Effects of tumor necrosis factor-α inhibition on kidney fibrosis and inflammation in a mouse model of aristolochic acid nephropathy.
Albuminuria
/ drug therapy
Animals
Aristolochic Acids
/ pharmacology
Collagen
/ metabolism
Disease Models, Animal
Etanercept
/ pharmacology
Fibrosis
/ drug therapy
Inflammation
/ drug therapy
Interleukin-1beta
/ metabolism
Interleukin-6
/ metabolism
Kidney
/ drug effects
Male
Mice
Mice, Inbred C57BL
RNA, Messenger
/ metabolism
Renal Insufficiency, Chronic
/ chemically induced
Tumor Necrosis Factor-alpha
/ antagonists & inhibitors
p38 Mitogen-Activated Protein Kinases
/ metabolism
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
08 12 2021
08 12 2021
Historique:
received:
17
09
2021
accepted:
22
11
2021
entrez:
9
12
2021
pubmed:
10
12
2021
medline:
28
1
2022
Statut:
epublish
Résumé
Tumor necrosis factor (TNF)-α is a potent mediator of inflammation and is involved in the pathophysiology of chronic kidney disease (CKD). However, the effects of TNF-α inhibition on the progression of kidney fibrosis have not been fully elucidated. We examined the effects of TNF-α inhibition by etanercept (ETN) on kidney inflammation and fibrosis in mice with aristolochic acid (AA) nephropathy as a model of kidney fibrosis. C57BL/6 J mice were administered AA for 4 weeks, followed by a 4-week remodeling period. The mice exhibited kidney fibrosis, functional decline, and albuminuria concomitant with increases in renal mRNA expression of inflammation- and fibrosis-related genes. The 8-week ETN treatment partially but significantly attenuated kidney fibrosis and ameliorated albuminuria without affecting kidney function. These findings were accompanied by significant suppression of interleukin (IL)-1β, IL-6, and collagen types I and III mRNA expression. Moreover, ETN tended to reduce the AA-induced increase in interstitial TUNEL-positive cells with a significant reduction in Bax mRNA expression. Renal phosphorylated p38 MAPK was significantly upregulated by AA but was normalized by ETN. These findings indicate a substantial role for the TNF-α pathway in the pathogenesis of kidney fibrosis and suggest that TNF-α inhibition could become an adjunct therapeutic strategy for CKD with fibrosis.
Identifiants
pubmed: 34880315
doi: 10.1038/s41598-021-02864-1
pii: 10.1038/s41598-021-02864-1
pmc: PMC8654826
doi:
Substances chimiques
Aristolochic Acids
0
Interleukin-1beta
0
Interleukin-6
0
RNA, Messenger
0
Tumor Necrosis Factor-alpha
0
Collagen
9007-34-5
aristolochic acid I
94218WFP5T
p38 Mitogen-Activated Protein Kinases
EC 2.7.11.24
Etanercept
OP401G7OJC
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
23587Informations de copyright
© 2021. The Author(s).
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