Microglia dysfunction drives disrupted hippocampal amplitude of low frequency after acute kidney injury

Ziyang Yu1, Huize Pang2, Yifan Yang1

  • 1School of Medicine, Xiamen University, Xiamen, China.

Abstract

Insights

Acute kidney injury (AKI) causes brain injury by activating microglia and increasing inflammation, leading to neuronal apoptosis. Resting-state fMRI can detect these early hippocampal changes in AKI.

Area of Science:

  • Neuroscience
  • Nephrology
  • Radiology

Background:

  • Acute kidney injury (AKI) is linked to neurological deficits, but the underlying neurobiological mechanisms are not fully understood.
  • Investigating early brain changes in AKI is crucial for timely intervention and improved patient outcomes.

Purpose of the Study:

  • To investigate the neurobiological mechanisms of AKI-induced brain injury using resting-state functional magnetic resonance imaging (rs-fMRI).
  • To examine the role of microglia activation and inflammatory responses in the neuropathology of AKI.
  • To assess the potential of rs-fMRI for early detection of brain injury in AKI.

Main Methods:

  • Collected rs-fMRI data from AKI and control rats at 24, 48, and 72 hours post-induction.
  • Analyzed the amplitude of low-frequency fluctuations (ALFF) in the hippocampus.
  • Utilized flow cytometry, SMART-seq2, Western blot, and pathological staining to evaluate microglia and neuronal apoptosis.

Main Results:

  • AKI induced decreased hippocampal ALFF at 48 and 72 hours, correlating with neuronal apoptosis.
  • Microglia aggregated around neurons by 24 hours, with M1 polarization peaking at 72 hours, releasing proinflammatory cytokines.
  • A strong correlation was found between hippocampal ALFF and microglia proportion (|r| > 0.80, p < 0.001).

Conclusions:

  • Microglia aggregation and inflammatory factor upregulation are key mechanisms in AKI-induced neuronal apoptosis.
  • rs-fMRI can detect functional alterations in the hippocampus, offering a noninvasive method for early AKI-related brain injury detection.

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