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Published on: May 15, 2021
Assessment of In Vivo Kidney Cell Death: Acute Kidney Injury
Wulf Tonnus1, Moath Al-Mekhlafi1, Christian Hugo1
1Division of Nephrology, Department of Internal Medicine III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Abstract:
The kidney has been studied as an organ to investigate cell death in vivo for a number of reasons. The unique vasculature that does not contain collateral vessels favors the kidney over other organs for the investigation of ischemia-reperfusion injury. Unilateral uretic obstruction has become the most prominently studied model for fibrosis with impact far beyond postrenal kidney injury. In addition, the tubular elimination mechanisms render the kidney susceptible to toxicity models, such as cisplatin-induced acute kidney injury. During trauma of skeletal muscles, myoglobulin deposition causes tubular cell death in the model of rhabdomyolysis-induced acute kidney injury. Here, we introduce these clinically relevant in vivo models of acute kidney injury (AKI) and critically review the protocols we use to effectively induce them.
Insights
This study reviews key in vivo models for inducing acute kidney injury (AKI) in research. These models, including ischemia-reperfusion, obstruction, and toxic injury, are crucial for understanding kidney disease.
Area of Science:
- Nephrology
- Pathology
- Experimental Medicine
Background:
- The kidney's unique physiology, including its vasculature and tubular function, makes it a key organ for studying cell death and injury.
- Clinically relevant conditions like ischemia-reperfusion injury, kidney fibrosis, and toxic insults are frequently modeled in the kidney.
- Existing models allow for the investigation of various mechanisms leading to acute kidney injury (AKI).
Purpose of the Study:
- To introduce and critically review established in vivo models for inducing acute kidney injury (AKI).
- To provide insights into the protocols used for effectively inducing these models in research settings.
- To highlight the clinical relevance of these models for studying kidney diseases.
Main Methods:
- Review of established protocols for inducing kidney injury models.
- Focus on ischemia-reperfusion injury due to the kidney's specific vasculature.
- Discussion of unilateral ureteric obstruction for modeling fibrosis.
- Examination of cisplatin-induced nephrotoxicity and rhabdomyolysis-induced AKI models.
Main Results:
- The kidney's anatomical and functional characteristics facilitate the study of diverse injury types.
- Specific models effectively replicate conditions such as ischemia-reperfusion, fibrosis, and toxic AKI.
- The reviewed protocols provide a foundation for reproducible research into AKI pathogenesis.
Conclusions:
- The presented in vivo models are essential tools for advancing the understanding of acute kidney injury (AKI).
- These models offer valuable platforms for investigating therapeutic strategies against kidney damage.
- Further research utilizing these established protocols will aid in developing treatments for kidney diseases.
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