PMID- 32764271 OWN - NLM STAT- MEDLINE DCOM- 20210308 LR - 20210308 IS - 2072-6651 (Electronic) IS - 2072-6651 (Linking) VI - 12 IP - 8 DP - 2020 Aug 5 TI - Indoxyl Sulfate Contributes to Adipose Tissue Inflammation through the Activation of NADPH Oxidase. LID - 10.3390/toxins12080502 [doi] LID - 502 AB - Adipose tissue inflammation appears to be a risk factor for the progression of chronic kidney disease (CKD), but the effect of CKD on adipose tissue inflammation is poorly understood. The purpose of this study was to clarify the involvement of uremic toxins (indoxyl sulfate (IS), 3-indoleacetic acid, p-cresyl sulfate and kynurenic acid) on CKD-induced adipose tissue inflammation. IS induces monocyte chemoattractant protein-1 (MCP-1) expression and reactive oxygen species (ROS) production in the differentiated 3T3L-1 adipocyte. An organic anion transporter (OAT) inhibitor, an NADPH oxidase inhibitor or an antioxidant suppresses the IS-induced MCP-1 expression and ROS production, suggesting the OAT/NADPH oxidase/ROS pathway is involved in the action of IS. Co-culturing 3T3L-1 adipocytes and mouse macrophage cells showed incubating adipocytes with IS increased macrophage infiltration. An IS-overload in healthy mice increased IS levels, oxidative stress and MCP-1 expression in epididymal adipose tissue compared to unloaded mice. Using 5/6-nephrectomized mice, the administration of AST-120 suppressed oxidative stress and the expression of MCP-1, F4/80 and TNF-alpha in epididymal adipose tissue. These collective data suggest IS could be a therapeutic target for the CKD-related inflammatory response in adipose tissue, and that AST-120 could be useful for the treatment of IS-induced adipose tissue inflammation. FAU - Tanaka, Shoma AU - Tanaka S AUID- ORCID: 0000-0002-9481-9265 AD - Department of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto 8620973, Japan. FAU - Watanabe, Hiroshi AU - Watanabe H AD - Department of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto 8620973, Japan. FAU - Nakano, Takehiro AU - Nakano T AD - Department of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto 8620973, Japan. FAU - Imafuku, Tadashi AU - Imafuku T AD - Department of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto 8620973, Japan. FAU - Kato, Hiromasa AU - Kato H AD - Department of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto 8620973, Japan. FAU - Tokumaru, Kai AU - Tokumaru K AD - Department of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto 8620973, Japan. FAU - Arimura, Nanaka AU - Arimura N AD - Department of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto 8620973, Japan. FAU - Enoki, Yuki AU - Enoki Y AUID- ORCID: 0000-0002-5934-0670 AD - Division of Pharmacodynamics, Keio University Faculty of Pharmacy, Tokyo 1058512, Japan. FAU - Maeda, Hitoshi AU - Maeda H AD - Department of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto 8620973, Japan. FAU - Tanaka, Motoko AU - Tanaka M AD - Department of Nephrology, Akebono Clinic, Kumamoto 8614112, Japan. FAU - Matsushita, Kazutaka AU - Matsushita K AD - Department of Nephrology, Akebono Clinic, Kumamoto 8614112, Japan. FAU - Fukagawa, Masafumi AU - Fukagawa M AD - Division of Nephrology, Endocrinology and Metabolism, Tokai University School of Medicine, Kanagawa 2591193, Japan. FAU - Maruyama, Toru AU - Maruyama T AD - Department of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto 8620973, Japan. LA - eng GR - JP16H05114, JP20H03406/Japan Society for the Promotion of Science/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200805 PL - Switzerland TA - Toxins (Basel) JT - Toxins JID - 101530765 RN - 0 (Adgre1 protein, mouse) RN - 0 (Anti-Inflammatory Agents) RN - 0 (Calcium-Binding Proteins) RN - 0 (Ccl2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Oxides) RN - 0 (Reactive Oxygen Species) RN - 0 (Receptors, G-Protein-Coupled) RN - 0 (Tnf protein, mouse) RN - 0 (Tumor Necrosis Factor-alpha) RN - 7440-44-0 (Carbon) RN - 90597-58-3 (AST 120) RN - EC 1.6.3.- (NADPH Oxidases) RN - N187WK1Y1J (Indican) SB - IM MH - 3T3-L1 Cells MH - Adipose Tissue/drug effects/*metabolism MH - Animals MH - Anti-Inflammatory Agents/pharmacology/therapeutic use MH - Calcium-Binding Proteins/metabolism MH - Carbon/pharmacology/therapeutic use MH - Chemokine CCL2/metabolism MH - Indican/*metabolism MH - Inflammation/chemically induced/drug therapy/*metabolism MH - Male MH - Mice MH - Mice, Inbred ICR MH - NADPH Oxidases/*metabolism MH - Oxidative Stress/drug effects MH - Oxides/pharmacology/therapeutic use MH - Reactive Oxygen Species/metabolism MH - Receptors, G-Protein-Coupled/metabolism MH - Renal Insufficiency, Chronic/drug therapy/*metabolism MH - Tumor Necrosis Factor-alpha/metabolism PMC - PMC7472142 OTO - NOTNLM OT - AST-120 OT - NADPH oxidase OT - adipocyte OT - chronic inflammation OT - indoxyl sulfate OT - reactive oxygen species COIS- The authors declare no conflict of interest. EDAT- 2020/08/09 06:00 MHDA- 2021/03/09 06:00 PMCR- 2020/08/01 CRDT- 2020/08/09 06:00 PHST- 2020/06/10 00:00 [received] PHST- 2020/07/23 00:00 [revised] PHST- 2020/08/03 00:00 [accepted] PHST- 2020/08/09 06:00 [entrez] PHST- 2020/08/09 06:00 [pubmed] PHST- 2021/03/09 06:00 [medline] PHST- 2020/08/01 00:00 [pmc-release] AID - toxins12080502 [pii] AID - toxins-12-00502 [pii] AID - 10.3390/toxins12080502 [doi] PST - epublish SO - Toxins (Basel). 2020 Aug 5;12(8):502. doi: 10.3390/toxins12080502.