PMID- 28719489 OWN - NLM STAT- MEDLINE DCOM- 20190617 LR - 20220321 IS - 1540-0514 (Electronic) IS - 1073-2322 (Linking) VI - 49 IP - 5 DP - 2018 May TI - Antithrombin III Attenuates AKI Following Acute Severe Pancreatitis. PG - 572-579 LID - 10.1097/SHK.0000000000000946 [doi] AB - BACKGROUND: Antithrombin III (ATIII), the predominant coagulation factor inhibitor, possesses anti-inflammatory properties and exerts renoprotective effects on renal ischemia-reperfusion injury in animal models. However, the ATIII's protective effects of ATIII on acute kidney injury (AKI) following severe acute pancreatitis (SAP) need to be confirmed. METHODS: We assessed the association between ATIII activities and the incidence of AKI in patients with SAP, and explored therapeutic effects and potential mechanisms of ATIII on kidney injury in sodium taurocholate induced SAP rat model. Rats were intravenously injected with ATIII (500 mug/kg) before or after the induction of SAP. RESULTS: The results demonstrated ATIII did not attenuate pancreatic injury, but significantly ameliorate renal dysfunction and renal histological injury. ATIII administration alleviated renal inflammation response, oxidative stress, and cell apoptosis. Moreover, ATIII attenuated tumor necrosis factor alpha (TNFalpha)-stimulated intercellular cell adhesion molecule 1(ICAM-1) and monocyte chemotactic protein 1 (MCP-1) upregulation in cultured renal tubular epithelial cells. CONCLUSION: ATIII appears to ameliorate SAP-induced kidney injury by inhibiting inflammation, oxidative stress, and apoptosis. ATIII supplementation may have a potential prophylactic and therapeutic effect on SAP induced AKI. FAU - Kong, Yiwei AU - Kong Y AD - Department of Nephrology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. FAU - Yin, Jianyong AU - Yin J AD - Department of Nephrology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. FAU - Cheng, Dongsheng AU - Cheng D AD - Department of Nephrology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. FAU - Lu, Zeyuan AU - Lu Z AD - Department of Nephrology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. FAU - Wang, Niansong AU - Wang N AD - Department of Nephrology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. FAU - Wang, Feng AU - Wang F AD - Department of Nephrology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. FAU - Liang, Mingyu AU - Liang M AD - Department of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin. AD - Center of Systems Molecular Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Shock JT - Shock (Augusta, Ga.) JID - 9421564 RN - 0 (Chemokine CCL2) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 4Y8F71G49Q (Malondialdehyde) RN - 9000-94-6 (Antithrombin III) RN - EC 1.15.1.1 (Superoxide Dismutase) SB - IM MH - Acute Disease MH - Acute Kidney Injury/*blood/*drug therapy MH - Animals MH - Antithrombin III/*therapeutic use MH - Apoptosis/drug effects MH - Cell Line MH - Chemokine CCL2/blood MH - Humans MH - Incidence MH - Intercellular Adhesion Molecule-1/blood MH - Male MH - Malondialdehyde/blood MH - Pancreatitis/*blood/*drug therapy MH - Rats MH - Rats, Sprague-Dawley MH - Real-Time Polymerase Chain Reaction MH - Superoxide Dismutase/blood EDAT- 2017/07/19 06:00 MHDA- 2019/06/18 06:00 CRDT- 2017/07/19 06:00 PHST- 2017/07/19 06:00 [pubmed] PHST- 2019/06/18 06:00 [medline] PHST- 2017/07/19 06:00 [entrez] AID - 10.1097/SHK.0000000000000946 [doi] PST - ppublish SO - Shock. 2018 May;49(5):572-579. doi: 10.1097/SHK.0000000000000946.