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Sales da Silva E, Ferreira PM, Castro CH, Pacheco LF, Graziani D, Pontes CNR, Bessa ADSMD, Fernandes E, Naves LM, Ribeiro LCDS, Mendonça MM, Gomes RM, Pedrino GR, Ferreira RN, Xavier CH. Brain and kidney GHS-R1a underexpression is associated with changes in renal function and hemodynamics during neurogenic hypertension. Mol Cell Endocrinol 2020; 518:110984. [PMID: 32814069 DOI: 10.1016/j.mce.2020.110984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2019] [Revised: 08/07/2020] [Accepted: 08/07/2020] [Indexed: 10/23/2022]
Abstract
Ghrelin is a peptide hormone whose effects are mediated by the growth hormone secretagogue receptor subtype 1a (GHS-R1a), mainly expressed in the brain but also in kidneys. The hypothesis herein raised is that GHS-R1a would be player in the renal contribution to the neurogenic hypertension pathophysiology. To investigate GHS-R1a role on renal function and hemodynamics, we used Wistar (WT) and spontaneously hypertensive rats (SHR). First, we assessed the effect of systemically injected vehicle, ghrelin, GHS-R1a antagonist PF04628935, ghrelin plus PF04628935 or GHS-R1a synthetic agonist MK-677 in WT and SHR rats housed in metabolic cages (24 h). Blood and urine samples were also analyzed. Then, we assessed the GHS-R1a contribution to the control of renal vasomotion and hemodynamics in WT and SHR. Finally, we assessed the GHS-R1a levels in brain areas, aorta, renal artery, renal cortex and medulla of WT and SHR rats using western blot. We found that ghrelin and MK-677 changed osmolarity parameters of SHR, in a GHS-R1a-dependent manner. GHS-R1a antagonism reduced the urinary Na+ and K+ and creatinine clearance in WT but not in SHR. Ghrelin reduced arterial pressure and increased renal artery conductance in SHR. GHS-R1a protein levels were decreased in the kidney and brain areas of SHR when compared to WT. Therefore, GHS-R1a role in the control of renal function and hemodynamics during neurogenic hypertension seem to be different, and this may be related to brain and kidney GHS-R1a downregulation.
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Affiliation(s)
- Elder Sales da Silva
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Patrícia Maria Ferreira
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Carlos Henrique Castro
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Lilian Fernanda Pacheco
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Daniel Graziani
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Carolina Nobre Ribeiro Pontes
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Amanda de Sá Martins de Bessa
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Erika Fernandes
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Lara Marques Naves
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Larissa Cristina Dos Santos Ribeiro
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Michelle Mendanha Mendonça
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Rodrigo Mello Gomes
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Gustavo Rodrigues Pedrino
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Reginaldo Nassar Ferreira
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
| | - Carlos Henrique Xavier
- Systems Neurobiology Laboratory, Department of Physiology, Institute of Biological Sciences, Room 203, Federal University of Goiás, Goiânia, GO, 74690-900, Brazil.
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Raghay K, Akki R, Bensaid D, Errami M. Ghrelin as an anti-inflammatory and protective agent in ischemia/reperfusion injury. Peptides 2020; 124:170226. [PMID: 31786283 DOI: 10.1016/j.peptides.2019.170226] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 11/27/2019] [Accepted: 11/27/2019] [Indexed: 02/06/2023]
Abstract
Ischemia/reperfusion (I/R) continue to be the most frequent cause of damaged tissues. Injured tissues resulted from the first ischemic insult, which is determined by the interruption in the blood supply, followed by subsequent impairment induced by reperfusion. In addition, ischemia-reperfusion injury is mediated by tumor necrosis factor (TNF) and other cytokines that activate complements and proteases responsible for free radical production. However, earlier studies have reported the protective roles of bioactive peptides during ischemia reperfusion injury. In fact, ghrelin is a peptide hormone discovered since 1999 as GH secretagogue and its production was identified in gastric X/A-like endocrine cells in rats and P/D1 type cells in humans. To date, this peptide receives growing attention due to its pleiotropic action in the organism and its role in maintaining energy homeostasis. Ghrelin is also involved in stress responses, assuming a modulatory action on immune pathways. Previous studies have identified many other functions related to an anti-inflammatory role in ischemia reperfusion injury. Under these challenging conditions, studies described acylated and unacylated ghrelin in activation and/or inhibition processes related to ischemia-reperfusion injury. The aim of this article is to provide a minireview about ghrelin mechanisms involved in the proinflammatory response of I/R injury. However, the regulatory processes of ghrelin in this pathologic event are still very limited and warrant further investigation.
