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Activation of Constitutive Androstane Receptor Ameliorates Renal Ischemia-Reperfusion-Induced Kidney and Liver Injury

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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
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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.

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 2 区 药学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 药学
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出版当年[2016]版:
Q1 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q2 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]Center for Pharmacogenetics and Department of Pharmaceutical Sciences
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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
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