PMID- 19422328 OWN - NLM STAT- MEDLINE DCOM- 20090729 LR - 20230124 IS - 1600-6143 (Electronic) IS - 1600-6135 (Linking) VI - 9 IP - 5 DP - 2009 May TI - Signal transduction pathways involved in brain death-induced renal injury. PG - 989-97 LID - 10.1111/j.1600-6143.2009.02587.x [doi] AB - Kidneys derived from brain death organ donors show an inferior survival when compared to kidneys derived from living donors. Brain death is known to induce organ injury by evoking an inflammatory response in the donor. Neuronal injury triggers an inflammatory response in the brain, leading to endothelial dysfunction and the release of cytokines in the circulation. Serum levels of interleukin-6, -8, -10, and monocyte chemoattractant protein-1 (MCP-1) are increased after brain death. Binding with cytokine-receptors in kidneys stimulates activation of nuclear factor-kappa B (NF-kappaB), selectins, adhesion molecules and production of chemokines leading to cellular influx. Mitogen-activated protein kinases (MAP-kinases) mediate inflammatory responses and together with NF-kappaB they seem to play an important role in brain death induced renal injury. Altering the activation state of MAP-kinases could be a promising drug target for early intervention to reduce cerebral injury related donor kidney damage and improve outcome after transplantation. FAU - Bouma, H R AU - Bouma HR AD - Department of Clinical Pharmacology, Groningen University Institute of Drug Exploration, University Medical Center Groningen, The Netherlands. FAU - Ploeg, R J AU - Ploeg RJ FAU - Schuurs, T A AU - Schuurs TA LA - eng PT - Journal Article PT - Review PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (Chemokines) RN - EC 2.7.11.24 (Extracellular Signal-Regulated MAP Kinases) SB - IM MH - Blood-Brain Barrier/physiology MH - *Brain Death MH - Chemokines/biosynthesis/genetics MH - Endothelium, Vascular/pathology MH - Extracellular Signal-Regulated MAP Kinases/metabolism MH - Humans MH - Inflammation/genetics/pathology/physiopathology MH - Kidney/*injuries/*pathology MH - Kidney Transplantation/mortality/*statistics & numerical data MH - Neurons/pathology MH - *Signal Transduction MH - *Tissue Donors MH - Transcription, Genetic RF - 135 EDAT- 2009/05/09 09:00 MHDA- 2009/07/30 09:00 CRDT- 2009/05/09 09:00 PHST- 2009/05/09 09:00 [entrez] PHST- 2009/05/09 09:00 [pubmed] PHST- 2009/07/30 09:00 [medline] AID - S1600-6135(22)01661-6 [pii] AID - 10.1111/j.1600-6143.2009.02587.x [doi] PST - ppublish SO - Am J Transplant. 2009 May;9(5):989-97. doi: 10.1111/j.1600-6143.2009.02587.x.