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Affiliation(s)
- K Raghay
- Department of Biology, Faculty of Sciences, Abdelmalek Essaadi University, Tetouan, Morocco.
| | - R Akki
- Department of Biology, Faculty of Sciences, Abdelmalek Essaadi University, Tetouan, Morocco.
| | - D Bensaid
- Department of Biology, Faculty of Sciences, Abdelmalek Essaadi University, Tetouan, Morocco.
| | - M Errami
- Department of Biology, Faculty of Sciences, Abdelmalek Essaadi University, Tetouan, Morocco.
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van Willigenburg H, de Keizer PLJ, de Bruin RWF. Cellular senescence as a therapeutic target to improve renal transplantation outcome. Pharmacol Res 2018; 130:322-330. [PMID: 29471104 DOI: 10.1016/j.phrs.2018.02.015] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Revised: 02/02/2018] [Accepted: 02/12/2018] [Indexed: 01/18/2023]
Abstract
Kidney transplants from aged donors are more vulnerable to ischemic injury, suffer more from delayed graft function and have a lower graft survival compared to kidneys from younger donors. On a cellular level, aging results in an increase in cells that are in a permanent cell cycle arrest, termed senescence, which secrete a range of pro-inflammatory cytokines and growth factors. Consequently, these senescent cells negatively influence the local milieu by causing inflammaging, and by reducing the regenerative capacity of the kidney. Moreover, the oxidative damage that is inflicted by ischemia-reperfusion injury during transplantation can induce senescence and accelerate aging. In this review, we describe recent developments in the understanding of the biology of aging that have led to the development of a new class of therapeutic agents aimed at eliminating senescent cells. These compounds have already shown to be able to restore tissue homeostasis in old mice, improve kidney function and general health- and lifespan. Use of these anti-senescence compounds holds great promise to improve the quality of marginal donor kidneys as well as to remove senescent cells induced by ischemia-reperfusion injury. Altogether, senescent cell removal may increase the donor pool, relieving the growing organ shortage and improve long-term transplantation outcome.
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Affiliation(s)
- Hester van Willigenburg
- Department of Molecular Genetics, Erasmus University Medical Center, Rotterdam, The Netherlands; Department of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
| | - Peter L J de Keizer
- Department of Molecular Genetics, Erasmus University Medical Center, Rotterdam, The Netherlands; Department of Molecular Cancer Research, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht University, The Netherlands
| | - Ron W F de Bruin
- Department of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands
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Jongbloed F, de Bruin RWF, Klaassen RA, Beekhof P, van Steeg H, Dor FJMF, van der Harst E, Dollé MET, IJzermans JNM. Short-Term Preoperative Calorie and Protein Restriction Is Feasible in Healthy Kidney Donors and Morbidly Obese Patients Scheduled for Surgery. Nutrients 2016; 8:nu8050306. [PMID: 27213441 PMCID: PMC4882718 DOI: 10.3390/nu8050306] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2016] [Revised: 04/17/2016] [Accepted: 05/10/2016] [Indexed: 01/16/2023] Open
Abstract
Introduction. Surgery-induced oxidative stress increases the risk of perioperative complications and delay in postoperative recovery. In mice, short-term preoperative dietary and protein restriction protect against oxidative stress. We investigated the feasibility of a calorie- and protein-restricted diet in two patient populations. Methods. In this pilot study, 30 live kidney donors and 38 morbidly obese patients awaiting surgery were randomized into three groups: a restricted diet group, who received a synthetic liquid diet with 30% fewer calories and 80% less protein for five consecutive days; a group who received a synthetic diet containing the daily energy requirements (DER); and a control group. Feasibility was assessed using self-reported discomfort, body weight changes, and metabolic parameters in blood samples. Results. Twenty patients (71%) complied with the restricted and 13 (65%) with the DER-diet. In total, 68% of the patients reported minor discomfort that resolved after normal eating resumed. The mean weight loss on the restricted diet was significantly greater (2.4 kg) than in the control group (0 kg, p = 0.002), but not in the DER-diet (1.5 kg). The restricted diet significantly reduced levels of serum urea and plasma prealbumin (PAB) and retinol binding protein (RBP). Conclusions. A short-term preoperative calorie- and protein-restricted diet is feasible in kidney donors and morbidly obese patients. Compliance is high and can be objectively measured via changes in urea, PAB, and RBP levels. These results demonstrate that this diet can be used to study the effects of dietary restriction on surgery-induced oxidative stress in a clinical setting.
