Protective Effect of Polydeoxyribonucleotide Against Renal Ischemia-Reperfusion Injury in Mice

E K Jeong1, H J Jang2, S S Kim1

  • 1Department of Anesthesia and Pain Medicine, Ulsan University College of Medicine, Gangneung Asan Hospital, Gangneung, South Korea.

Abstract

Insights

Polydeoxyribonucleotide (PDRN) shows promise in protecting kidneys from ischemia-reperfusion injury (IRI). This study found PDRN reduced kidney damage markers and inflammation in mice, suggesting its therapeutic potential for acute renal injury.

Area of Science:

  • Nephrology
  • Transplantation Immunology
  • Pharmacology

Background:

  • Polydeoxyribonucleotide (PDRN) acts as an A2A receptor agonist, stimulating vascular endothelial growth factor (VEGF) production in low tissue perfusion states.
  • Ischemia-reperfusion injury (IRI) poses a significant challenge in renal transplantation, leading to acute kidney injury.
  • The study explores PDRN's potential renoprotective effects against IRI-induced acute kidney injury in a murine model.

Purpose of the Study:

  • To investigate the renoprotective efficacy of PDRN against ischemia-reperfusion-induced acute kidney injury.
  • To evaluate PDRN's impact on key biomarkers and cellular pathways involved in renal IRI.

Main Methods:

  • Male C57BL/6 mice underwent bilateral renal pedicle occlusion for 30 minutes, followed by 48 hours of reperfusion to induce IRI.
  • PDRN (8 mg/kg body weight) was administered intraperitoneally 30 minutes prior to the induction of IRI.

Main Results:

  • PDRN treatment significantly reduced urinary neutrophil gelatinase-associated lipocalin, blood urea nitrogen, and serum creatinine levels.
  • Histological analysis revealed decreased kidney tubular injury in PDRN-treated mice.
  • Western blotting demonstrated increased VEGF and Bcl-2 levels, alongside attenuated p38 MAPK, JNK, iNOS, and Bax expression post-IRI.

Conclusions:

  • PDRN exhibits significant renoprotective effects against IRI-induced acute kidney injury.
  • PDRN may serve as a valuable therapeutic agent for mitigating renal damage caused by ischemia.
  • The observed molecular changes suggest PDRN modulates inflammatory and apoptotic pathways relevant to renal IRI.

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