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Myeloid cell-derived coagulation tissue factor is associated with renal tubular damage in mice fed an adenine diet.

ABSTRACT: Patients with chronic kidney disease (CKD) commonly exhibit hypercoagulability. Increased levels of uremic toxins cause thrombogenicity by increasing tissue factor (TF) expression and activating the extrinsic coagulation cascade. TF is induced in monocytes and macrophages under pathological conditions, such as inflammatory diseases. However, the role of monocyte myeloid cell TF in CKD progression remains unclear. We aimed to clarify this issue, and the present study found that patients with CKD had elevated levels of D-dimer, a marker of fibrin degradation, which was associated with decreased estimated glomerular filtration rate and increased serum levels of uremic toxins, such as indoxyl sulfate. In vitro studies showed that several uremic toxins increased cellular TF levels in monocytic THP-1 cells. Mice with TF specifically deleted in myeloid cells were fed an adenine diet to cause uremic kidney injury. Myeloid TF deletion reduced tubular injury and pro-inflammatory gene expression in the kidneys of adenine-induced CKD but did not improve renal function as measured by plasma creatinine or blood urea nitrogen. Collectively, our findings suggest a novel concept of pathogenesis of coagulation-mediated kidney injury, in which elevated TF levels in monocytes under uremic conditions is partly involved in the development of CKD.

SUBMITTER: Yamakage S

PROVIDER: S-EPMC8190319 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BACKGROUND:Growth Arrest and DNA Damage 45? (GADD45?) is a member of the DNA damage-inducible gene family which responds to environmental stresses. Apoptosis is a critical mode of renal tubular cell death in nephrotoxin-induced acute kidney injury. In this study, we investigated the role of GADD45? in renal tubular cell apoptosis induced by nephrotoxic drugs. METHODS:Primary human renal tubular epithelial (HRE) cells were used in this study. To derive stable cell lines in which GADD45? expression was silenced, HRE cells were transduced with a plasmid encoding GADD45?-specific shRNA. The recombinant adenovirus containing the GADD45? gene was synthesized to overexpress GADD45? protein. Cell death was induced by cisplatin and cyclosporine A (CsA). To prevent apoptotic cell death, pan-caspase inhibitor ZVAD-FMK was used. To prevent non-apoptotic cell death, necrostatin-1 and ferrostatin-1 were used. The degree of apoptosis and necrosis of cultured cells were evaluated by flow cytometry. RESULTS:Expression of the GADD45? gene was significantly upregulated in response to treatment with CsA and cisplatin. Apoptosis and necrosis induced by these drugs were significantly reduced by silencing of GADD45?, and significantly augmented by the overexpression of GADD45?. The activation of caspase-3 and caspase-7 as well as caspase-9 induced by cisplatin or CsA was reduced by silencing of GADD45?, and was augmented by the overexpression of GADD45?, indicating that caspase activation is dependent on the expression of GADD45?. ZVAD-FMK significantly inhibited apoptosis induced by cisplatin or CsA, indicating a role of caspases in mediating apoptotic cell death. ZVAD-FMK was effective to prevent necrosis as well, indicating that the observed necrosis was a secondary event following apoptosis at least in part. CONCLUSIONS:To our knowledge, this is the first study to show that GADD45? is required for the caspase-dependent apoptosis of renal tubular cells induced by nephrotoxic drugs.

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Myeloid cell-derived coagulation tissue factor is associated with renal tubular damage in mice fed an adenine diet.

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