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Updated: Apr 26, 2026

Ischemia-reperfusion Model of Acute Kidney Injury and Post Injury Fibrosis in Mice
Published on: August 9, 2013
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.
Abstract:
Acute kidney injury (AKI) predicts high mortality in severely burned patients. Apoptosis plays a significant role during AKI; however, the apoptotic mechanisms underlying AKI induced by burn injury are not clear. Here, we report a critical role for tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL)-Death receptor 5 (DR5) signaling in the pathogenesis of AKI. C57BL/6 male mice were subjected to full thickness scald burn. Apoptosis was significantly up-regulated in mouse kidney 24 h after the burn. Meanwhile, the TRAIL and DR5 expression levels were significantly increased in the kidney 24 h after the burn. Soluble DR5 treatment reduced apoptotic cell death and alleviated kidney injury induced by the burn through blocking the interaction of endogenous TRAIL with DR5. These results demonstrated that TRAIL plays a deleterious role in AKI pathogenesis induced by scald burns. Inhibition of TRAIL function in the kidney may represent a novel protective strategy to treat AKI in patients with burns.
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.
Related Concept Videos
The Extrinsic Apoptotic Pathway
Acute Kidney Injury I: Introduction
Acute Kidney Injury II: Pathophysiology

