PMID- 31243816 OWN - NLM STAT- MEDLINE DCOM- 20200914 LR - 20200914 IS - 1097-4644 (Electronic) IS - 0730-2312 (Linking) VI - 120 IP - 10 DP - 2019 Oct TI - Dexmedetomidine alleviates lipopolysaccharide-induced acute kidney injury by inhibiting the NLRP3 inflammasome activation via regulating the TLR4/NOX4/NF-kappaB pathway. PG - 18509-18523 LID - 10.1002/jcb.29173 [doi] AB - Dexmedetomidine (DEX) prevents kidney damage caused by sepsis, but the mechanism of this effect remains unclear. In this study, the protective molecular mechanism of DEX in lipopolysaccharide (LPS)-induced acute kidney injury was investigated and its potential pharmacological targets from the perspective of inhibiting oxidative stress damage and the nucleotide-binding domain-like receptor protein 3 (NLRP3) inflammasome activation. Intraperitoneal injection of DEX (30 mug/kg) significantly improved LPS (10 mg/kg) induced renal pathological damage and renal dysfunction. DEX also ameliorated oxidative stress damage by reducing the contents of reactive oxygen species, malondialdehyde and hydrogen peroxide, and increasing the level of glutathione, as well as the activity of superoxide dismutase and catalase. In addition, DEX prevented nuclear factor-kappa B (NF-kappaB) activation and I-kappa B (IkappaB) phosphorylation, as well as the expressions of NLRP3 inflammasome-associated protein and downstream IL-18 and IL-1beta. The messengerRNA (mRNA) and protein expressions of toll-like receptor 4 (TLR4), NADPH oxidase-4 (NOX4), NF-kappaB, and NLRP3 were also significantly reduced by DEX. Their expressions were further evaluated by immunohistochemistry, yielding results were consistent with the results of mRNA and protein detection. Interestingly, the protective effects of DEX were reversed by atipamezole-an alpha 2 adrenal receptor (alpha(2) AR) inhibitor, whereas idazoxan-an imidazoline receptor (IR) inhibitor failed to reverse this change. In conclusion, DEX attenuated LPS-induced AKI by inhibiting oxidative stress damage and NLRP3 inflammasome activation via regulating the TLR4/NOX4/NF-kappaB pathway, mainly acting on the alpha(2) AR rather than IR. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Yao, Yujie AU - Yao Y AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, China. FAU - Hu, Xueyuan AU - Hu X AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, China. FAU - Feng, Xiujing AU - Feng X AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, China. FAU - Zhao, Yuan AU - Zhao Y AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, China. FAU - Song, Manyu AU - Song M AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, China. FAU - Wang, Chaoran AU - Wang C AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, China. FAU - Fan, Honggang AU - Fan H AUID- ORCID: 0000-0002-7671-6908 AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, China. AD - College of Veterinary Medicine, Heilongjiang Key Laboratory for Laboratory Animals and Comparative Medicine, Harbin, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190626 PL - United States TA - J Cell Biochem JT - Journal of cellular biochemistry JID - 8205768 RN - 0 (Lipopolysaccharides) RN - 0 (NF-kappa B) RN - 0 (NLR Family, Pyrin Domain-Containing 3 Protein) RN - 0 (Toll-Like Receptor 4) RN - 67VB76HONO (Dexmedetomidine) RN - EC 1.6.3.- (NADPH Oxidase 4) RN - EC 1.6.3.- (Nox4 protein, rat) SB - IM MH - Acute Kidney Injury/*chemically induced/*drug therapy MH - Animals MH - Blotting, Western MH - Dexmedetomidine/*therapeutic use MH - Immunohistochemistry MH - Lipopolysaccharides/*toxicity MH - Male MH - NADPH Oxidase 4/genetics/*metabolism MH - NF-kappa B/*metabolism MH - NLR Family, Pyrin Domain-Containing 3 Protein/*metabolism MH - Oxidative Stress/drug effects MH - Rats MH - Signal Transduction/drug effects MH - Toll-Like Receptor 4/*metabolism OTO - NOTNLM OT - LPS OT - NLRP3 OT - acute kidney injury OT - dexmedetomidine OT - oxidative stress OT - rat EDAT- 2019/06/28 06:00 MHDA- 2020/09/15 06:00 CRDT- 2019/06/28 06:00 PHST- 2019/04/17 00:00 [received] PHST- 2019/05/22 00:00 [revised] PHST- 2019/05/23 00:00 [accepted] PHST- 2019/06/28 06:00 [pubmed] PHST- 2020/09/15 06:00 [medline] PHST- 2019/06/28 06:00 [entrez] AID - 10.1002/jcb.29173 [doi] PST - ppublish SO - J Cell Biochem. 2019 Oct;120(10):18509-18523. doi: 10.1002/jcb.29173. Epub 2019 Jun 26.