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Prostaglandins, leukotrienes and essential fatty acids
Volume 69, Number 5,
November 2003
, pages 315-322
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Abstract
We examined the direct epithelial effects of the main product ofarachidonic acid metabolismin the kidney, prostaglandin E2(PGE2), inion transportysignal transductionin the C7 subclone of canine hormone-responsive Madin-Darby kidney (MDCK) as a model kidneycollecting ductchief cells. MDCK C7 cells were grown on microporous permeable filter supports and mounted in Ussing-type chambers.reverse transcriptase(RT)-PCR and sequencing were used to determine E-prostanoid (EP) receptor expression. Basolateral and about 14 times less potent apical addition of PGE2increase in short-circuit current (ISouth Carolina) in a concentration-dependent manner. This ion transport was biphasic with a rapid peak not detectable under chloride-free conditions. The remaining, stably elevated current was not affected byfurosemide,hydrochlorothiazide, ethylisopropanolamiloridaand 5-nitro-2-(3-phenyl-propyl-amino)benzoic acid (NPPB). In contrast, apical amiloride (10μM) significantly decreased ISouth Carolina, indicatingsodium reabsorption. The effect of PGE2dimmed in the presence ofvasopressin. Agonists that act by raising cAMP such as dibutyryl-cAMP andtheophyllinealso induced amiloride-sensitive ion transport with kinetics similar to PGE2. Also, PGE2intracellular cAMP levels rapidly increased. RT-PCR demonstrated the mRNA expression of theepithelial sodium channel(ENaC), and the EP2 receptor in MDCK C7 cells. Consequently, EP2receptor agonist butaprostimitated PGE2epithelial action. In conclusion, PGE2induces amiloride-sensitive sodium reuptake in MDCK C7 monolayers. Most likely, this ion transport is mediated by EP2 receptor activation, leading to increased intracellular cAMP levels. Therefore, PGE2could also contribute to Na+reabsorption in the collecting duct of mammals.
Introduction
Prostaglandin E2(PGE2) is the major product of renal metabolism of arachidonic acid and an important regulator of sodium and water transport [1]. In addition to the proximal tubule and the medullary thick ascending limb, the renal collecting duct system is responsible for the final regulation of urinary sodium excretion. Active transepithelial reabsorption of sodium is achieved by chief cells under the control of the steroid hormone aldosterone when Na+it enters the cell through apical epithelial amiloride-sensitive sodium channels (ENaC) and is ejected basolaterally by Na-K-ATPase [2]. from PGE2it is mainly synthesized in the medullary and cortical collecting tubule [3], an important role in the regulation of sodium transport in the distal nephron has been suggested. Consequently, PGE2It has been shown to antagonize the action of vasopressin in the collecting ducts of rodents, thereby decreasing sodium transport [4] and water absorption [5]. In general, the action of PGE2it was found to be mediated by binding to different receptors called EP1, EP2, EP3 and EP4 [6]. Regarding the collecting duct system (CCD), the EP3 receptor seems to be responsible for the classic effect of PGE.2to regulate vasopressin-stimulated water permeability [7]. Less information is available on the distribution of the other EP receptors EP1, EP2, and EP4. The expression of EP4 mRNA and the presence of both luminal and basolateral receptor protein in the rabbit cortical collecting duct (CCD) have been suggested [8] using different EP agonists. In contrast to EP3, which is coupled to decreased intracellular cAMP concentration, the EP4 receptor signals via increased cAMP. This indicates that PGE2it probably exerts different effects in the collecting duct depending on the distribution of receptor expression, or the presence of interacting hormones such as vasopressin (AVP). Furthermore, most of the data on PGE2action were obtained from rodents and marked differences between species, e.g. between rabbit [4] and rat [9] CCD. No information available on the effect of PGE2in isolated CCD cell models.
