PMID- 12472797 OWN - NLM STAT- MEDLINE DCOM- 20040302 LR - 20220318 IS - 0085-2538 (Print) IS - 0085-2538 (Linking) VI - 63 IP - 1 DP - 2003 Jan TI - Inhibition of nuclear factor-kappaB activation by pyrrolidine dithiocarbamate prevents chronic FK506 nephropathy. PG - 306-14 AB - BACKGROUND: Chronic tacrolimus (FK506) nephrotoxicity is characterized by renal fibrosis with interstitial inflammation. Since nuclear factor-kappaB (NF-kappaB) plays a key role in chronic inflammatory diseases including renal disease, the present study was conducted to elucidate the role of NF-kappaB in the pathogenesis of chronic FK506-induced nephropathy. METHODS: FK506 (1 mg/kg/day, SC) was administered daily to rats maintained on low sodium diet for 42 days. Some rats were treated with a putative NF-kappaB inhibitor, pyrrolidine dithiocarbamate (PDTC; 100, 200 mg/kg/day, by gavage). The renal function, renal histology, renal NF-kappaB-DNA binding activity and gene expression profile were examined. RESULTS: FK506 caused a decline in glomerular filtration and induced characteristic renal morphologic changes including arteriolopathy, tubular atrophy and interstitial fibrosis. FK506 markedly activated renal cortical NF-kappaB-DNA binding. PDTC administration inhibited NF-kappaB-DNA binding activity in a dose dependent manner. With higher dose, NF-kappaB-DNA binding activity was decreased to a control level. PDTC had little effect on FK506-induced renal dysfunction. Renal cortical monocyte/macrophage infiltration observed in FK506-treated rats was dramatically suppressed by PDTC. FK506 up-regulated renal cortical gene expression of chemoattractant proteins, monocyte chemoattractant protein-1 (MCP-1) and osteopontin. PDTC significantly blocked MCP-1 gene expression but had no effect on osteopontin gene expression. Tubular atrophy and tubulointerstitial fibrosis, but not arteriolopathy, were significantly attenuated by PDTC. FK506 increased renal mRNA expression of fibrogenic molecules and extracellular matrices that also were attenuated by PDTC treatment. CONCLUSIONS: NF-kappaB plays an important role in mediating cortical monocyte/macrophage infiltration and in the pathogenesis of tubular injury and interstitial fibrosis in experimental FK506-induced chronic nephropathy. FAU - Tamada, Satoshi AU - Tamada S AD - Department of Urology, Osaka City University, Osaka, Japan. FAU - Nakatani, Tatsuya AU - Nakatani T FAU - Asai, Toshihiro AU - Asai T FAU - Tashiro, Koichiro AU - Tashiro K FAU - Komiya, Toshiyuki AU - Komiya T FAU - Sumi, Tomohiko AU - Sumi T FAU - Okamura, Mikio AU - Okamura M FAU - Kim, Shokei AU - Kim S FAU - Iwao, Hiroshi AU - Iwao H FAU - Kishimoto, Taketoshi AU - Kishimoto T FAU - Yamanaka, Shinya AU - Yamanaka S FAU - Miura, Katsuyuki AU - Miura K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (Chemokine CCL2) RN - 0 (Immunosuppressive Agents) RN - 0 (NF-kappa B) RN - 0 (Pyrrolidines) RN - 0 (RNA, Messenger) RN - 0 (Sialoglycoproteins) RN - 0 (Spp1 protein, rat) RN - 0 (Thiocarbamates) RN - 106441-73-0 (Osteopontin) RN - 25769-03-3 (pyrrolidine dithiocarbamic acid) RN - WM0HAQ4WNM (Tacrolimus) SB - IM MH - Animals MH - Chemokine CCL2/genetics MH - Chronic Disease MH - Electrophoretic Mobility Shift Assay MH - Immunohistochemistry MH - Immunosuppressive Agents/*toxicity MH - Kidney/metabolism/pathology MH - Kidney Diseases/chemically induced/drug therapy/*prevention & control MH - Macrophages/drug effects/pathology MH - Male MH - Monocytes/drug effects/pathology MH - NF-kappa B/*metabolism MH - Osteopontin MH - Pyrrolidines/*metabolism MH - RNA, Messenger/analysis MH - Rats MH - Rats, Sprague-Dawley MH - Sialoglycoproteins/genetics MH - Tacrolimus/*toxicity MH - Thiocarbamates/*metabolism EDAT- 2002/12/11 04:00 MHDA- 2004/03/03 05:00 CRDT- 2002/12/11 04:00 PHST- 2002/12/11 04:00 [pubmed] PHST- 2004/03/03 05:00 [medline] PHST- 2002/12/11 04:00 [entrez] AID - S0085-2538(15)48873-8 [pii] AID - 10.1046/j.1523-1755.2003.00714.x [doi] PST - ppublish SO - Kidney Int. 2003 Jan;63(1):306-14. doi: 10.1046/j.1523-1755.2003.00714.x.