Renoprotective effect of erythropoietin via modulation of the STAT6/MAPK/NF-κB pathway in ischemia/reperfusion injury after renal transplantation

Int J Mol Med. 2018 Jan;41(1):25-32. doi: 10.3892/ijmm.2017.3204. Epub 2017 Oct 20.

Abstract

Ischemia/reperfusion injury (IRI) commonly occurs in renal transplantation. Erythropoietin (EPO) exerts a protective effect in IRI. To investigate the underlying molecular mechanism, rat models of renal IRI were established and treated with EPO and/or lentivirus‑mediated EPO-siRNA, the signal transducer and activator of transcription 6 (STAT6) inhibitor AS1517499, the JNK inhibitor SP600125, the p38 mitogen-activated protein kinase (MAPK) inhibitor SB203580, and the nuclear factor (NF)-κB inhibitor lactacystin. Histological examination revealed that EPO protected the kidney from IRI, through decreasing the extent of tissue congestion and inflammatory cell infiltration; however, EPO siRNA did not exert the same protective effect. In addition, the EPO level was inversely associated with renal IRI. EPO downregulated the expression of interferon-γ, interleukin (IL)-4, creatinine and caspase-3, and upregulated the expression of IL-10, thymic stromal lymphopoietin, STAT6, p-JNK and p-p38, while the opposite effects were observed with the administration of EPO-siRNA and the specific respective inhibitors. Further results revealed that MAPK (p-JNK and p-p38) acted upstream of NF-κB, and that NF-κB signaling regulated the expression of caspase-1 and -3, which may be responsible for the cytotoxicity associated with IRI. Taken together, the results of the present study demonstrated that EPO exerted a protective effect in renal IRI via the STAT6/MAPK/NF-κB pathway. This protective effect of EPO may improve reperfusion tolerance in ischemic kidneys and benefit transplant recipients.

MeSH terms

  • Acetylcysteine / administration & dosage
  • Acetylcysteine / analogs & derivatives
  • Animals
  • Anthracenes / administration & dosage
  • Apoptosis / drug effects
  • Apoptosis / genetics
  • Erythropoietin / administration & dosage*
  • Erythropoietin / genetics
  • Gene Expression Regulation / genetics
  • Humans
  • Imidazoles / administration & dosage
  • Interferon-gamma / genetics
  • Kidney / metabolism
  • Kidney / pathology
  • Kidney Transplantation / adverse effects
  • Lentivirus / genetics
  • MAP Kinase Kinase 4 / antagonists & inhibitors
  • MAP Kinase Kinase 4 / genetics
  • NF-kappa B / antagonists & inhibitors
  • NF-kappa B / genetics
  • Pyridines / administration & dosage
  • Pyrimidines / administration & dosage
  • RNA, Small Interfering / administration & dosage
  • RNA, Small Interfering / genetics
  • Rats
  • Reperfusion Injury / drug therapy*
  • Reperfusion Injury / genetics*
  • Reperfusion Injury / pathology
  • STAT6 Transcription Factor / antagonists & inhibitors
  • STAT6 Transcription Factor / genetics*
  • Signal Transduction / drug effects
  • p38 Mitogen-Activated Protein Kinases / antagonists & inhibitors
  • p38 Mitogen-Activated Protein Kinases / genetics*

Substances

  • 4-(benzylamino)-2-((2-(3-chloro-4-hydroxyphenyl)ethyl)amino)pyrimidine-5-carboxamide
  • Anthracenes
  • Imidazoles
  • NF-kappa B
  • Pyridines
  • Pyrimidines
  • RNA, Small Interfering
  • STAT6 Transcription Factor
  • Erythropoietin
  • lactacystin
  • pyrazolanthrone
  • Interferon-gamma
  • p38 Mitogen-Activated Protein Kinases
  • MAP Kinase Kinase 4
  • SB 203580
  • Acetylcysteine