PMID- 23557548 OWN - NLM STAT- MEDLINE DCOM- 20131211 LR - 20161125 IS - 2542-5641 (Electronic) IS - 0366-6999 (Linking) VI - 126 IP - 7 DP - 2013 Apr TI - Mycophenolate mofetil affects monocyte Toll-like receptor 4 signaling during mouse renal ischemia/reperfusion injury. PG - 1224-9 AB - BACKGROUND: Mycophenolate mofetil (MMF) has been used to prevent transplant rejection for many years and has been shown to have protective effects against renal failure. The objective was to investigate the effect of MMF on monocyte Toll-like receptor 4 (TLR4) signaling in the early stages of renal ischemia/reperfusion injury (IRI) of mice. METHODS: Sixty BALB/C mice were randomly divided into two groups: an IRI group, in which renal IRI was induced by clamping the renal pedicles for 45 minutes, and an MMF group, in which MMF was given (40 mgxkg(-1)xd(-1), intraperitoneally) from 2 days before renal IRI. The plasma creatinine level and renal tissue damage of each group mice were observed 6, 12, 24, and 48 hours after reperfusion. The concentration of plasma high-mobility group box 1 (HMGB-1) (TLR4 ligand), interleukin 6 (IL-6), monocyte chemoattractant protein-1 (MCP-1), and tumor necrosis factor alpha (TNF-alpha) and the expression of TLR-4 on monocytes were determined. RESULTS: The plasma creatinine concentration in the MMF group was lower compared to the IRI group (after reperfusion of 6, 12, 24, or 48 hours, P < 0.05). Pathological analysis showed that the renal damage was slighter, TLR-4 expression was reduced (after reperfusion of 6, 12, 24, or 48 hours, P < 0.05), and the concentration of cytokines in the plasma was lower (P < 0.05) in the MMF group. No differences in the concentrations of HMGB-1 were observed (P > 0.05). CONCLUSION: Monocyte TLR4 signaling is important in the early stage of kidney IRI, but MMF can inhibit it and improve renal function. FAU - Zhang, Yan-Xia AU - Zhang YX AD - Department of Nephropathy, Affiliated Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. FAU - Zhang, Jian-Rong AU - Zhang JR FAU - Wang, Zhi-Gang AU - Wang ZG LA - eng PT - Journal Article PL - China TA - Chin Med J (Engl) JT - Chinese medical journal JID - 7513795 RN - 0 (Chemokine CCL2) RN - 0 (Cytokines) RN - 0 (HMGB1 Protein) RN - 0 (Toll-Like Receptor 4) RN - 0 (Tumor Necrosis Factor-alpha) RN - AYI8EX34EU (Creatinine) RN - HU9DX48N0T (Mycophenolic Acid) SB - IM MH - Acute Kidney Injury/blood/*drug therapy/*metabolism MH - Animals MH - Chemokine CCL2/genetics/metabolism MH - Creatinine/blood MH - Cytokines/blood MH - HMGB1 Protein/genetics/metabolism MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Monocytes/drug effects/metabolism MH - Mycophenolic Acid/*analogs & derivatives/therapeutic use MH - Random Allocation MH - Reperfusion Injury/blood/*drug therapy/*metabolism MH - Signal Transduction/drug effects/genetics MH - Toll-Like Receptor 4/genetics/*metabolism MH - Tumor Necrosis Factor-alpha/metabolism EDAT- 2013/04/06 06:00 MHDA- 2013/12/16 06:00 CRDT- 2013/04/06 06:00 PHST- 2013/04/06 06:00 [entrez] PHST- 2013/04/06 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] PST - ppublish SO - Chin Med J (Engl). 2013 Apr;126(7):1224-9.