Key result
High-glucose peritoneal dialysis fluid increases peritoneal submesothelial thickening and PTX3 levels in rats.
Why the study?
Continuous exposure to peritoneal dialysis fluids is associated with pathological responses including persistent micro-inflammation leading to ultrafiltration failure, but the role of pentraxin-3 expression in this process is unclear.
Continuous exposure to high-glucose peritoneal dialysis fluid induces PTX3 expression, suggesting a mechanism for local micro-inflammation in the peritoneum.
PTX3 may mark dialysate-induced peritoneal injury in rats; leaves open human relevance and therapeutic targeting.
BACKGROUND: Continuous exposure to peritoneal dialysis fluids (PDFs) is associated with pathological responses such as persistent micro-inflammation, which leads to ultrafiltration failure. Pentraxin-3 (PTX3), a multifunctional soluble pattern recognition receptor, is produced at sites of inflammation by a wide range of cell types. This study investigates the in vivo expression of PTX3 in the peritoneal membrane of a rat continuous peritoneal dialysis (PD) model, as well as the effect of high glucose on the in vitro expression of PTX3. METHODS: The expression of PTX3 was analyzed using RT-PCR, real-time PCR, immunohistochemistry and western blotting in a PD rat model receiving saline or conventional PDF containing 3.86% glucose for 8 weeks. The effects of high glucose on the expression of PTX3 were examined in cultured rat peritoneal mesothelial cells (RPMCs), mouse macrophage-like cells, and mouse fibroblasts. RESULTS: In a rat model of PD, eight-week instillation of the conventional PDF produced increased submesothelial thickening, followed by substantially enhanced PTX3 protein levels in the submesothelial layer of peritoneal membrane. PTX3 was detected in peritoneal mesothelial cells, macrophages and fibroblasts in the thickened submesothelial area. Glucose was found to induce PTX3 protein expression in RPMCs as well as macrophage-like cells and fibroblasts. CONCLUSION: Continuous exposure to conventional PDF induces PTX3 expression in the peritoneal membrane of rats. High glucose may be involved in the mechanism of PDF-induced local micro-inflammation in the peritoneum.
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Ishimatsu et al. (2016) studied Peritoneal dialysis-induced micro-inflammation. Conventional peritoneal dialysis fluid containing 3.86% glucose vs. Saline was evaluated on Expression of PTX3 and submesothelial thickening. Eight-week instillation of conventional peritoneal dialysis fluid containing 3.86% glucose increased submesothelial thickening and enhanced PTX3 protein levels in the peritoneal membrane of rats.
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