Adropin and spexin hormones regulate the systemic inflammation in adenine-induced chronic kidney failure in rat

Gulsun Memi1, Burak Yazgan2

  • 1Department of Physiology, School of Medicine, Adıyaman University, Adıyaman, Turkey.

Insights

Adropin and spexin (SPX) hormones show potential in mitigating systemic inflammation and improving renal function in chronic kidney disease models. These peptide hormones may offer protective effects against kidney failure progression.

Area of Science:

  • Nephrology
  • Endocrinology
  • Immunology

Background:

  • Chronic kidney disease (CKD) is a significant global health issue, often exacerbated by inflammatory cytokines and chemokines.
  • Adropin and spexin (SPX) are peptide hormones with potential, yet unclear, roles in modulating inflammatory conditions.
  • Limited information exists regarding the impact of adropin and SPX on systemic inflammation in the context of chronic renal failure.

Purpose of the Study:

  • To investigate the effects of adropin and SPX hormones on systemic inflammation in a rat model of adenine-induced chronic kidney failure (CKF).
  • To assess the potential protective roles of these peptide hormones in mitigating renal dysfunction and inflammatory responses associated with CKF.

Main Methods:

  • Chronic kidney failure was induced in rats using adenine hemisulfate.
  • Renal function parameters, including 24-h urine volume and serum creatinine, were measured using an autoanalyzer.
  • Levels of various cytokines and chemokines (e.g., G-CSF, IFN-γ, ILs, TNF-α, MCPs, MIPs) were quantified using Luminex assays.

Main Results:

  • Adenine-induced CKF rats exhibited increased urine volume, serum creatinine, blood urea nitrogen (BUN), and urine protein.
  • Adropin and SPX treatments reduced urine protein and 24-h urine volume.
  • Adropin treatment significantly decreased several elevated cytokines (G-CSF, IFN-γ, IL-4, IL-5, IL-10, IL-12, IL-17A, GRO-α) while increasing others (IP-10, MCP-1, MIP-1α, MIP-2). SPX had a more limited effect. Combined treatment also reduced specific cytokines and increased chemokines.

Conclusions:

  • Adropin and SPX peptides modulate renal function and systemic inflammatory responses in a rat model of CKF.
  • These peptide hormones demonstrate potential therapeutic benefits by reducing inflammation and improving kidney function.
  • Adropin and SPX may represent a novel therapeutic strategy for managing systemic inflammation and slowing the progression of renal failure.

Related Concept Videos

Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
92
Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
306
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
78
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
581
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
143
Endocrine Signaling01:45

Endocrine Signaling

Endocrine cells produce hormones to communicate with remote target cells found in other organs. The hormone reaches these distant areas using the circulatory system. This exposes the whole organism to the hormone but only those cells expressing hormone receptors or target cells are affected. Thus, endocrine signaling induces slow responses from its target cells but these effects also last longer.
65.6K