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Affiliation(s)
- Franny Jongbloed
- Laboratory of Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Department of Surgery, Wytemaweg 80, 3015 CN Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.
- Laboratory of Health Protection Research, National Institute of Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3721 MA Bilthoven, The Netherlands.
| | - Ron W F de Bruin
- Laboratory of Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Department of Surgery, Wytemaweg 80, 3015 CN Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.
| | - René A Klaassen
- Department of Surgery, Maasstad Hospital, 3000 CA Rotterdam, The Netherlands.
| | - Piet Beekhof
- Laboratory of Health Protection Research, National Institute of Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3721 MA Bilthoven, The Netherlands.
| | - Harry van Steeg
- Laboratory of Health Protection Research, National Institute of Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3721 MA Bilthoven, The Netherlands.
- Department of Toxicogenetics, Leiden University Medical Center, Einthovenweg 20, 2333 ZC Leiden, The Netherlands.
| | - Frank J M F Dor
- Laboratory of Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Department of Surgery, Wytemaweg 80, 3015 CN Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.
| | - Erwin van der Harst
- Department of Surgery, Maasstad Hospital, 3000 CA Rotterdam, The Netherlands.
| | - Martijn E T Dollé
- Laboratory of Health Protection Research, National Institute of Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3721 MA Bilthoven, The Netherlands.
| | - Jan N M IJzermans
- Laboratory of Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Department of Surgery, Wytemaweg 80, 3015 CN Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.
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Jongbloed F, de Bruin RWF, Pennings JLA, Payán-Gómez C, van den Engel S, van Oostrom CT, de Bruin A, Hoeijmakers JHJ, van Steeg H, IJzermans JNM, Dollé MET. Preoperative fasting protects against renal ischemia-reperfusion injury in aged and overweight mice. PLoS One 2014; 9:e100853. [PMID: 24959849 PMCID: PMC4069161 DOI: 10.1371/journal.pone.0100853] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2014] [Accepted: 05/29/2014] [Indexed: 11/18/2022] Open
Abstract
Ischemia-reperfusion injury (IRI) is inevitable during kidney transplantation leading to oxidative stress and inflammation. We previously reported that preoperative fasting in young-lean male mice protects against IRI. Since patients are generally of older age with morbidities possibly leading to a different response to fasting, we investigated the effects of preoperative fasting on renal IRI in aged-overweight male and female mice. Male and female F1-FVB/C57BL6-hybrid mice, average age 73 weeks weighing 47.2 grams, were randomized to preoperative ad libitum feeding or 3 days fasting, followed by renal IRI. Body weight, kidney function and survival of the animals were monitored until day 28 postoperatively. Kidney histopathology was scored for all animals and gene expression profiles after fasting were analyzed in kidneys of young and aged male mice. Preoperative fasting significantly improved survival after renal IRI in both sexes compared with normal fed mice. Fasted groups had a better kidney function shown by lower serum urea levels after renal IRI. Histopathology showed less acute tubular necrosis and more regeneration in kidneys from fasted mice. A mRNA analysis indicated the involvement of metabolic processes including fatty acid oxidation and retinol metabolism, and the NRF2-mediated stress response. Similar to young-lean, healthy male mice, preoperative fasting protects against renal IRI in aged-overweight mice of both genders. These findings suggest a general protective response of fasting against renal IRI regardless of age, gender, body weight and genetic background. Therefore, fasting could be a non-invasive intervention inducing increased oxidative stress resistance in older and overweight patients as well.
