Blocking TRAIL-DR5 signaling with soluble DR5 alleviates acute kidney injury in a severely burned mouse model

Xiangfeng Leng1, Qiu Zhang2, Zhenyu Chen1

  • 1Department of Plastic Surgery, The Affiliated Hospital of Medical College Qingdao University Qingdao 266003, Shandong, China.

Insights

Burn injury significantly increases apoptosis in the kidneys, mediated by tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) and Death receptor 5 (DR5). Blocking TRAIL-DR5 signaling protects against burn-induced acute kidney injury (AKI).

Area of Science:

  • Nephrology
  • Burn Injury Research
  • Molecular Biology

Background:

  • Acute kidney injury (AKI) is a critical complication in severe burn patients, associated with high mortality.
  • Apoptosis is implicated in AKI pathogenesis, but the specific mechanisms in burn-induced AKI remain unclear.

Purpose of the Study:

  • To investigate the role of tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) and its receptor, Death receptor 5 (DR5), in the development of AKI following burn injury.

Main Methods:

  • Male C57BL/6 mice underwent full-thickness scald burn.
  • Kidney apoptosis, TRAIL, and DR5 expression were assessed 24 hours post-burn.
  • The effect of soluble DR5 treatment on burn-induced kidney injury was evaluated.

Main Results:

  • Burn injury significantly upregulated apoptosis in mouse kidneys.
  • Expression of TRAIL and DR5 was markedly increased in the kidneys after burn injury.
  • Administration of soluble DR5 reduced apoptotic cell death and mitigated kidney injury by inhibiting TRAIL-DR5 interaction.

Conclusions:

  • TRAIL-DR5 signaling plays a detrimental role in the pathogenesis of burn-induced AKI.
  • Inhibiting TRAIL function in the kidney presents a potential therapeutic strategy for managing AKI in burn patients.

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