PMID- 31440938 OWN - NLM STAT- MEDLINE DCOM- 20200330 LR - 20220928 IS - 1573-2576 (Electronic) IS - 0360-3997 (Linking) VI - 42 IP - 6 DP - 2019 Dec TI - GSK-3beta Inhibitor Induces Expression of the TLR4/MyD88/NF-kappaB Signaling Pathway to Protect Against Renal Ischemia-Reperfusion Injury During Rat Kidney Transplantation. PG - 2105-2118 LID - 10.1007/s10753-019-01074-2 [doi] AB - Ischemia-reperfusion injury (IRI) is an inevitable consequence of kidney transplantation (KT). The aim of our study was to investigate the protective effect of a glycogen synthase kinase 3beta (GSK-3beta) inhibitor against cold IRI in a rat renal transplantation (RT) model and a rat cold-IRI model through the toll-like receptor 4 (TLR4)/myeloid differentiation factor 88 (MyD88)/nuclear factor kappa-light-chain-enhancer of the activated B cell (NF-kappaB) signaling pathway. We treated Sprague Dawley (SD) rats in the RT and cold-IRI models with 5 mg/kg and 1 mg/kg, respectively, of the GSK-3beta inhibitor 4-benzyl-2-methyl-1,2,4-thiadiazolidine-3,5-dione (TDZD-8). We then measured inflammatory factors, i.e., tumor necrosis factor alpha (TNF-alpha) and interleukins-1beta and IL-6 (IL-1beta, IL-6), as well as oxidative stress markers, i.e., superoxide dismutase (SOD) and malondialdehyde (MDA), in serum and kidneys. Renal function tests and pathological examinations were performed at 0, 1, 2, 3, and 7 days after RT or cold IRI. We measured expression of TLR4, MyD88, inhibitor of NF-kappaB kinase (IkappaB), phosphorylated IkappaB (p-IkappaB), NF-kappaB p65, p-p65, GSK-3beta, and phosphorylated GSK-3beta (p-GSK-3beta) by Western blot and immunohistological staining. After intervention with the GSK-3beta inhibitor, renal function was improved; oxidative stress injury was reduced; expression of p-GSK-3beta was upregulated; expression of p-IkappaB, TLR4, MyD88, and p-p65 was downregulated; pathological damage was significantly reduced; and expression of TNF-alpha, IL-1beta, and IL-6 messenger ribonucleic acid (mRNA) was downregulated. These results strongly suggested that GSK-3beta might be a key target for the treatment of IRI in KT. The GSK-3beta inhibitor inhibited phosphorylation of NF-kappaB p65 and IkappaB by inhibiting the TLR/MyD88 pathway, reducing oxidative stress injury and the production of downstream inflammatory factors. FAU - Su, Shuai AU - Su S AD - Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Yixueyuan Road 1#, Yuzhongqu, Chongqing, 400016, China. FAU - Zhang, Peng AU - Zhang P AD - Department of Forensic Medicine, Hainan Medical University, Haikou, 571199, China. FAU - Zhang, Qilin AU - Zhang Q AD - Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Yixueyuan Road 1#, Yuzhongqu, Chongqing, 400016, China. FAU - Yin, Zhikang AU - Yin Z AD - Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Yixueyuan Road 1#, Yuzhongqu, Chongqing, 400016, China. yinzhikang2005@sina.com. LA - eng GR - CSTC2014jcyjA0210/Chongqing Science and Technology Development Foundation/ PT - Journal Article PL - United States TA - Inflammation JT - Inflammation JID - 7600105 RN - 0 (4-benzyl-2-methyl-1,2,4-thiadiazolidine-3,5-dione) RN - 0 (Myd88 protein, rat) RN - 0 (Myeloid Differentiation Factor 88) RN - 0 (NF-kappa B) RN - 0 (Thiadiazoles) RN - 0 (Tlr4 protein, rat) RN - 0 (Toll-Like Receptor 4) RN - EC 2.7.11.1 (Glycogen Synthase Kinase 3 beta) SB - IM MH - Animals MH - Glycogen Synthase Kinase 3 beta/*antagonists & inhibitors MH - Kidney/injuries/pathology MH - Kidney Transplantation/*adverse effects MH - Myeloid Differentiation Factor 88/metabolism MH - NF-kappa B/metabolism MH - Phosphorylation/drug effects MH - Rats MH - Rats, Sprague-Dawley MH - Reperfusion Injury/*prevention & control MH - Signal Transduction/*drug effects MH - Thiadiazoles/*therapeutic use MH - Toll-Like Receptor 4/metabolism OTO - NOTNLM OT - TLR4/MyD88/NF-kappaB pathway OT - glycogen synthase kinase 3beta OT - kidney transplantation OT - renal ischemia-reperfusion injury EDAT- 2019/08/24 06:00 MHDA- 2020/03/31 06:00 CRDT- 2019/08/24 06:00 PHST- 2019/08/24 06:00 [pubmed] PHST- 2020/03/31 06:00 [medline] PHST- 2019/08/24 06:00 [entrez] AID - 10.1007/s10753-019-01074-2 [pii] AID - 10.1007/s10753-019-01074-2 [doi] PST - ppublish SO - Inflammation. 2019 Dec;42(6):2105-2118. doi: 10.1007/s10753-019-01074-2.