机构:[1]Center for Pharmacogenetics and Department of Pharmaceutical Sciences[2]Department of Pathology, School of Medicine[3]Center for Clinical Pharmaceutical Sciences, Department of Pharmacy and Therapeutics, School of Pharmacy[4]Department of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, Pennsylvania[5]Department of Pharmacology, Shantou University Medical College, Shantou, Guangdong, China[6]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China重点科室诊疗科室神经外科神经外科首都医科大学附属天坛医院
Acute kidney injury (AKI) is associate with high mortality. Despite evidence of AKI-induced distant organ injury, a relationship between AKI and liver injury has not been clearly established. The goal of this study is to investigate whether renal ischemia-reperfusion (IR) can affect liver pathophysiology. We showed that renal IR in mice induced fatty liver and compromised liver function through the downregulation of constitutive androstane receptor (CAR; -90.4%) and inhibition of hepatic very-low-density lipoprotein triglyceride (VLDL-TG) secretion (-28.4%). Treatment of mice with the CAR agonist 1,4-bis[2-(3,5 dichloropyridyloxy)] benzene (TCPOBOP) prevented the development of AKI-induced fatty liver and liver injury, which was associated with the attenuation of AKI-induced inhibition of VLDL-TG secretion. The hepatoprotective effect of TCPOBOP was abolished in CAR(-/-) mice. Interestingly, alleviation of fatty liver by TCPOBOP also improved the kidney function, whereas CAR ablation sensitized mice to AKI-induced kidney injury and lethality. The serum concentrations of interleukin-6 (IL-6) were elevated by 27-fold after renal IR, but were normalized in TCPOBOP-treated AKI mice, suggesting that the increased release of IL-6 from the kidney may have mediated the AKI responsive liver injury. Taken together, our results revealed an interesting kidney-liver organ cross-talk in response to AKI. Given the importance of CAR in the pathogenesis of renal IR-induced fatty liver and impaired kidney function, fatty liver can be considered as an important risk factor for kidney injury, and a timely management of hepatic steatosis by CAR activation may help to restore kidney function in patients with AKI or kidney transplant.
基金:
National Institutes of HealthUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USA [DK083952, ES023438]; Joseph Koslow Endowed Professorship from the University of Pittsburgh School of Pharmacy
第一作者机构:[1]Center for Pharmacogenetics and Department of Pharmaceutical Sciences
通讯作者:
通讯机构:[1]Center for Pharmacogenetics and Department of Pharmaceutical Sciences[4]Department of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, Pennsylvania[*1]Center for Pharmacogenetics and Department of Pharmaceutical Sciences, 306 Salk Pavilion, University of Pittsburgh, Pittsburgh, PA 15261
推荐引用方式(GB/T 7714):
You-Jin Choi,Dong Zhou,Anne Caroline S. Barbosa,et al.Activation of Constitutive Androstane Receptor Ameliorates Renal Ischemia-Reperfusion-Induced Kidney and Liver Injury[J].MOLECULAR PHARMACOLOGY.2018,93(3):239-250.doi:10.1124/mol.117.111146.
APA:
You-Jin Choi,Dong Zhou,Anne Caroline S. Barbosa,Yongdong Niu,Xiudong Guan...&Wen Xie.(2018).Activation of Constitutive Androstane Receptor Ameliorates Renal Ischemia-Reperfusion-Induced Kidney and Liver Injury.MOLECULAR PHARMACOLOGY,93,(3)
MLA:
You-Jin Choi,et al."Activation of Constitutive Androstane Receptor Ameliorates Renal Ischemia-Reperfusion-Induced Kidney and Liver Injury".MOLECULAR PHARMACOLOGY 93..3(2018):239-250