In addition to primary cultures of distal renal tubules from various species, immortalized epithelial cell lines such as the amphibian cell line Xenopus laevis A6 or Madin-Darby canine kidney (MDCK) cells are widely used to investigate the physiology of renal tubules. distal, including ion transport. 10]). Recently, a hormone-sensitive MDCK subclone called C7 has been further characterized [11] and represents a valuable model for investigating the properties of mammalian collecting duct principal cells. This high resistance clone C7 showed vector Na sensitive to amiloride+transport in response to aldosterone [12] and AVP [13]. We used MDCK C7 cells to investigate the direct and hormone-independent effect of PGE2on distal tubular ion transport, and to elucidate the signal transduction pathways involved.
section snippets
cell culture
MDCK cells of the C7 subtype were used at passages 74–80 (kindly provided by Dr. Gekle, Physiologisches Institut, Universität Würzburg). Cells were grown in 600 mL plastic culture flasks (Greiner, Frickenhausen, Germany) using Earle's MEM medium (PAA Laboratories, Cölbe, Germany) supplemented withyo-glutamine, 10% fetal bovine serum (FCS, Greiner, Frickenhausen, Germany), 100U/ml penicillin, 100μg/ml streptomycin and 1mM sodium bicarbonate (PAA). They were passed twice a week under standard
PGE effect2on the transport of ions
When seeded in Millicell™ HA culture plate well inserts, MDCK C7 cells form a compact, seamless polarized epithelial monolayer within 7 to 11 days. To assess the effect of PGE2in MDCK C7, PGE cells2was added to the apical or basolateral bath solution. The apical application (n=7) led to a small but significant increase in short-circuit current (from −0.2±0.2 to 0.4±0.1 μA/cm2, P=0,018; VHE: de 0,2±0,3 a −0,5±0,2mV, P=0,018; RHE: from 1308±25 to 1317±33Ωcm2, p = 0.8). In contrast, ISouth Carolina
Discussion
The collecting duct is capable of synthesizing PGE.2as the major product of arachidonate dependent on renal cyclooxygenase [3] and this metabolite regulates circulation along with renal transport of salt and water [1]. In the present study, the apical addition of PGE2had a small, but significant, effect on electrogenic ion transport consistent with recent data indicating regulation of rabbit sodium-water CCD by luminal PGE2, possibly due to the participation of apical EP4 receptors [8], [17]. Larger effects of apical
Thanks
We thank Ines Korff for technical assistance and Dr. Michael Gekle for providing the MDCK C7 cells and for helpful comments on the manuscript.
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See AlsoCHỐNG SARS CORONAVIRUS 2 CÁC THÀNH PHẦN SINH HOẠT MIỄN DỊCH, PHƯƠNG PHÁP BÀO CHẾ VÀ SỬ DỤNG CÁC HỢP CHẤT NÀYĐánh giá các phương pháp vi lỏng để bắt chước quả thậnGiá trị của việc định lượng chất vận chuyển ABC bằng phép đo khối phổ và tác động đến dự đoán in vitro đến in vivo về tương tác thuốc-thuốc qua trung gian chất vận chuyển của rivaroxabanFEBS Lett.
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PGE
2 stimulates aldosterone release via the cAMP/sPRR/β-catenin pathway in collecting duct cells of the mouse inner medulla2023, Journal of Steroid Biochemistry and Molecular Biology
Quote excerpt:
PGE2 regulation of Na+ uptake in the CD is still in dispute. Some studies showed the inhibiting effect of PGE2 on Na+ uptake in DC by activating EP1 receptors [42–45], while other reports showed a PGE2-stimulating effect on Na+ uptake in DC by activating EP1 receptors [42–45]. activation of EP2 or EP4 receptors [46,47]. Furthermore, we recently reported that Aqp2Cre-driven deletion of COX-2 or EP1 in DC induced a Na+-wasting phenotype during low-salt intake, accompanied by inhibition of ENaC and intrarenal aldosterone [4].
