly attenuated renal dysfunction and tubular necrosis induced by renal ischemia. Similarly, tumor necrosis factor-alpha protein expression and leukocyte infiltration of the kidney were markedly reduced following treatment with cholinergic agonists. We found functional nicotinic acetylcholine receptors were present on rat proximal tubule epithelial cells. Cholinergic stimulation significantly decreased tubular necrosis in vagotomized rats after injury, implying an intact vagus nerve is not required for this renoprotective effect.
引用
收藏
页码:62 / 69
页数:8
相关论文
共 48 条
[1]   Metabolism and disposition of GTS-21, a novel drug for Alzheimer's disease [J].
Azuma, R ;
Komuro, M ;
Korsch, BH ;
Andre, JC ;
Onnagawa, O ;
Black, SR ;
Mathews, JM .
XENOBIOTICA, 1999, 29 (07) :747-762
[2]   Expression of functional nicotinic acetylcholine receptors in rat urinary bladder epithelial cells [J].
Beckel, JM ;
Kanai, A ;
Lee, SJ ;
de Groat, WC ;
Birder, LA .
AMERICAN JOURNAL OF PHYSIOLOGY-RENAL PHYSIOLOGY, 2006, 290 (01) :F103-F110
[3]   Cholinergic antiinflammatory pathway inhibition of tumor necrosis factor during ischemia reperfusion [J].
Bernik, TR ;
Friedman, SG ;
Ochani, M ;
DiRaimo, R ;
Susarla, S ;
Czura, CJ ;
Tracey, KJ .
JOURNAL OF VASCULAR SURGERY, 2002, 36 (06) :1231-1235
[4]   Pharmacological stimulation of the cholinergic antiinflammatory pathway [J].
Bernik, TR ;
Friedman, SG ;
Ochani, M ;
DiRaimo, R ;
Ulloa, L ;
Yang, H ;
Sudan, S ;
Czura, CJ ;
Ivanova, SM ;
Tracey, KJ .
JOURNAL OF EXPERIMENTAL MEDICINE, 2002, 195 (06) :781-788
[5]   Harnessing a neural-immune circuit to control inflammation and shock [J].
Blalock, JE .
JOURNAL OF EXPERIMENTAL MEDICINE, 2002, 195 (06) :F25-F28
[6]   Recent advances in the pathophysiology of ischemic acute renal failure [J].
Bonventre, JV ;
Weinberg, JM .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2003, 14 (08) :2199-2210
[7]   Vagus nerve stimulation attenuates the systemic inflammatory response to endotoxin [J].
Borovikova, LV ;
Ivanova, S ;
Zhang, MH ;
Yang, H ;
Botchkina, GI ;
Watkins, LR ;
Wang, HC ;
Abumrad, N ;
Eaton, JW ;
Tracey, KJ .
NATURE, 2000, 405 (6785) :458-462
[8]   Protection of early phase hepatic ischemia-reperfusion injury by cholinergic agonists [J].
Crockett, Elahe ;
Galligan, James ;
Uhal, Bruce ;
Harkema, Jack ;
Roth, Robert ;
Pandya, Kinnari .
BMC CLINICAL PATHOLOGY, 2006, 6 :13P
[9]   ICAM-1 expression and leukocyte accumulation in inner stripe of outer medulla in early phase of ischemic compared to HgCl2-induced ARF [J].
De Greef, KE ;
Ysebaert, DK ;
Persy, V ;
Vercauteren, SR ;
De Broe, ME .
KIDNEY INTERNATIONAL, 2003, 63 (05) :1697-1707
[10]   Early renal ischemia, with or without reperfusion, activates NFκB and increases TNF-α bioactivity in the kidney [J].
Donnahoo, KK ;
Meldrum, DR ;
Shenkar, R ;
Chung, CS ;
Abraham, E ;
Harken, AH .
JOURNAL OF UROLOGY, 2000, 163 (04) :1328-1332