Growth and development alter susceptibility to acute renal injury

Richard A Zager1, Ali C M Johnson, Masayo Naito

  • 1Department of Medicine, University of Washington, Seattle, Washington, USA. dzager@fhcrc.org

Kidney International
|June 20, 2008
PubMed

Insights

Age significantly impacts acute renal injury severity in mice. Kidney injury susceptibility decreases with age due to reduced cholesterol and altered gene expression during growth.

Area of Science:

  • Nephrology
  • Developmental Biology
  • Biochemistry

Background:

  • Acute renal injury research often uses young, rapidly growing mice, but the influence of age on injury severity is unclear.
  • Understanding age-related susceptibility is crucial for interpreting experimental acute renal injury models.
  • Cholesterol metabolism plays a role in kidney function and may be affected by age.

Purpose of the Study:

  • To investigate the effect of age and growth stage on the severity of acute renal injury in mice.
  • To explore the relationship between age, renal cholesterol content, and gene expression related to cholesterol homeostasis.
  • To determine if developmental stage influences susceptibility to different types of experimental kidney injury.

Main Methods:

  • Induction of acute renal injury using three models: endotoxemic, glycerol, and maleate.
  • Assessment of injury severity in mice across a range of ages (3 to 16 weeks).
  • Measurement of renal cholesterol content, mRNA levels of key cholesterol genes (HMG CoA reductase, LDL receptor), and associated transcription factors (SREBP1/2) via chromatin immunoprecipitation.

Main Results:

  • Injury severity in all models significantly correlated with mouse age and weight.
  • A progressive, age-dependent decrease in renal cholesterol content was observed.
  • Stepwise decrements in the mRNA of cholesterol homeostatic genes and related transcription factors were noted with increasing age.

Conclusions:

  • The early growth phase in mice significantly alters renal susceptibility to various experimental acute renal injuries.
  • Age-related changes in renal cholesterol content and gene expression are associated with altered injury severity.
  • Findings highlight the importance of considering developmental stage in acute renal injury research.

Related Concept Videos

Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...