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Angiotensin-(1-7) Mitigates Progression from Acute Kidney Injury to Chronic Kidney Disease Via Renin-Angiotensin
Minzi Qiu1, Yanxia Chen1, Siyue Huang1
1Department of Nephrology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 1, Minde Road, Donghu District, Nanchang, 330006, Jiangxi Province, P.R. China.
Background:
Acute kidney injury (AKI) often progresses to chronic kidney disease (CKD), presenting a significant clinical challenge. The renin-angiotensin system (RAS), particularly the protective arm involving Angiotensin-(1-7) (Ang-(1-7)), offers a potential therapeutic target to mitigate this progression. This study explores the effects of Ang-(1-7) in a murine model of ischemia-reperfusion (I/R) injury-induced AKI. Methods. Adult male Balb/c mice were subjected to bilateral renal I/R injury to induce AKI. Mice were then treated with various doses of Ang-(1-7). Key methods included enzyme-linked immunosorbent assay (ELISA) for serum biomarkers, immunohistochemistry for tissue-specific protein expression, and Western blotting for signaling pathway analysis. Key endpoints included serum levels of Angiotensin II (Ang II), Transforming Growth Factor-β1 (TGF-β1), Collagen I, and Superoxide Dismutase (SOD). Results. Ang-(1-7) treatment significantly reduced serum Ang II and TGF-β1 levels and decreased renal Collagen I expression. Notably, a dose-dependent increase in SOD was observed, indicating enhanced antioxidant defense. Additionally, Ang-(1-7) administration led to a marked reduction in renal fibrosis markers and inflammatory cytokines, including TGF-β1 and Collagen I, particularly in the high-dose group. The treatment also modulated the expression of key proteins involved in the RAS pathway, such as increased Angiotensin-Converting Enzyme 2 (ACE2) and decreased Angiotensin II Receptor Type 1 (AT1R) expression. Conclusion. This study highlights the novel therapeutic potential of Ang-(1-7) in preventing AKI progression to CKD by modulating the RAS towards a protective state. The findings provide a strong rationale for further clinical investigation of Ang-(1-7) or Mas receptor agonists as viable therapeutic strategies in kidney disease management.
Insights
Angiotensin-(1-7) peptide shows promise in preventing acute kidney injury (AKI) from progressing to chronic kidney disease (CKD). This peptide therapy modulates the renin-angiotensin system (RAS), reducing fibrosis and inflammation in kidneys.
Area of Science:
- Nephrology
- Cardiovascular Research
- Pharmacology
Background:
- Acute kidney injury (AKI) frequently advances to chronic kidney disease (CKD), posing a significant clinical challenge.
- The renin-angiotensin system (RAS), particularly the protective Angiotensin-(1-7) (Ang-(1-7)) pathway, presents a therapeutic target for mitigating AKI progression.
- This study investigates the renoprotective effects of Ang-(1-7) in a murine model of ischemia-reperfusion (I/R) injury-induced AKI.
Purpose of the Study:
- To evaluate the therapeutic potential of Angiotensin-(1-7) (Ang-(1-7)) in preventing the progression of acute kidney injury (AKI) to chronic kidney disease (CKD).
- To investigate the impact of Ang-(1-7) on key biomarkers of kidney injury, fibrosis, and inflammation in a murine I/R model.
- To explore the modulation of the renin-angiotensin system (RAS) by Ang-(1-7) treatment in the context of AKI.
Main Methods:
- Induction of bilateral renal ischemia-reperfusion (I/R) injury in adult male Balb/c mice to model AKI.
- Administration of varying doses of Angiotensin-(1-7) (Ang-(1-7)) to treated mice.
- Assessment of serum biomarkers (Angiotensin II, TGF-β1, SOD) using ELISA, renal fibrosis markers (Collagen I) via immunohistochemistry, and RAS pathway proteins (ACE2, AT1R) using Western blotting.
Main Results:
- Angiotensin-(1-7) (Ang-(1-7)) treatment significantly reduced serum Angiotensin II (Ang II) and Transforming Growth Factor-β1 (TGF-β1) levels.
- A dose-dependent increase in Superoxide Dismutase (SOD) was observed, indicating enhanced antioxidant capacity.
- Ang-(1-7) administration markedly decreased renal fibrosis markers (Collagen I) and inflammatory cytokines, and modulated RAS components, increasing ACE2 and decreasing AT1R expression.
Conclusions:
- Angiotensin-(1-7) (Ang-(1-7)) demonstrates significant potential in preventing the progression of acute kidney injury (AKI) to chronic kidney disease (CKD).
- The renoprotective effects are attributed to the modulation of the renin-angiotensin system (RAS) towards a protective state, reducing fibrosis and inflammation.
- These findings support further clinical investigation of Ang-(1-7) or Mas receptor agonists for managing kidney diseases.
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