PMID- 20588062 OWN - NLM STAT- MEDLINE DCOM- 20110113 LR - 20170118 IS - 1660-2129 (Electronic) IS - 1660-2129 (Linking) VI - 116 IP - 2 DP - 2010 TI - Myeloma light chain-induced renal injury in mice. PG - e32-41 LID - 10.1159/000317129 [doi] AB - We investigated the effects of human light chain (LC) protein-overload in mice kidney to gain further insights into the molecular mechanisms involved in the pathogenesis of myeloma kidney. Intact male C57BL/6, 10- to 12-week-old mice were given daily intraperitoneal (i.p.) injections of 1 ml of human kappa-LCs (1.5 mg/ml, low dose), or (100 mg/ml, high dose) to uninephrectomized mice for 2 weeks. Intact, sham-operated or uninephrectomized control animals were given the same volume (1 ml/day) of saline, human serum albumin (10 mg/ml) or bovine serum albumin (100 mg/ml) i.p. for 2 weeks in place of LCs. The low-dose LC-treated mice had human LCs in their urine and a significant increase in monocyte chemoattractant protein-1 (MCP-1) mRNA in the kidneys. Uninephrectomized mice treated with high-dose kappa-LCs showed tubule casts, and foci of intracytoplasmic rhomboid crystals within the proximal tubules, along with cytoskeletal disruptions and alterations in the brush-border membrane, and high concentrations of human kappa-LC were present in their sera. High-dose LC treatment also led to increases in serum creatinine and tumor necrosis factor-alpha levels, and marked increases in interleukin-6 and MCP-1 expression as well as cellular apoptosis in the kidneys. These studies demonstrate that myeloma LC overload over a range of LC concentrations in mice causes significant functional and morphological kidney injury. The model should be helpful in investigating pathophysiologic mechanisms and exploring therapeutic interventions for myeloma kidney and other LC-associated renal disorders. CI - Copyright (c) 2010 S. Karger AG, Basel. FAU - Khan, Altaf-M AU - Khan AM AD - Section of Nephrology and Hypertension, Department of Medicine, Tulane University School of Medicine, New Orleans, La 70112, USA. FAU - Li, Min AU - Li M FAU - Balamuthusamy, Saravanan AU - Balamuthusamy S FAU - Maderdrut, Jerome L AU - Maderdrut JL FAU - Simon, Eric E AU - Simon EE FAU - Batuman, Vecihi AU - Batuman V LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100629 PL - Switzerland TA - Nephron Exp Nephrol JT - Nephron. Experimental nephrology JID - 101159770 RN - 0 (Chemokine CCL2) RN - 0 (Immunoglobulin kappa-Chains) RN - 0 (Interleukin-6) SB - IM MH - Aged MH - Animals MH - Apoptosis/drug effects MH - Chemokine CCL2/biosynthesis MH - Female MH - Humans MH - Immunoglobulin kappa-Chains/*toxicity MH - Interleukin-6/biosynthesis MH - Kidney/metabolism MH - Kidney Diseases/*chemically induced/pathology/physiopathology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Middle Aged MH - Multiple Myeloma/metabolism MH - Proteinuria/etiology EDAT- 2010/07/01 06:00 MHDA- 2011/01/14 06:00 CRDT- 2010/07/01 06:00 PHST- 2009/09/15 00:00 [received] PHST- 2010/03/09 00:00 [accepted] PHST- 2010/07/01 06:00 [entrez] PHST- 2010/07/01 06:00 [pubmed] PHST- 2011/01/14 06:00 [medline] AID - 000317129 [pii] AID - 10.1159/000317129 [doi] PST - ppublish SO - Nephron Exp Nephrol. 2010;116(2):e32-41. doi: 10.1159/000317129. Epub 2010 Jun 29.