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Affiliation(s)
- Franny Jongbloed
- Department of Surgery, Laboratory for Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Rotterdam, The Netherlands
- Laboratory of Health Protection Research, National Institute of Public Health and the Environment, Bilthoven, The Netherlands
| | - Ron W. F. de Bruin
- Department of Surgery, Laboratory for Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Jeroen L. A. Pennings
- Laboratory of Health Protection Research, National Institute of Public Health and the Environment, Bilthoven, The Netherlands
| | - César Payán-Gómez
- Department of Genetics, Erasmus University Medical Center, Rotterdam, The Netherlands
- Facultad de Ciencias Naturales y Matemáticas, Universidad del Rosario, Bogotá, Colombia
| | - Sandra van den Engel
- Department of Surgery, Laboratory for Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Conny T. van Oostrom
- Laboratory of Health Protection Research, National Institute of Public Health and the Environment, Bilthoven, The Netherlands
| | - Alain de Bruin
- Dutch Molecular Pathology Center, Department of Pathobiology Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands
| | - Jan H. J. Hoeijmakers
- Department of Genetics, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Harry van Steeg
- Laboratory of Health Protection Research, National Institute of Public Health and the Environment, Bilthoven, The Netherlands
- Department of Toxicogenetics, Leiden University Medical Center, Leiden, The Netherlands
| | - Jan N. M. IJzermans
- Department of Surgery, Laboratory for Experimental Transplantation and Intestinal Surgery (LETIS), Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Martijn E. T. Dollé
- Laboratory of Health Protection Research, National Institute of Public Health and the Environment, Bilthoven, The Netherlands
- * E-mail:
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Verweij M, Sluiter W, van den Engel S, Jansen E, Ijzermans JNM, de Bruin RWF. Altered mitochondrial functioning induced by preoperative fasting may underlie protection against renal ischemia/reperfusion injury. J Cell Biochem 2013; 114:230-7. [PMID: 22903745 DOI: 10.1002/jcb.24360] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2012] [Accepted: 08/08/2012] [Indexed: 12/23/2022]
Abstract
We reported previously that the robust protection against renal ischemia/reperfusion (I/R) injury in mice by fasting was largely initiated before the induction of renal I/R. In addition, we found that preoperative fasting downregulated the gene expression levels of complexes I, IV, and V of the mitochondrial oxidative phosphorylation (OXPHOS) system, while it did not change those of complexes II and III. Hence, we now investigated the effect of 3 days of fasting on the functioning of renal mitochondria in order to better understand our previous findings. Fasting did not affect mitochondrial density. Surprisingly, fasting significantly increased the protein expression of complex II of the mitochondrial OXPHOS system by 19%. Complex II-driven state 3 respiratory activity was significantly reduced by fasting (46%), which could be partially attributed to the significant decrease in the enzyme activity of complex II (16%). Fasting significantly inhibited Ca(2+) -dependent mitochondrial permeability transition pore opening that is directly linked to protection against renal I/R injury. The inhibition of the mitochondrial permeability transition pore did not involve the expression of the voltage-dependent anion channel by fasting. In conclusion, 3 days of fasting clearly induces the inhibition of complex II-driven mitochondrial respiration state 3 in part by decreasing the amount of functional complex II, and inhibits mitochondrial permeability transition pore opening. This might be a relevant sequence of events that could contribute to the protection of the kidney against I/R injury.
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Affiliation(s)
- Mariëlle Verweij
- Department of Surgery, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands
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