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Chinese Journal of Critical Care Medicine(Electronic Edition) ›› 2020, Vol. 13 ›› Issue (01): 55-59. doi: 10.3877/cma.j.issn.1674-6880.2020.01.011

Special Issue:

• Original Article • Previous Articles     Next Articles

Effect of nucleotide binding oligomerization domain-like receptor protein 3 inflammasome on kidney tissues in septic rats with acute kidney injury

Jiannan Zhang1, Wen Liu1, Guangping Chang1, Yanhui Cao1,()   

  1. 1. Department of Critical Care Medicine, the First Affiliated Hospital of Harbin Medical University, 150001 Harbin, China
  • Received:2019-09-15 Online:2020-02-01 Published:2020-02-01
  • Contact: Yanhui Cao
  • About author:
    Corresponding author: Cao Yanhui, Email:

Abstract:

Objective

To investigate the role and mechanism of nucleotide binding oligomerization domain-like receptor protein 3 (NLRP3) inflammasome in septic rats with acute kidney injury (AKI).

Methods

A total of 18 male Wistar rats were randomly divided into a lipopolysaccharide (LPS) group, a LPS + inhibitor group, and a negative control group, 6 in each group. Rats in the LPS group were given an intraperitoneal injection of LPS (3.5 mg/kg), and rats in the LPS + inhibitor group were given an intraperitoneal injection of LPS (3.5 mg/kg) and cysteinyl aspartate specific proteinase-1 (Caspase-1) inhibitor Bernacasan (VX-765, 100 mg/kg), while rats in the negative control group were given an intraperitoneal injection of isotonic NaCl solution (0.3 mL). Serum creatinine levels of rats in the 3 groups were compared before and after modeling for 24 h. The expression levels of serum interleukin-1beta (IL-1β), IL-18, and tumor necrosis factor-alpha (TNF-α) of rats in the 3 groups were measured by enzyme-linked immunosorbent assay (ELISA) after modeling for 24 h. In the meantime, the expression levels of NLRP3 and Caspase-1 proteins were detected by Western-blotting after modeling for 24 h.

Results

The serum creatinine levels of rats in the 3 groups were statistically significantly different before and after modeling (F = 146.910, P < 0.001). Further pairwise comparisons showed that after modeling, the serum creatinine levels in the LPS + inhibitor group and negative control group were both significantly lower than those in the LPS group[(1.57 ± 0.20), (0.54 ± 0.39), (2.31 ± 0.24) mg/L], and the serum creatinine level in the negative control group [(0.54 ± 0.39) mg/L vs. (1.57 ± 0.20) mg/L] was lower than that in the LPS + inhibitor group, whereas the serum creatinine levels in the LPS group [(2.31 ± 0.24) mg/L vs. (0.53 ± 0.16) mg/L] and LPS + inhibitor group [(1.57 ± 0.20) mg/L vs. (0.56 ± 0.08) mg/L] after modeling were both significantly higher than those before modeling (all P < 0.05). The expression levels of serum IL-1β [(9.33 ± 1.16), (1.93 ± 0.30), (1.88 ± 0.30) ng/L], IL-18 [(23.8 ± 2.8), (19.6 ± 1.5), (16.6 ± 1.2) ng/L], TNF-α [(42.3 ± 2.1), (23.9 ± 2.5), (23.5 ± 1.3) ng/L], NLRP3 proteins [(2.04 ± 0.25), (2.04 ± 0.27), (1.49 ± 0.28)], and Caspase-1 proteins [(0.62 ± 0.07), (0.51 ± 0.09), (0.50 ± 0.09)] were statistically significantly different among the LPS group, LPS + inhibitor group and negative control group (F = 217.015, 20.590, 168.766, 8.723, 3.905; all P < 0.05). Further comparisons showed that the serum levels of IL-1β, IL-18, and TNF-α in the LPS + inhibitor group and negative control group were significantly lower than those in the LPS group, and the IL-18 level in the negative control was lower than that in the LPS + inhibitor group (all P < 0.05). The levels of NLRP3 protein in the negative control group were significantly lower than those both in the LPS group and the LPS + inhibitor group (both P < 0.05). In addition, the expression levels of Caspase-1 protein in the LPS + inhibitor group and negative control group were both significantly lower than those in the LPS group (both P < 0.05).

Conclusion

In septic rats, the NLRP3 inflammasome is activated and then acute kidney damage occurs through the Caspase-1 pathway.

Key words: Sepsis, Nucleotide binding oligomerization domain-like receptor protein 3, Acute kidney injury

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