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Published on: February 15, 2022
Anemonin inhibits sepsis-induced acute kidney injury via mitigating inflammation and oxidative stress
Dan Liu1, Li Li1, Zengyan Li1
1Department of Nephrology, First Affiliated Hospital of Baotou Medical College, Baotou, China.
Abstract:
Elevated inflammation and oxidative stress (OS) are the main pathologic features of acute kidney injury (AKI)-caused by sepsis. Here, we made an investigation into the protective effects of the natural compound Anemonin (ANE) on sepsis-induced AKI both in vitro and in vivo. Lipopolysaccharide (LPS) was applied to construct an in vitro AKI model in renal tubular epithelial cells, and the septic C57BL/6J mouse model was constructed via cecal ligation and puncture (CLP). Cell viability and apoptosis were detected. The levels of p53, Bax, Bcl2, Caspase3, Caspase8, Caspase9, AMP-activated protein kinase (AMPK), Sirt-1, and forkhead box O3 were determined by Western Blot or RT-PCR. The reactive oxygen species level and OS markers were measured. Furthermore, the pathological changes of kidneys were evaluated by hematoxylin-eosin staining and immunohistochemistry. As per the information presented, ANE improved LPS-elicited apoptosis, inflammatory response, and OS in a dose-dependent pattern in renal tubular epithelial cells. Besides, ANE activated the AMPK/Sirt-1 pathway, and the AMPK inhibitor (Compound C) and Sirt-1 inhibitor (EX-527) significantly attenuated ANE-mediated protection on renal tubular epithelial cells. In vivo, ANE mitigated the levels of serum creatinine and urea nitrogen in the CLP-induced mouse sepsis model, reduced the renal tissue injury score, and attenuated OS, inflammation, and apoptosis levels in the kidney. Taken together, this study suggested that ANE has protective effects in sepsis-triggered AKI through repressing inflammation, OS, and cell apoptosis by activating the AMPK/Sirt-1 pathway.
Insights
Anemonin (ANE) protects against sepsis-induced acute kidney injury (AKI) by reducing inflammation, oxidative stress, and cell death. This natural compound activates the AMPK/Sirt-1 pathway, offering a potential therapeutic strategy for AKI.
Area of Science:
- Biochemistry
- Pharmacology
- Nephrology
Background:
- Sepsis-induced acute kidney injury (AKI) is characterized by significant inflammation and oxidative stress (OS).
- Current treatments for sepsis-induced AKI are limited, highlighting the need for novel therapeutic agents.
- Natural compounds offer potential avenues for developing new AKI treatments.
Purpose of the Study:
- To investigate the protective effects of the natural compound Anemonin (ANE) against sepsis-induced AKI.
- To elucidate the underlying molecular mechanisms of ANE's action, particularly the involvement of the AMPK/Sirt-1 pathway.
- To evaluate ANE's efficacy in both in vitro and in vivo models of sepsis-induced AKI.
Main Methods:
- In vitro AKI models were established using renal tubular epithelial cells treated with lipopolysaccharide (LPS).
- In vivo sepsis-induced AKI models were created in C57BL/6J mice via cecal ligation and puncture (CLP).
- Cell viability, apoptosis, OS markers, inflammatory cytokines, and key protein expressions (p53, Bax, Bcl2, Caspase3/8/9, AMPK, Sirt-1, FOXO3) were assessed using Western Blot, RT-PCR, and biochemical assays. Kidney pathology was evaluated via H&E staining and immunohistochemistry.
Main Results:
- Anemonin (ANE) demonstrated dose-dependent protection against LPS-induced apoptosis, inflammation, and OS in renal tubular epithelial cells.
- ANE treatment activated the AMP-activated protein kinase (AMPK)/Sirt-1 pathway, as evidenced by increased protein levels and confirmed by inhibitor studies (Compound C, EX-527).
- In vivo, ANE significantly reduced serum creatinine and urea nitrogen levels, mitigated kidney tissue injury, and attenuated OS, inflammation, and apoptosis in CLP-induced septic mice.
Conclusions:
- Anemonin (ANE) exhibits significant protective effects against sepsis-induced acute kidney injury (AKI).
- ANE exerts its renoprotective effects by inhibiting inflammation, oxidative stress, and apoptosis.
- The activation of the AMPK/Sirt-1 pathway is a key mechanism underlying ANE's therapeutic benefits in sepsis-induced AKI.
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