Mounting evidence has shown aldosterone generation in the collecting duct (CD), an important site for the synthesis and action of prostaglandin E.2(PGE2). Both aldosterone and PGE2are stimulated by Na+exhaustion or K+charge or angiotensin II. However, whichever comes first and the correlation between PGE2and aldosterone in the CD remains dark. PGE2stimulates aldosterone release in adrenal zona glomerulosa cells via E-prostanoid (EP) receptors by activating the cAMP element-binding/cAMP-responsive pathway. Here, we further test the hypothesis that PGE stimulates aldosterone synthesis.2in CD cells and the underlying mechanism. In mouse primary inner medullary CD cells, PGE2incubation significantly stimulated aldosterone release in parallel with an increase in CYP11B2 (cytochrome P-450, family 11, subfamily B, polypeptide 2), expression of (pro)renin receptor (PRR) and prorenin protein and upregulation of Mean soluble PRR (sPRR), prorenin/renin, and cAMP levels, both attenuated by PE1antagonist SC-19220 and the protein kinase C (PKC) inhibitor calfostin C. PGE2The induced release of aldosterone, prorenin/renin, and sPRR was also abolished by the protein kinase A inhibitor H89. Both a PRR antagonist PRO20 and a β-catenin inhibitor ICG001 attenuated PGE2or sPRR-induced aldosterone and prorenin/renin secretion. Incubation with exogenous sPRR protein not only stimulated aldosterone and prorenin/renin release, but also reversed aldosterone and prorenin/renin secretion attenuated by PF429242 (an inhibitor of subtilisin kexin isoenzyme-1, which can block endogenous generation from sPRR). Therefore, we conclude that PGE2increases CD aldosterone synthesis via EP1receptor via the PKC/cAMP/sPRR/β-catenin pathway.
Prostaglandin E
2 stimulates lipopolysaccharide-triggered fluid and anion secretion in rat vaginal epithelium2021, Molecular and Cellular Endocrinology
Quote excerpt:
For example, PGE2 is reported to have activated the cystic fibrosis transmembrane conductance regulator (CFTR) and promoted anion secretion in various epithelia (Cheuk et al., 2002; Cheung et al., 2005; Sjoblom and Nylander, 2007). ; Takeuchi et al., 2011; Tuo et al., 2007; van der Merwe et al., 2009; Wallace et al., 2002). In addition, the epithelial Na+ channel (ENaC) could also be regulated by PGE2, mediating Na+ uptake (Els and Helman, 1997; Wegmann and Nusing, 2003). Previous studies have shown that infection with enteroinvasive bacteria induced PGE2 production, resulting in increased Cl- secretion and decreased barrier function in the intestinal epithelium (Resta-Lenert and Barrett, 2002).
Prostaglandin E2(PGE2) is a major lipid mediator involved in several biological processes, including immune responses and fluid secretion. As the host's first line of defense against infection, the vaginal epithelium plays orchestrated roles in vaginal innate immunity. However, the effect of PGE2triggered by proinflammatory stimuli in the vaginal epithelium remains elusive. This study aimed to investigate the regulatory role of PGE2in the vaginal epithelium after stimulation with lipopolysaccharide (LPS). RT-PCR and Western blot analysis revealed that E-prostanoid (EP) receptors EP2 and EP4 were expressed in the rat vagina. Basolateral application of PGE2Cystic fibrosis transmembrane conductance regulator (CFTR)-mediated induced anion secretion via the EP-adenylate cyclase-cAMP signaling pathway in rat vaginal epithelial cells. The in vivo study showed that PGE2promoted fluid secretion in the rat vagina. In addition, LPS stimulation facilitated cyclooxygenase-dependent PGE.2synthesis and secretion of vaginal fluids in vivo. In conclusion, LPS stimulation elicited epithelium-derived PGE.2production in the vaginal epithelium, leading to CFTR-mediated anion secretion and luminal redness. This study provides valuable information on the physiological role of PGE2during vaginal bacterial infection.
