PMID- 26517816 OWN - NLM STAT- MEDLINE DCOM- 20160902 LR - 20220410 IS - 1421-9670 (Electronic) IS - 0250-8095 (Linking) VI - 42 IP - 4 DP - 2015 TI - Lipopolysaccharide Induces Chronic Kidney Injury and Fibrosis through Activation of mTOR Signaling in Macrophages. PG - 305-17 LID - 10.1159/000441506 [doi] AB - BACKGROUND: Septic kidney injury is one of the most common complications in critically ill patients with a high risk of developing chronic kidney disease (CKD). Emerging data indicate that mammalian target of rapamyci (mTOR) signaling plays a major role in septic inflammation by regulating the immune response of macrophage. This study was designed to evaluate the role of mTOR signaling in kidney macrophages during endotoxemia-induced chronic kidney injury and subsequent fibrogenesis. METHODS: Male C57BL/6 mice were used for all animal studies (n=9 for each group). Lipopolysaccharide (LPS) was injected intraperitoneally (1 mg/kg) every 2 days to induce persistent endotoxemia. Rapamycin (1 mg/kg.day) was administered to a subgroup of mice 1 day prior to LPS treatment and continued to termination of the experiment. In ex-vivo experiment, RAW264.7 cells were cultured and treated with LPS (2 microg/ml) for 48 h while a subgroup of cells were incubated in the presence of rapamycin (50 nmol) for 2 h. RESULTS: Continuous administration of LPS resulted in progressive macrophage infiltration, tubular injury and collagen deposition in mice kidneys. Rapamycin markedly ameliorated LPS-induced kidney pathological changes. Expression of pS6K was rarely observed in normal kidney macrophages, but significantly increased with time by LPS treatment. In ex-vivo study, LPS induced prominent production of IL-1beta and MCP-1 in cultured RAW264.7 cells, which was significantly suppressed by rapamycin. CONCLUSION: Taken together, our findings show that endotoxemia results in activation of mTOR signaling in macrophages, leading to progressive kidney inflammatory injuries and subsequent fibrosis. Our study may reveal a mechanism involved in the development of sepsis-associated CKD and kidney fibrosis. CI - (c) 2015 S. Karger AG, Basel. FAU - Chen, Huihui AU - Chen H AD - Department of Ophthalmology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, PR China. FAU - Zhu, Jiefu AU - Zhu J FAU - Liu, Yu AU - Liu Y FAU - Dong, Zheng AU - Dong Z FAU - Liu, Hong AU - Liu H FAU - Liu, Yinghong AU - Liu Y FAU - Zhou, Xiang AU - Zhou X FAU - Liu, Fuyou AU - Liu F FAU - Chen, Guochun AU - Chen G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151031 PL - Switzerland TA - Am J Nephrol JT - American journal of nephrology JID - 8109361 RN - 0 (Ccl2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (IL1B protein, mouse) RN - 0 (Immunosuppressive Agents) RN - 0 (Interleukin-1beta) RN - 0 (Lipopolysaccharides) RN - 0 (RNA, Messenger) RN - 9007-34-5 (Collagen) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Blotting, Western MH - Cell Line MH - Chemokine CCL2/*drug effects/genetics/metabolism MH - Collagen/drug effects/metabolism MH - Endotoxemia/complications/*metabolism/pathology MH - Fibrosis MH - Fluorescent Antibody Technique MH - Immunohistochemistry MH - Immunosuppressive Agents/pharmacology MH - Injections, Intraperitoneal MH - Interleukin-1beta/*drug effects/genetics/metabolism MH - Kidney/*drug effects/metabolism/pathology MH - Kidney Tubules/drug effects/pathology MH - Lipopolysaccharides/*toxicity MH - Macrophages/*drug effects/metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - RNA, Messenger/*drug effects/metabolism MH - Real-Time Polymerase Chain Reaction MH - Renal Insufficiency, Chronic/etiology/*metabolism/pathology MH - Signal Transduction/drug effects MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases/*drug effects/metabolism EDAT- 2015/10/31 06:00 MHDA- 2016/09/03 06:00 CRDT- 2015/10/31 06:00 PHST- 2015/09/08 00:00 [received] PHST- 2015/10/01 00:00 [accepted] PHST- 2015/10/31 06:00 [entrez] PHST- 2015/10/31 06:00 [pubmed] PHST- 2016/09/03 06:00 [medline] AID - 000441506 [pii] AID - 10.1159/000441506 [doi] PST - ppublish SO - Am J Nephrol. 2015;42(4):305-17. doi: 10.1159/000441506. Epub 2015 Oct 31.