Key result
Periostin deletion protects against glycerol-induced acute kidney injury and reduces renal inflammation in mice.
Why the study?
New therapies to reduce rhabdomyolysis-induced AKI are needed, and how periostin modulates inflammation in this setting was uncertain.
Targeting periostin (POSTN) may offer a new therapeutic strategy to prevent inflammation and acute renal failure in rhabdomyolysis-induced AKI.
Answers are grounded in this paper and cite their sources.
Periostin may represent a therapeutic target in rhabdomyolysis AKI; animal data leave open translation to patients.
BACKGROUND: Rhabdomyolysis is the collapse of damaged skeletal muscle and the leakage of muscle-cell contents, such as electrolytes, myoglobin, and other sarcoplasmic proteins, into the circulation. The glomeruli filtered these products, leading to acute kidney injury (AKI) through several mechanisms, such as intratubular obstruction secondary to protein precipitation. The prognosis is highly mutable and depends on the underlying complications and etiologies. New therapeutic plans to reduce AKI are now needed. Up to now, several cellular pathways, with the nuclear factor kappa beta (NF-kB), as well as the proinflammatory effects on epithelial and tubular epithelial cells, have been recognized as the major pathway for the initiation of the matrix-producing cells in AKI. Recently, it has been mentioned that periostin (POSTN), an extracellular matrix protein, is involved in the development of inflammation through the modulation of the NF-kB pathway. However, how POSTN develops the inflammation protection in AKI by rhabdomyolysis is uncertain. This study aimed to investigate the role of POSTN in a rhabdomyolysis mice model of AKI induced by an intramuscular injection of 50% glycerol. METHODS: In vivo, we performed an intramuscular injection of 50% glycerol (5 mg/kg body weight) to make rhabdomyolysis-induced AKI. We examined the expression level of POSTN through the progression of AKI after glycerol intramuscular injection for C57BL/6J wildtype (WT) mice. We sacrificed mice at 72 h after glycerol injection. We made periostin-null mice to examine the role of POSTN in acute renal failure. The role of periostin was further examined through in vitro methods. The development of renal inflammation is linked with the NF-kB pathway. To examine the POSTN function, we administrated hemin (100 μM) on NIH-3T3 fibroblast cells, and the following signaling pathways were examined. RESULTS: The expression of periostin was highly increased, peaking at about 72 h after glycerol injection. The expression of inflammation-associated mRNAs such as monocyte chemotactic protein-1 (MCP-1), tumor necrosis factor-alpha (TNF-a) and IL-6, and tubular injury score in H-E staining were more reduced in POSTN-null mice than WT mice at 72 h after glycerol injection. CONCLUSION: POSTN was highly expressed in the kidney through rhabdomyolysis and was a positive regulator of AKI. Targeting POSTN might propose a new therapeutic strategy against the development of acute renal failure.
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Muratsu et al. (2022) studied Rhabdomyolysis-induced acute kidney injury. Periostin genetic deletion (periostin-null mice / NIH3T3 PnKO) vs. Wildtype C57BL/6J mice / wildtype NIH3T3 cells was evaluated on Renal tubular injury score (H-E staining), serum creatinine, and expression of inflammation-associated mRNAs (MCP-1, TNF-alpha, IL-6) at 72 hours. Periostin deletion significantly reduced serum creatinine elevation, histological tubular damage scores, and renal inflammatory mRNA expression (MCP-1, TNF-α, IL-6) at 72 hours post-glycerol in mice.
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