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Acetaminophen attenuates obesity-related renal injury through ER-mediated stress mechanisms
Cuifen Wang1, Miaozong Wu, Ravikumar Arvapalli
1Center for Diagnostic Nanosystems, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV, USA.
Background/Aims:
Obesity is an independent risk factor for the development of kidney disease. The purpose of this study was to determine how obesity may contribute to renal damage and whether acetaminophen ingestion can diminish obesity-associated renal cell injury in the obese Zucker rat model.
Methods:
Male obese Zucker rats (4 weeks old, n=6) were treated with acetaminophen (30 mg / kg body weight / day) for 26 weeks. Age matched obese control (OC), obese vehicle (OV, 0.073 mL DMSO/kg/d), and lean Zucker rats (LC) were used to determine the effects of treatment and obesity.
Results:
Compared to lean control rats, renal lipid deposition, expression of the endoplasmic reticulum (ER) stress protein GRP78 and activation of the ER stress-related eIF2α-ATF4-CHOP, caspase 12, and JNK-MAPK signaling pathways were increased in the obese control and obese vehicle rats. These alterations were associated with the elevated renal cell apoptosis and urinary albumin excretion. Acetaminophen treatment decreased renal lipid deposition, ER-stress related signaling, apoptosis and albuminuria.
Conclusion:
These data suggest that the protective effects of low dose acetaminophen on renal injury are mediated, at least in part, through attenuation of ER stress.
Insights
Obesity contributes to kidney damage by increasing endoplasmic reticulum (ER) stress. Low-dose acetaminophen treatment in obese rats reduced this ER stress, protecting against renal cell injury and albuminuria.
Area of Science:
- Nephrology
- Metabolic Disorders
- Pharmacology
Background:
- Obesity is a significant independent risk factor for developing kidney disease.
- Understanding the mechanisms of obesity-induced renal damage is crucial for developing effective interventions.
Purpose of the Study:
- To investigate how obesity contributes to renal damage in the obese Zucker rat model.
- To determine if acetaminophen can mitigate obesity-associated renal cell injury.
Main Methods:
- Obese Zucker rats were treated with acetaminophen (30 mg/kg/day) for 26 weeks.
- Control groups included obese vehicle and lean Zucker rats.
- Evaluated renal lipid deposition, endoplasmic reticulum (ER) stress markers, apoptosis, and urinary albumin excretion.
Main Results:
- Obese rats exhibited increased renal lipid deposition and ER stress (GRP78, eIF2α-ATF4-CHOP, caspase 12, JNK-MAPK pathways) compared to lean rats.
- These changes correlated with elevated renal cell apoptosis and albuminuria.
- Acetaminophen treatment significantly reduced these markers of renal injury.
Conclusions:
- Low-dose acetaminophen demonstrates protective effects against obesity-induced renal injury in Zucker rats.
- These protective effects are, at least partly, mediated by the attenuation of endoplasmic reticulum (ER) stress.
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