Mechanisms underlying the antihypertensive effects of garlic bioactives
2014, Nutrition Research
Quote excerpt:
An important modulator of Na homeostasis is prostaglandin E2 (PgE2). Indeed, PgE2 is reported to increase Na reabsorption from the distal tubule [94]. Interestingly, garlic was recently shown to reduce PgE2 levels in rats [93].
Cardiovascular disease remains the leading cause of death worldwide, and hypertension is a major contributing factor to cardiovascular disease-associated mortality. At the population level, non-pharmacological approaches such as complementary/alternative medicine, including phytochemicals, have the potential to improve cardiovascular risk factors, including high blood pressure. Several epidemiological studies suggest an antihypertensive effect of garlic (Allium sativum) and many of its bioactive components. The aim of this review is to present an in-depth discussion on the molecular, biochemical and cellular rationales underlying the antihypertensive properties of garlic and its bioactive components, with a main focus on S-allylcysteine and allicin. Key studies, mostly from PubMed, were selected and reviewed to develop a comprehensive understanding of the specific role of garlic and its bioactive components in the treatment of hypertension. We also review recent advances focused on the role of garlic bioactives, S-allylcysteine and allicin, in the modulation of various parameters involved in the pathogenesis of hypertension. These parameters include oxidative stress, nitric oxide bioavailability, hydrogen sulfide production, angiotensin-converting enzyme activity, nuclear factor-κB expression, and vascular smooth muscle cell proliferation. This review suggests that garlic and garlic-derived bioactives have significant medicinal properties with the potential to ameliorate hypertension and associated morbidity; however, further clinical and epidemiological studies are required to fully determine the specific physiological and biochemical mechanisms involved in the prevention and management of the disease.
Unconventional chemiosmotic coupling of NHA2, an antiporter of Na+/H+of mammals, to a gradient of H+plasma membrane
2012, Journal of Biological Chemistry
Quote excerpt:
Madin-Darby canine kidney (MDCK) cells are widely used to investigate renal physiology (19). Confluent monolayers of MDCK cells have Na+ transport properties similar to those of the mammalian distal nephron (19, 20). We show endogenous expression of NHA2 in MDCK cells by RT-PCR (Fig. 1A), immunofluorescence (Fig. 1B) and Western blotting (Fig. 1D).
Human NHA2, a recently discovered cation proton antiporter, is implicated in essential hypertension by gene linkage analysis. We show that NHA2 mediates Na responsive to phloretin+-Li+countertransport activity (SLC), an established marker for hypertension. Unlike bacteria and fungi, where H+gradients drive uptake of metabolites, secondary transport at the plasma membrane of mammalian cells is coupled to Na+electrochemical gradient. Our findings challenge this paradigm by showing the coupling of NHA2 and H type V.+-ATPase in the plasma membrane of kidney-derived MDCK cells, resulting in a virtual Na+efflux pump Thus, NHA2 functionally recapitulates an ancient evolutionary origin shared with bacterial NhaA. Although the plasma membrane H+Gradients have been observed in some specialized mammalian cells, the ubiquitous tissue distribution of NHA2 suggests that H+-coupled transport is more widespread. The coexistence of Na+y H+Nucleotide-driven chemiosmotic circuits have implications for salt and pH regulation in the kidney.
Fatty acid metabolism in cystic fibrosis
2010, Prostaglandins Leukotrienes and Essential Fatty Acids
Quote excerpt:
An overview of the relationship between folate and PC synthesis is provided in Figure 2. Increased sodium absorption has been linked to increased PGE2 activity that stimulates ENaC activity and mRNA expression in renal cells [70,71]. Such a mechanism would explain the increased sodium absorption in the kidney in patients with CF [13,72].
