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Updated: Jun 6, 2026

Mouse Model of Acute to Chronic Kidney Disease Transition Induced by Renal Ischemia/Reperfusion Injury
Published on: February 10, 2026
MCP-1 gene activation marks acute kidney injury
Raj Munshi1, Ali Johnson, Edward D Siew
1Seattle Children’s Hospital Medical Center, Seattle, Washington, USA.
Abstract:
Monocyte chemoattractant protein 1 (MCP-1) mediates acute ischemic and toxic kidney injury, but whether this can be used as a biomarker of acute kidney injury (AKI) is unknown. We obtained kidney and urine samples from mice with intrarenal (maleate), prerenal (endotoxemia), or postrenal (ureteral obstruction) injury. We also studied the independent effects of uremia without concomitant kidney injury by performing bilateral ureteral transection in mice. Additionally, we obtained urine samples from APACHE II-matched critically ill patients with or without advancing azotemia (n = 10 in each group). We assayed selected samples for MCP-1, MCP-1 mRNA, and for an activating histone mark (H3K4m3) at urinary fragments of the MCP-1 gene and contrasted the results with those obtained for neutrophil gelatinase-associated lipocalin (NGAL), a comparator "AKI biomarker" gene. Maleate increased urinary MCP-1 protein and mRNA more than the corresponding increases in NGAL. Endotoxemia and ureteral obstruction also increased NGAL and MCP-1 gene expression. Uremia, in the absence of renal injury, induced the NGAL gene, but not MCP-1, suggesting the possibility of better specificity of MCP-1 for AKI. Clinical assessments supported the utility of MCP-1 as a biomarker (e.g., nonoverlapping concentrations of urinary MCP-1 in patients with and without AKI). Elevated levels of urinary MCP-1 mRNA and levels of H3K4m3 at the MCP-1 gene supported MCP-1 gene activation in patients with renal injury. In conclusion, these data suggest that MCP-1 has potential as a biomarker of AKI and provide "proof of concept" that urinary histone assessments provide mechanistic insight among patients with kidney disease.
Insights
Monocyte chemoattractant protein 1 (MCP-1) shows promise as a biomarker for acute kidney injury (AKI). Urinary MCP-1 levels were elevated in patients with AKI, suggesting its potential for diagnosing kidney damage.
Area of Science:
- Nephrology
- Biomarker Discovery
- Molecular Biology
Background:
- Monocyte chemoattractant protein 1 (MCP-1) is implicated in kidney injury.
- The utility of MCP-1 as an acute kidney injury (AKI) biomarker remains unclear.
- Neutrophil gelatinase-associated lipocalin (NGAL) is a known comparator AKI biomarker.
Purpose of the Study:
- To investigate MCP-1's potential as a biomarker for AKI.
- To compare MCP-1 with NGAL in various kidney injury models.
- To explore urinary histone modifications as indicators of MCP-1 gene activation in AKI.
Main Methods:
- Kidney and urine samples from mice with induced intrarenal, prerenal, and postrenal injury were analyzed.
- Urine samples from critically ill patients with and without azotemia were assessed.
- MCP-1, MCP-1 mRNA, NGAL, and histone marks (H3K4m3) at the MCP-1 gene were measured.
Main Results:
- MCP-1 levels (protein and mRNA) increased significantly in response to maleate-induced kidney injury compared to NGAL.
- Both endotoxemia and ureteral obstruction elevated NGAL and MCP-1 gene expression.
- Uremia alone induced NGAL but not MCP-1, suggesting MCP-1's specificity for AKI.
- Urinary MCP-1 concentrations were non-overlapping between patients with and without AKI.
- Elevated urinary MCP-1 mRNA and H3K4m3 at the MCP-1 gene indicated gene activation in patients with renal injury.
Conclusions:
- MCP-1 demonstrates potential as a specific biomarker for acute kidney injury.
- Urinary histone modification analysis offers mechanistic insights into kidney disease.
- These findings support MCP-1 as a promising biomarker for AKI diagnosis and management.
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Acute Kidney Injury II: Pathophysiology
Acute Kidney Injury I: Introduction
Acute Kidney Injury III: Clinical Manifestations
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Acute Kidney Injury VI: Nursing Management
Acute Kidney Injury V: Interprofessional Care
