Acute renal failure after whole body ischemia is characterized by inflammation and T cell-mediated injury

Am J Physiol Renal Physiol. 2003 Jul;285(1):F87-94. doi: 10.1152/ajprenal.00026.2003. Epub 2003 Mar 25.

Abstract

Acute renal failure (ARF) commonly occurs after whole body ischemia. Most experimental models of ARF have relied on the isolated renal artery clamping model; however, there is a pressing need to develop and understand the pathogenesis of new models with more "clinical relevance." We evaluated a new murine model of ARF after whole body ischemia reperfusion injury (WBIRI). WBIRI was induced by an infusion of potassium chloride and a cardiac arrest period of 10 min. Resuscitation was achieved by cardiac compressions, ventilation, epinephrine, and fluids. WBIRI leads to a significant increase in serum creatinine (SCr) and renal tubular injury by 24 h. Renal myeloperoxidase (MPO) levels increased at 24 h after WBIRI. Increased expression of the proinflammatory genes, ICAM-1 and IL-6, was also observed in the kidney following WBIRI. On the basis of recent data that T cells are important mediators of isolated renal IRI, WBIRI was evaluated in T cell-deficient nu/nu mice. T cell-deficient mice had a significantly reduced rise in SCr and decreased tubular injury compared with wild-type mice. T cell-deficient mice had a decrease in ICAM-1 expression after WBIRI, but no decrease in renal MPO. This study describes a new, clinically relevant, model of ARF after WBIRI in mice and identifies the T cell as an important mediator of renal injury following WBIRI. Reduced ICAM-1 expression may provide a mechanism for this involvement.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acute Kidney Injury / genetics
  • Acute Kidney Injury / pathology*
  • Acute Kidney Injury / physiopathology*
  • Animals
  • Disease Models, Animal
  • Gene Expression
  • Inflammation / genetics
  • Inflammation / pathology
  • Intercellular Adhesion Molecule-1 / genetics
  • Interleukin-1 / genetics
  • Interleukin-6 / genetics
  • Kidney / metabolism
  • Kidney / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Peroxidase / metabolism
  • Reperfusion Injury / genetics
  • Reperfusion Injury / pathology*
  • Reperfusion Injury / physiopathology*
  • T-Lymphocytes / physiology*
  • Tumor Necrosis Factor-alpha / genetics

Substances

  • Interleukin-1
  • Interleukin-6
  • Tumor Necrosis Factor-alpha
  • Intercellular Adhesion Molecule-1
  • Peroxidase