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Acute renal injury induced by endotoxic shock in rats is alleviated via PI3K/Nrf2 pathway
1Department of Emergency Medicine, Xiamen Changgung Hospital, Medical College of Xiamen University Teaching Hospital, Xiamen. flystar@gmail.com.
Objective:
To explore the effect of PI3K/Nrf2 pathway on acute kidney injury (AKI) induced by endotoxic shock in rats by construction of the endotoxic shock rat model.
Materials And Methods:
A total of 30 Sprague Dawley (SD) rats were randomly assigned into three group, namely the control group (group C), endotoxic shock model group (group L) and wortmannin + endotoxic shock model group (group WL), with 10 rats in each group. Pathological lesions in renal tissues were evaluated by histological score of kidney (HSK). Biochemical indicators including blood urine nitrogen (BUN), creatinine (Cr) and urinary α1-microglobulin (α1-MG) in renal tissues were accessed. Activities of superoxide dismutase (SOD) and malondialdehyde (MDA) were detected by relative commercial kits. Expression levels of Nrf2, Heme oxygenase 1 (HO-1) and Akt in renal tissues were determined by Western blot and quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR), respectively.
Results:
HSK, levels of BUN, Cr and α1-MG and activities of SOD and MDA were significantly increased in group L comparing to those in group C (p<0.05). The above-mentioned indicators were also remarkably higher in group WL than those of group L (p<0.05). There were significant differences in expression levels of Nrf2, HO-1 and Akt between group L and group WL (p<0.05). In particular, lower mRNA levels of Nrf2 and HO-1, as well as protein levels of p-Akt, Nrf2 and HO-1 were observed in group WL compared with those in group L (p<0.05).
Conclusions:
The present study showed that AKI induced by endotoxic shock in rats was regulated through PI3K/Nrf2 pathway. HO-1 acts as the effector protein, might serve as an essential factor in protecting AKI induced by endotoxic shock.
Insights
Acute kidney injury (AKI) in rats from endotoxic shock is regulated by the PI3K/Nrf2 pathway. Heme oxygenase 1 (HO-1) appears crucial in protecting against AKI.
Area of Science:
- Nephrology
- Molecular Biology
- Pathophysiology
Background:
- Acute kidney injury (AKI) is a critical complication of endotoxic shock.
- The PI3K/Nrf2 signaling pathway's role in AKI pathogenesis requires further elucidation.
Purpose of the Study:
- To investigate the involvement of the PI3K/Nrf2 pathway in endotoxic shock-induced AKI in a rat model.
- To assess the protective potential of modulating this pathway.
Main Methods:
- Constructed an endotoxic shock rat model with three groups: control, endotoxic shock, and wortmannin + endotoxic shock.
- Evaluated renal tissue pathology using histological scores (HSK).
- Measured biochemical markers (BUN, Cr, α1-MG), enzyme activities (SOD, MDA), and protein/mRNA expression (Akt, Nrf2, HO-1) via Western blot and qRT-PCR.
Main Results:
- Endotoxic shock significantly increased HSK, BUN, Cr, α1-MG, and MDA, while decreasing SOD activity compared to controls.
- Wortmannin treatment exacerbated these pathological and biochemical changes.
- Expression of Nrf2, HO-1, and Akt (phosphorylated) was altered in the wortmannin-treated group, indicating pathway modulation.
Conclusions:
- The PI3K/Nrf2 pathway plays a significant role in regulating AKI induced by endotoxic shock in rats.
- Heme oxygenase 1 (HO-1) emerges as a key effector protein with potential protective functions against AKI in this context.
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