Acute Kidney Injury Induces Remote Cardiac Damage and Dysfunction Through the Galectin-3 Pathway

Autor: Françoise Poirier, Etienne Gayat, Claude Delcayre, Jean-Marie Launay, Thibault Michel, Bocar Kane, Satoshi Kinugasa, Alain Cohen-Solal, Magali Genest, Matthieu Legrand, Maxime Coutrot, Louis Boutin, Sophie Vandermeersch, Christos E. Chadjichristos, Alexandre Mebazaa, Mathilde Prud’homme, Ravindra L. Mehta, Niki Prakoura, Jane-Lise Samuel
Přispěvatelé: Marqueurs cardiovasculaires en situation de stress (MASCOT (UMR_S_942 / U942)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Centre National de la Recherche Scientifique (CNRS)-Université de Paris (UP)-Université Sorbonne Paris Nord, Des Maladies Rénales Rares aux Maladies Fréquentes, Remodelage et Réparation, Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Phénotypage du petit animal (UMS28), Sorbonne Université (SU), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité)-Université Sorbonne Paris Nord, Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Investigation Network Initiative Cardiovascular and Rénal Clinical Trialist (INI-CRCT), CHU Tenon [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Institut Jacques Monod (IJM (UMR_7592)), Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité), University of California [San Diego] (UC San Diego), University of California (UC), Chadjichristos, Christos
Rok vydání: 2019
Předmět:
WT
wild type

lcsh:Diseases of the circulatory (Cardiovascular) system
renal failure
BUN
blood urea nitrogen

heart failure
ICAM
intercellular adhesion molecule

Cardiovascular
intensive care unit
law.invention
PRECLINICAL RESEARCH
0302 clinical medicine
Fibrosis
Aetiology
Gal-3
galectin-3

UUO
WT
interleukin
eGFR
estimated glomerular filtration rate

Acute kidney injury
creatinine
3. Good health
macrophages
Kidney Disease Improving Global Outcome
unilateral ureteral obstruction
Galectin-3
intercellular adhesion molecule
Cardiology and Cardiovascular Medicine
medicine.medical_specialty
Clinical Sciences
Renal and urogenital
03 medical and health sciences
BM
IR
ischemia-reperfusion

NT-proBNP
N-terminal-pro-brain natriuretic peptide

KDIGO
Kidney Disease Improving Global Outcome

Prevention
IL
Gal-3
medicine.disease
IL
interleukin

030104 developmental biology
lcsh:RC666-701
NT-proBNP
IR
0301 basic medicine
transforming growth factor
Kidney Disease
estimated glomerular filtration rate
[SDV]Life Sciences [q-bio]
TNF
Cr
creatinine

030204 cardiovascular system & hematology
Cardiorespiratory Medicine and Haematology
ischemia-reperfusion
MCP
modified citrus pectin

law
eGFR
2.1 Biological and endogenous factors
KO
knock-out

TGF
transforming growth factor

Cr
KDIGO
TNF
tumor necrosis factor

[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology
Blocking (radio)
KO
Intensive care unit
ICU
intensive care unit

TGF
Heart Disease
acute kidney injury
Cardiology
wild type
medicine.symptom
ICAM
bone marrow
tumor necrosis factor
Inflammation
AKI
acute kidney injury

Immune system
AKI
Internal medicine
BUN
galectin-3
medicine
UUO
unilateral ureteral obstruction

blood urea nitrogen
knock-out
N-terminal-pro-brain natriuretic peptide
business.industry
fibrosis
Good Health and Well Being
modified citrus pectin
inflammation
Heart failure
MCP
ICU
BM
bone marrow

business
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Zdroj: JACC. Basic to translational science, vol 4, iss 6
JACC: Basic to Translational Science
JACC: Basic to Translational Science, Vol 4, Iss 6, Pp 717-732 (2019)
JACC : Basic to Translational Science
JACC : Basic to Translational Science, Elsevier on behalf of the American College of Cardiology Foundation, 2019, 4, pp.717-732. ⟨10.1016/j.jacbts.2019.06.005⟩
JACC : Basic to Translational Science, 2019, 4 (6), pp.717-732. ⟨10.1016/j.jacbts.2019.06.005⟩
ISSN: 2452-302X
Popis: Visual Abstract
Highlights • In 2 different mouse models, AKI increased Gal-3 expression and induced cardiac dysfunction, cardiac and systemic inflammation, cardiac macrophage infiltration, and fibrosis. • Cardiac consequences of AKI were dependent on the Gal-3 pathway and were prevented using Gal-3 knockout mice or modified citrus pectin as a pharmaceutical inhibitor. • Cardiac Gal-3 expression resulted from bone marrow-derived immune cells recruitment after AKI. • In critically ill patients, development of AKI is associated with increased plasma Gal-3 levels and increased biomarkers of cardiac injury and damage.
Summary Acute kidney injury is associated with increased risk of heart failure and mortality. This study demonstrates that acute kidney injury induces remote cardiac dysfunction, damage, injury, and fibrosis via a galectin-3 (Gal-3) dependent pathway. Gal-3 originates from bone marrow-derived immune cells. Cardiac damage could be prevented by blocking this pathway.
Databáze: OpenAIRE