PMID- 19436334 OWN - NLM STAT- MEDLINE DCOM- 20100122 LR - 20211020 IS - 1523-1755 (Electronic) IS - 0085-2538 (Linking) VI - 76 IP - 3 DP - 2009 Aug TI - Transcription factor Nrf2 is protective during ischemic and nephrotoxic acute kidney injury in mice. PG - 277-85 LID - 10.1038/ki.2009.157 [doi] AB - Oxidative stress is involved in acute kidney injury due to ischemia-reperfusion and chemotherapy-induced nephrotoxicity. To investigate their basic mechanisms we studied the role of nuclear factor-erythroid 2-p45-related factor 2 (Nrf2), a redox-sensitive transcription factor that regulates expression of several antioxidant and cytoprotective genes. We compared the responses of Nrf2-knockout mice and their wild-type littermates in established mouse models of ischemia-reperfusion injury and cisplatin-induced nephrotoxicity. Several Nrf2-regulated genes encoding antioxidant enzymes/proteins were significantly upregulated in the kidneys of wild type but not Nrf2-knockout mice following renal ischemia. Renal function, histology, vascular permeability, and survival were each significantly worse in the Nrf2 knockout mice. Further, proinflammatory cytokine and chemokine expression tended to increase after ischemia in the knockout compared to the wild-type mice. Treatment of the knockout mice with the antioxidants N-acetyl-cysteine or glutathione improved renal function. The knockout mice were more susceptible to cisplatin-induced nephrotoxicity, and this was blunted by N-acetyl-cysteine pretreatment. Our study demonstrates that Nrf2-deficiency enhances susceptibility to both ischemic and nephrotoxic acute kidney injury, and identifies this transcription factor as a potential therapeutic target in these injuries. FAU - Liu, Manchang AU - Liu M AD - Department of Medicine, Johns Hopkins University, School of Medicine, Baltimore, Maryland 21205, USA. mliu13@jhmi.edu FAU - Grigoryev, Dmitry N AU - Grigoryev DN FAU - Crow, Michael T AU - Crow MT FAU - Haas, Mark AU - Haas M FAU - Yamamoto, Masayuki AU - Yamamoto M FAU - Reddy, Sekhar P AU - Reddy SP FAU - Rabb, Hamid AU - Rabb H LA - eng GR - R01 DK084445/DK/NIDDK NIH HHS/United States GR - 2R01 DK54770/DK/NIDDK NIH HHS/United States GR - P0 HL073944/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20090513 PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (Antineoplastic Agents) RN - 0 (Inflammation Mediators) RN - 0 (NF-E2-Related Factor 2) RN - 0 (Nfe2l2 protein, mouse) RN - GAN16C9B8O (Glutathione) RN - Q20Q21Q62J (Cisplatin) RN - WYQ7N0BPYC (Acetylcysteine) SB - IM MH - Acetylcysteine/pharmacology MH - Acute Kidney Injury/chemically induced/*metabolism/pathology MH - Animals MH - Antineoplastic Agents/toxicity MH - Capillary Permeability MH - Cisplatin/toxicity MH - Glutathione/pharmacology MH - Inflammation Mediators/metabolism MH - Kidney/pathology MH - Kidney Function Tests MH - Mice MH - Mice, Inbred ICR MH - Mice, Knockout MH - NF-E2-Related Factor 2/genetics/*metabolism MH - Oligonucleotide Array Sequence Analysis MH - Reperfusion Injury/*metabolism MH - Up-Regulation EDAT- 2009/05/14 09:00 MHDA- 2010/01/23 06:00 CRDT- 2009/05/14 09:00 PHST- 2009/05/14 09:00 [entrez] PHST- 2009/05/14 09:00 [pubmed] PHST- 2010/01/23 06:00 [medline] AID - S0085-2538(15)53959-8 [pii] AID - 10.1038/ki.2009.157 [doi] PST - ppublish SO - Kidney Int. 2009 Aug;76(3):277-85. doi: 10.1038/ki.2009.157. Epub 2009 May 13.