Acute renal injury induced by endotoxic shock in rats is alleviated via PI3K/Nrf2 pathway

C-H Chuang1, C-K Yang, P-H Wu

  • 1Department of Emergency Medicine, Xiamen Changgung Hospital, Medical College of Xiamen University Teaching Hospital, Xiamen. flystar@gmail.com.

Abstract

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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