Despite the identification twenty years ago of the gene responsible for cystic fibrosis transmembrane conductance regulator (CFTR), the defective protein in cystic fibrosis (CF), investigation of this monogenetic disease has not provided an explanation for the divergent symptoms. , and a breakthrough in treatment is still expected. expected This review looks at different aspects of the alterations in lipid metabolism seen in CF. These include increased release of arachidonic acid (AA) from cell membrane phospholipids and low status of linoleic and docosahexaenoic acids. Recent research has explored more complicated lipid associations. Alterations in annexins and ceramides could act in concert to explain the impact on inflammation and AA release. Connections with CFTR and between alterations in essential fatty acid metabolism are reviewed. Metabolic interactions, some of which might be compensatory, possibly explain the difficulties in understanding fatty acid disturbances in relation to different symptoms and their relationship to defective CFTR.
Hyperammonemia acts synergistically with lipopolysaccharide to induce changes in cerebral hemodynamics in rats anesthetized with pentobarbital.
2007, Journal of Hepatology
The objective was to determine the effect of ammonia (NH3) and lipopolysaccharide (LPS) alone or in combination, on cerebral blood flow (CBF) and intracranial pressure (ICP) in the rat. Since amiloride-sensitive ion pathways in the blood-brain barrier (BBB) modulate CBF, we also aimed to test whether Na+/H+-inhibitors could prevent this possible synergism between NH3y LPS.
In experiment A, four groups of rats received ammonium acetate (140 µmol/kg/min) or saline, each associated with vehicle or LPS (2 mg/kg). In experiments B and C, rats received similar treatments after receiving amiloride (30 mg/kg) or 5-(N-methyl-N-isobutyl)-amiloride (MIA, 5 mg/kg). Plasma tumor necrosis factor-alpha (TNF-α), ICP (via a cisterna magna catheter), and CBF (by laser-Doppler flowmetry) were measured.
An increase in ICP and CBF was observed within 60 min only in rats receiving NH3along with LPS compared to any other group (P<0.01), which could be prevented by amiloride (P<0.05), but not by MIA. Both amiloride and MIA decreased the plasma concentration of TNF-α.
In rats anesthetized with pentobarbital NH3the infusion aggravates an LPS-induced increase in ICP and induces an increase in CBF that is less clearly seen with LPS alone. This effect is prevented by the non-specific Na+/H+amiloride inhibitor, but not by MIA, a specific inhibitor of Na+/H+exchanger Thus, the synergistic effect of NH3and LPS appears to be mediated by other amiloride-sensitive ion pathways in the BBB than Na+/H+exchanger
Investigation article
Chitosan Cross-linked Docetaxel-Loaded EGF Receptor Targeted to Nanoparticles for Lung Cancer Cells
International Journal of Biological Macromolecules, Volume 69, 2014, pp. 532-541
Lung cancer, associated with upregulated epidermal growth factor receptor (EGFR), led to the development of EGFR-targeted cancer therapies. Biopolymeric nanoparticles form an exceptional system for the targeted delivery of therapeutic agents. The present work evaluated the in vitro effects of chitosan-crosslinked γ-polyglutamic acid (γ-PGA) nanoparticles (Nps) loaded with docetaxel (DTXL) and decorated with Cetuximab (CET), targeting non-overexpressing EGFRs. small cell lung cancer (NSCLC) cells (A549). CET-DTXL-γ-PGA Nps was prepared by ion gelation and CET conjugation by EDC/NHS chemistry. EGFR specificity of specific Nps was confirmed by the higher uptake rates of EGFR +ve A549 cells compared to EGFR -ve (NIH3T3) cells. Nps cytotoxicity quantified by cell-based (MTT/LDH) and flow cytometric assays (cell cycle analysis, annexin V/PI and JC-1) showed superior antiproliferative activity of CET-DTXL-γ-PGA Nps over DTXL-γ-PGA Nps. A549 cells treated with CET-DTXL-γ-PGA NP underwent G2/M phase cell cycle arrest followed by a reduction in the mitochondrial membrane potential of A549 cells, which induced apoptosis and necrosis, resulting in in increased death of cancer cells. CET-DTXL-γ-PGA Nps exhibited enhanced cellular internalization and therapeutic activity by actively targeting EGFR in NSCLC cells and thus could be an effective alternative to conventional non-specific chemotherapy by increasing its efficiency in many times.
