Air pollution aggravates renal ischaemia-reperfusion-induced acute kidney injury.

Autor: Sanches TR; Laboratory of Basic Science in Renal Diseases (LIM-12), Division of Nephrology, School of Medicine, University of São Paulo, São Paulo, Brazil., Parra AC; Laboratory of Basic Science in Renal Diseases (LIM-12), Division of Nephrology, School of Medicine, University of São Paulo, São Paulo, Brazil., Sun P; Department of Pathology, Amsterdam Cardiovascular Science and Amsterdam Infection and Immunity, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Graner MP; Laboratory of Basic Science in Renal Diseases (LIM-12), Division of Nephrology, School of Medicine, University of São Paulo, São Paulo, Brazil., Itto LYU; Laboratory of Basic Science in Renal Diseases (LIM-12), Division of Nephrology, School of Medicine, University of São Paulo, São Paulo, Brazil., Butter LM; Department of Pathology, Amsterdam Cardiovascular Science and Amsterdam Infection and Immunity, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Claessen N; Department of Pathology, Amsterdam Cardiovascular Science and Amsterdam Infection and Immunity, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Roelofs JJ; Department of Pathology, Amsterdam Cardiovascular Science and Amsterdam Infection and Immunity, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.; Department of Pathology, Leiden University Medical Centre, Leiden, The Netherlands., Florquin S; Department of Pathology, Amsterdam Cardiovascular Science and Amsterdam Infection and Immunity, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.; Department of Pathology, Leiden University Medical Centre, Leiden, The Netherlands., Veras MM; Laboratory of Environmental and Experimental Pathology (LIM-5), Department of Pathology, School of Medicine, University of São Paulo, São Paulo, Brazil., Andrade MF; Institute of Astronomy, Geophysics and Atmospheric Sciences (IAG), University of São Paulo, São Paulo, Brazil., Saldiva PHN; Department of Pathology, Amsterdam Cardiovascular Science and Amsterdam Infection and Immunity, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.; Department of Pathology, Leiden University Medical Centre, Leiden, The Netherlands.; Biomolecular Systems Analytics, Van't Hoff Institute for Molecular Sciences (HIMS), University of Amsterdam, Amsterdam, The Netherlands., Kers J; Department of Pathology, Amsterdam Cardiovascular Science and Amsterdam Infection and Immunity, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.; Department of Pathology, Leiden University Medical Centre, Leiden, The Netherlands.; Biomolecular Systems Analytics, Van't Hoff Institute for Molecular Sciences (HIMS), University of Amsterdam, Amsterdam, The Netherlands., Andrade L; Laboratory of Basic Science in Renal Diseases (LIM-12), Division of Nephrology, School of Medicine, University of São Paulo, São Paulo, Brazil., Tammaro A; Department of Pathology, Amsterdam Cardiovascular Science and Amsterdam Infection and Immunity, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: The Journal of pathology [J Pathol] 2024 Aug; Vol. 263 (4-5), pp. 496-507. Date of Electronic Publication: 2024 Jun 27.
DOI: 10.1002/path.6302
Abstrakt: Chronic kidney disease (CKD) has emerged as a significant global public health concern. Recent epidemiological studies have highlighted the link between exposure to fine particulate matter (PM 2.5 ) and a decline in renal function. PM 2.5 exerts harmful effects on various organs through oxidative stress and inflammation. Acute kidney injury (AKI) resulting from ischaemia-reperfusion injury (IRI) involves biological processes similar to those involved in PM 2.5 toxicity and is a known risk factor for CKD. The objective of this study was to investigate the impact of PM 2.5 exposure on IRI-induced AKI. Through a unique environmentally controlled setup, mice were exposed to urban PM 2.5 or filtered air for 12 weeks before IRI followed by euthanasia 48 h after surgery. Animals exposed to PM 2.5 and IRI exhibited reduced glomerular filtration, impaired urine concentration ability, and significant tubular damage. Further, PM 2.5 aggravated local innate immune responses and mitochondrial dysfunction, as well as enhancing cyclic GMP-AMP synthase-stimulator of interferon genes (cGAS-STING) pathway activation. This increased renal senescence and suppressed the anti-ageing protein klotho, leading to early fibrotic changes. In vitro studies using proximal tubular epithelial cells exposed to PM 2.5 and hypoxia/reoxygenation revealed heightened activation of the STING pathway triggered by cytoplasmic mitochondrial DNA, resulting in increased tubular damage and a pro-inflammatory phenotype. In summary, our findings imply a role for PM 2.5 in sensitising proximal tubular epithelial cells to IRI-induced damage, suggesting a plausible association between PM 2.5 exposure and heightened susceptibility to CKD in individuals experiencing AKI. Strategies aimed at reducing PM 2.5 concentrations and implementing preventive measures may improve outcomes for AKI patients and mitigate the progression from AKI to CKD. © 2024 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.
(© 2024 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.)
Databáze: MEDLINE
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