51. The leukotriene B 4 -leukotriene B 4 receptor axis promotes cisplatin-induced acute kidney injury by modulating neutrophil recruitment.
- Author
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Deng B, Lin Y, Ma S, Zheng Y, Yang X, Li B, Yu W, Xu Q, Liu T, Hao C, He R, and Ding F
- Subjects
- Acute Kidney Injury chemically induced, Acute Kidney Injury pathology, Acute Kidney Injury prevention & control, Adoptive Transfer, Animals, Apoptosis, Cell Line, Disease Models, Animal, Enzyme Inhibitors pharmacology, Epoxide Hydrolases antagonists & inhibitors, Epoxide Hydrolases metabolism, Genetic Predisposition to Disease, Humans, Kidney drug effects, Kidney pathology, Leukotriene Antagonists pharmacology, Male, Mice, Inbred C57BL, Mice, Knockout, Neutrophils drug effects, Neutrophils pathology, Neutrophils transplantation, Phenotype, Receptors, Leukotriene B4 antagonists & inhibitors, Receptors, Leukotriene B4 deficiency, Receptors, Leukotriene B4 genetics, Signal Transduction, Time Factors, Acute Kidney Injury metabolism, Chemotaxis, Leukocyte drug effects, Cisplatin, Kidney metabolism, Leukotriene B4 metabolism, Neutrophil Infiltration drug effects, Neutrophils metabolism, Receptors, Leukotriene B4 metabolism
- Abstract
Cisplatin is an effective chemotherapeutic agent and widely used in treatment of various solid organ malignancies, including head and neck, ovarian, and testicular cancers. However, the induction of acute kidney injury (AKI) is one of its main side effects. Leukotriene B
4 receptor 1 (BLT1) mediates the majority of physiological effects of leukotriene B4 (LTB4 ), a potent lipid chemoattractant generated at inflammation sites, but the role of the LTB4 -BLT1 axis in cisplatin-induced AKI remains unknown. Here we found upregulated LTB4 synthesis and BLT1 expression in the kidney after cisplatin administration. Cisplatin was found to directly upregulate gene expression of leukotriene A4 hydrolase and stimulate LTB4 production in renal tubular epithelial cells. Reduced kidney structural/functional damage, inflammation, and apoptosis were observed in BLT1-/- mice, as well as in wild-type mice treated with the LTA4H inhibitor SC-57461A and the BLT1 antagonist U-75302. Neutrophils were likely the target of this pathway, as BLT1 absence induced a significant decrease in infiltrating neutrophils in the kidney. Adoptive transfer of neutrophils from wild-type mice restored kidney injury in BLT1-/- mice following cisplatin challenge. Thus, the LTB4 -BLT1 axis contributes to cisplatin-induced AKI by mediating kidney recruitment of neutrophils, which induce inflammation and apoptosis in the kidney. Hence, the LTB4 -BLT1 axis could be a potential therapeutic target in cisplatin-induced AKI., (Copyright © 2017 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.)- Published
- 2017
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