Investigation article
Prostaglandin E2 Causes Greater Bronchodilation Than Salbutamol in Mouse Intrapulmonary Airways in Lung Sections
Pulmonary Pharmacology & Therapeutics, Volume 28, Issue 1, 2014, pp. 68-76
Current asthma therapy may not adequately target contraction of the smaller intrapulmonary airways, which are a major site of airway obstruction and inflammation. The aim of this study was to characterize mouse intrapulmonary airway responses to prostaglandin E.2(PGE2) and compare its dilatory efficacy with that of β2-adrenoceptor agonist salbutamol in situ, using lung slices.
Lung sections (150 µm) were prepared from male Balb/C mice. Changes in the area of the intrapulmonary airway lumen were recorded and analyzed using phase contrast microscopy. relaxation to PGE2and salbutamol were assessed after various levels of precontraction with methacholine, serotonin, or endothelin-1, as well as after overnight incubation with PGE.2or salbutamol. The PGE Mechanism2-mediated relaxation was explored using selective EP antagonists (EP1/2AH6809; EP4L-161982) and Ca2+-permeabilized slices, where airway responses are due to Ca regulation2+-sensitivity alone
PGE2provoked PE1/2-Relaxation mediated by intrapulmonary airways. PGE2was more potent than salbutamol in opposing submaximal precontraction of all constrictors tested, and only PGE2opposed maximal precontraction with endothelin-1. relaxation to PGE2was maintained when contraction to methacholine was mediated by an increase in Ca2+-sensitivity alone PGE2it was less sensitive to homologous or heterologous desensitization of its receptors than salbutamol.
The highest efficacy and potency of PGE2compared to salbutamol in the intrapulmonary airways of mice supports further investigation of the mechanisms underlying this improved stent response for the treatment of severe asthma.
Investigation article
Profiling conserved biological pathways in autosomal dominant polycystic kidney disorder (ADPKD) to elucidate key transcriptomic alterations regulating cystogenesis: a cross-species meta-analysis approach
Gene, Volume 627, 2017, pgs. 434-4
The onset and progression of fluid-filled cysts mark autosomal dominant polycystic kidney disease (ADPKD). Therefore, improved therapy targeting cystogenesis remains a constant challenge. In-species microarray studies of individual ADPKD animal models with limited sample sizes tend to provide scattered views on the underlying pathogenesis of ADPKD. Therefore, we aim to perform a cross-species meta-analysis to profile conserved biological pathways that could be key targets for therapy.
Nine rat, mouse, and human ADPKD microarray datasets met our study criteria and were chosen. The intraspecies combined analysis was performed after considering the elimination of the batch effect. Significantly enriched GO biological processes and KEGG pathways were calculated and their overlap was observed. For conserved pathways, biological modules and gene regulatory networks were observed. In addition, a Gene Set Enrichment Analysis (GSEA) was performed using the Molecular Signature Database (MSigDB) for genes found in conserved pathways.
We obtained 28 significantly enriched modules of GO processes and 5 major functional categories of significantly enriched KEGG pathways conserved in humans, mice, and rats which, in turn, suggest a global transcriptomic perturbation affecting cyst formation, growth, and progression. Significantly enriched pathways derived from upregulated genes such as genomic instability, protein localization in ER, and insulin resistance were found to regulate cyst formation and growth, whereas cyst progression due to increased cell adhesion and inflammation was suggested by perturbations in Angiogenesis, TGF-beta, CAM, and infection-related pathways. Furthermore, the networks revealed shared genes between pathways, e.g. SMAD2 and SMAD7 in Endocytosis and TGF-beta.
