Key result
Female mice exhibited pronounced renal protection following cigarette smoking exposure and myocardial infarction compared with male mice, including less glomerular retraction and renal fibrosis.
Why the study?
The impact of cigarette smoking on kidney homeostasis in the presence of MI in both males and females remains poorly elucidated.
Premenopausal female mice show greater renal protection and less severe cardiac ejection fraction decline than males following myocardial infarction and cigarette smoking exposure.
Highlights potential sex differences in renal outcomes after MI and smoking; hypothesis-generating and should not alter clinical practice.
The impact of cigarette smoking (CS) on kidney homeostasis in the presence of myocardial infarction (MI) in both males and females remains poorly elucidated. C57BL6/J mice were exposed to 2 weeks of CS prior to MI induction followed by 1 week of CS exposure in order to investigate the impact of CS on kidney damage in the presence of MI. Cardiac hemodynamic analysis revealed a significant decrease in ejection fraction (EF) in CS-exposed MI male mice when compared with the relative female subjects, whereas cardiac output (CO) comparably decreased in CS-exposed MI mice of both sexes. Kidney structural alterations, including glomerular retraction, proximal convoluted tubule (PCT) cross-sectional area, and total renal fibrosis were more pronounced in CS-exposed MI male mice when compared with the relative female group. Although renal reactive oxygen species (ROS) generation and glomerular DNA fragmentation significantly increased to the same extent in CS-exposed MI mice of both sexes, alpha-smooth muscle actin (α-SMA) and connective tissue growth factor (CTGF) significantly increased in CS-exposed MI male mice, only. Metabolically, nicotinamide phosphoribosyltransferase (NAMPT) and nicotinamide riboside-1 (NMRK-1) substantially increased in CS-exposed MI female mice only, whereas sirtuin (SIRT)-1 and SIRT-3 substantially decreased in CS-exposed MI male mice compared with their relative female group. Additionally, renal NAD levels significantly decreased only in CS-exposed MI male mice. In conclusion, MI female mice exhibited pronounced renal protection following CS when compared with the relative male groups.
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Habeichi et al. (2020) studied Myocardial infarction and cigarette smoking exposure. Cigarette smoking exposure vs. Male vs female mice was evaluated on Kidney structural alterations and cardiac hemodynamics. Female mice exhibited pronounced renal protection following cigarette smoking exposure and myocardial infarction compared with male mice, including less glomerular retraction and renal fibrosis.
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