PMID- 23759023 OWN - NLM STAT- MEDLINE DCOM- 20150330 LR - 20220330 IS - 1479-5876 (Electronic) IS - 1479-5876 (Linking) VI - 11 DP - 2013 Jun 9 TI - Dexmedetomidine protects against renal ischemia and reperfusion injury by inhibiting the JAK/STAT signaling activation. PG - 141 LID - 10.1186/1479-5876-11-141 [doi] AB - BACKGROUND: The alpha2-adrenoreceptor agonist dexmedetomidine is known to provide renoprotection against ischemia and reperfusion (I/R) injury. However the underlying molecular mechanisms remain unclear. The purpose of this study was to investigate whether the Janus kinase and signal transducer and activator of transcription (JAK/STAT) signaling pathway plays a role in dexmedetomidine's renoprotection. METHODS: I/R model was induced by bilateral renal pedicle clamping for 45 min followed by 48 h of reperfusion in male Wistar rat. Sham laparotomy served as controls. Animals received dexmedetomidine (50 mug/kg, i.p.) in the absence or presence of atipamezole (250 mug/kg, i.p.), or vehicle (DMSO) in the absence or presence of selective JAK2 inhibitor tyrphostin AG490 (10 mg/kg, i.p.) before ischemia. Renal function, histology, apoptosis, expression of cleaved caspase 3 protein, intercellular adhesion molecule-1 (ICAM-1), monocyte chemoattractant protein-1 (MCP-1) and phosphorylations of JAK2, STAT1 and STAT3 were assessed. RESULTS: The animals treated with either dexmedetomidine or AG490 exhibited an improved renal functional recovery, attenuated histological lesions and reduced number of apoptotic tubular epithelial cells. Either dexmedetomidine or AG490 inhibited the phosphorylations of JAK2 and its downstream molecule STAT1 and STAT3, accompanied by down-regulation the expression of cleaved caspase 3, ICAM-1 and MCP-1 proteins, and significantly ameliorated renal I/R injury. CONCLUSIONS: Dexmedetomidine protects kidney against I/R injury, at least in part, through its inhibitory effects on injury-induced activation of JAK/STAT signaling pathway. If our data can be extrapolated to clinical setting, then dexmedetomidine may therefore serve as a clinical strategy to treat/prevent perioperative renal I/R injury. FAU - Si, Yanna AU - Si Y FAU - Bao, Hongguang AU - Bao H FAU - Han, Liu AU - Han L FAU - Shi, Hongwei AU - Shi H FAU - Zhang, Yuan AU - Zhang Y FAU - Xu, Li AU - Xu L FAU - Liu, Chenhui AU - Liu C FAU - Wang, Jinsong AU - Wang J FAU - Yang, Xiaobing AU - Yang X FAU - Vohra, Akbar AU - Vohra A FAU - Ma, Daqing AU - Ma D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130609 PL - England TA - J Transl Med JT - Journal of translational medicine JID - 101190741 RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (Protective Agents) RN - 0 (STAT Transcription Factors) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 67VB76HONO (Dexmedetomidine) RN - EC 2.7.10.2 (Janus Kinases) RN - EC 3.4.22.- (Caspase 3) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Caspase 3/metabolism MH - Chemokine CCL2/blood MH - Dexmedetomidine/pharmacology/*therapeutic use MH - Epithelial Cells/drug effects/pathology MH - Intercellular Adhesion Molecule-1/blood MH - Janus Kinases/*metabolism MH - Kidney/drug effects/*pathology/physiopathology MH - Kidney Function Tests MH - Kidney Tubules/drug effects/pathology MH - Male MH - Phosphorylation/drug effects MH - Protective Agents/pharmacology/*therapeutic use MH - Rats, Wistar MH - Reperfusion Injury/blood/*drug therapy/physiopathology/*prevention & control MH - STAT Transcription Factors/*metabolism MH - Signal Transduction/drug effects PMC - PMC3700850 EDAT- 2013/06/14 06:00 MHDA- 2015/03/31 06:00 PMCR- 2013/06/09 CRDT- 2013/06/14 06:00 PHST- 2013/03/10 00:00 [received] PHST- 2013/05/22 00:00 [accepted] PHST- 2013/06/14 06:00 [entrez] PHST- 2013/06/14 06:00 [pubmed] PHST- 2015/03/31 06:00 [medline] PHST- 2013/06/09 00:00 [pmc-release] AID - 1479-5876-11-141 [pii] AID - 10.1186/1479-5876-11-141 [doi] PST - epublish SO - J Transl Med. 2013 Jun 9;11:141. doi: 10.1186/1479-5876-11-141.