PMID- 16410269 OWN - NLM STAT- MEDLINE DCOM- 20060707 LR - 20220408 IS - 0931-0509 (Print) IS - 0931-0509 (Linking) VI - 21 IP - 5 DP - 2006 May TI - Macrophages contribute to the initiation of ischaemic acute renal failure in rats. PG - 1231-9 AB - BACKGROUND: Although neutrophils and T cells are important in mediating renal injury following ischaemia/reperfusion, the role of macrophages is still unknown. Using liposomal clodronate (LC), we investigated the effect of systemic monocyte-macrophage depletion on renal damage in ischaemic acute renal failure in rats. METHODS: Male Sprague-Dawley rats were injected by LC or liposomal vehicle and underwent bilateral renal pedicle clamping (40 min) or sham ischaemia. Biochemical and histological renal damage was assessed and gene expression kinetics of tumour necrosis factor-alpha (TNF-alpha), interleukin-1beta (IL-1beta), IL-6 and monocyte chemoattractant protein-1 (MCP-1) using quantitative real-time reverse transcription-polymerase chain reaction were conducted at 4, 24 and 72 h after reperfusion. RESULTS: The percentage of peripheral blood monocytes and ectodysplasin-1-positive cells in liver decreased significantly in LC-treated animals at 24 h. Systemic monocyte-macrophage depletion resulted in (a) less severe tubular necrosis, (b) reduced inflammation and (c) reduced apoptosis of renal tubular epithelial cells. Gene expression kinetics showed that IL-6 gene expression peaked early at 4 h after reperfusion, followed by TNF-alpha, IL-1beta and MCP-1 expressions, which peaked at 24 h. Systemic monocyte-macrophage depletion significantly reduced these cytokine and chemokine gene expressions. CONCLUSIONS: These results suggest that macrophages are an important mediator in the initiation period of ischaemia/reperfusion injury and strategies that limit initial macrophage infiltration or activation can be useful in the treatment of acute renal failure. FAU - Jo, Sang-Kyung AU - Jo SK AD - Division of Nephrology, Department of Internal Medicine, Korea University Hospital, Anam-Dong, Sungbuk-Ku, Seoul 136-705, Korea. FAU - Sung, Su-Ah AU - Sung SA FAU - Cho, Won-Yong AU - Cho WY FAU - Go, Kang-Jee AU - Go KJ FAU - Kim, Hyoung-Kyu AU - Kim HK LA - eng PT - Comparative Study PT - Journal Article DEP - 20060112 PL - England TA - Nephrol Dial Transplant JT - Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association JID - 8706402 RN - 0 (Interleukin-1) RN - 0 (Interleukin-6) RN - 0 (RNA, Messenger) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Acute Kidney Injury/*pathology/physiopathology MH - Animals MH - *Apoptosis MH - Biopsy, Needle MH - Cell Proliferation MH - Disease Models, Animal MH - Immunohistochemistry MH - In Situ Nick-End Labeling MH - Interleukin-1/analysis/metabolism MH - Interleukin-6/analysis/metabolism MH - Kidney Function Tests MH - Macrophages/*cytology/physiology MH - Male MH - Probability MH - RNA, Messenger/analysis MH - Rats MH - Rats, Sprague-Dawley MH - Reference Values MH - Reperfusion Injury/*pathology/physiopathology MH - Reverse Transcriptase Polymerase Chain Reaction MH - Statistics, Nonparametric MH - Tumor Necrosis Factor-alpha/analysis/metabolism EDAT- 2006/01/18 09:00 MHDA- 2006/07/11 09:00 CRDT- 2006/01/18 09:00 PHST- 2006/01/18 09:00 [pubmed] PHST- 2006/07/11 09:00 [medline] PHST- 2006/01/18 09:00 [entrez] AID - gfk047 [pii] AID - 10.1093/ndt/gfk047 [doi] PST - ppublish SO - Nephrol Dial Transplant. 2006 May;21(5):1231-9. doi: 10.1093/ndt/gfk047. Epub 2006 Jan 12.