Our study suggests that cyst formation and progression is the result of the interaction between a set of several key dysregulated pathways. Therefore, further translational research focused on the development of a combinatorial therapeutic approach for the correction of ADPKD is warranted.
Investigation article
Reduced expression of Krüppel-like factor 2 may aggravate endothelial damage in diabetic nephropathy
Kidney International, Volume 87, Number 2, 2015, pp. 382-395
Krüppel-like factor 2 (KLF2), a shear-inducible transcription factor, has endoprotective effects. In streptozotocin-induced diabetic rats, we found that glomerular expression of Klf2 was reduced compared to non-diabetic rats. However, normalization of hyperglycemia by insulin treatment increased Klf2 expression to a level higher than in non-diabetic rats. Consistent with this, we found that Klf2 expression was suppressed by high glucose but increased by insulin in cultured endothelial cells. To determine the role of KLF2 in streptozotocin-induced diabetic nephropathy, we used endothelial cell-specific Klf2 heterozygous knockout mice and found that diabetic knockout mice developed more renal/glomerular hypertrophy and proteinuria than wild-type diabetic mice. Glomerular expression of Vegfa, Flk1, and angiopoietin 2 was increased, but expression of Flt1, Tie2, and angiopoietin 1 was decreased in diabetic knockout mice compared with diabetic wild-type mice. The glomerular expression of ZO-1, glycocalyx, and eNOS was also decreased in diabetic knockout mice compared to diabetic wild-type mice. These data suggest that knockdown of Klf2 expression in endothelial cells induced more endothelial cell injury. Interestingly, podocyte injury was also more prominent in diabetic knockout mice compared to diabetic wild-type mice, indicating a cross-talk between these two cell types. Therefore, KLF2 may play a role in glomerular endothelial cell injury in early diabetic nephropathy.
Investigation article
Personalization of NSCLC therapy through TKI-PET and immuno-PET tumor characterization
Lung Cancer, Volume 107, 2017, pp. 1-13
Non-small cell lung cancer (NSCLC) therapy has entered a rapidly advancing era of precision medicine with an increasing number of drugs directed against a variety of specific tumor targets. Among these new agents, tyrosine kinase inhibitors (TKIs) and monoclonal antibodies (mAbs) are the most widely used. However, since only a sensitive subset of patients benefit from targeted drugs, predictive biomarkers are needed. Positron emission tomography (PET) may offer such a biomarker to predict the efficacy of therapy. Some of the TKIs and mAbs in clinical use can be radioactively labeled and used as markers. PET can visualize and quantify the tumor-specific uptake of radiolabeled targeted drugs, allowing characterization of their pharmacokinetic behavior. In this review, the clinical potential of PET with radiolabeled TKIs (TKI-PET) and mAb (immuno-PET) in NSCLC is discussed, and an overview of the most relevant preclinical and clinical studies is provided.
Investigation article
Genome-wide association studies in kidney transplantation: advantages and limitations
Transplant Immunology, Volume 49, 2018, pp. 1-4
Since the discovery of the human leukocyte antigen (HLA) system, the role of HLA molecules in the field of transplantation has been appreciated: better matching leads to better graft function. Since then, the association of other genetic polymorphisms with clinical outcome has been investigated in many studies. Genome-wide association studies (GWAS) represent a powerful tool to identify causative genetic variants, through the simultaneous analysis of millions of single nucleotide polymorphisms scattered throughout the genome. GWAS in transplantation may indeed be useful in revealing new markers that may potentially be involved in the mechanism of allograft rejection and graft failure. However, the relevance of GWAS for risk stratification or donor selection for an individual patient is limited, as already reflected in the fact that many parameters, significant in one study, cannot be confirmed in another.
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