[HTML][HTML] Preconditioning with recombinant high-mobility group box 1 protein protects the kidney against ischemia–reperfusion injury in mice

H Wu, R Steenstra, ECS De Boer, CY Zhao, J Ma… - Kidney international, 2014 - Elsevier
H Wu, R Steenstra, ECS De Boer, CY Zhao, J Ma, JM Van Der Stelt, SJ Chadban
Kidney international, 2014Elsevier
A preconditioning effect occurs when exposure to a nonharmful quantity of a mediator of
injury provides protection against injury upon subsequent reexposure. High-mobility group
box 1 (HMGB1) protein, an endogenous ligand for Toll-like receptor (TLR) 4, is a TLR4-
dependent mediator of kidney ischemia–reperfusion injury. Here we determined whether
preconditioning with recombinant HMGB1 can block kidney ischemia–reperfusion injury,
whether this effect is TLR4 dependent and, if so, how preconditioning downregulates TLR …
A preconditioning effect occurs when exposure to a nonharmful quantity of a mediator of injury provides protection against injury upon subsequent reexposure. High-mobility group box 1 (HMGB1) protein, an endogenous ligand for Toll-like receptor (TLR) 4, is a TLR4-dependent mediator of kidney ischemia–reperfusion injury. Here we determined whether preconditioning with recombinant HMGB1 can block kidney ischemia–reperfusion injury, whether this effect is TLR4 dependent and, if so, how preconditioning downregulates TLR signaling. Wild-type mice pretreated with rHMGB1 before ischemia were protected against kidney ischemia–reperfusion injury, indicated by lower serum creatinine, less tubular damage, less tubulointerstitial neutrophil and macrophage infiltration, and less tubular epithelial cell apoptosis versus control mice. Gene expression of TLR-downstream cytokines and chemokines in ischemia–reperfusion injury kidney were also significantly reduced. While TLR4 and TLR2 knockout mice were protected against kidney ischemia–reperfusion injury, HMGB1 preconditioning provided additional protection to TLR2 but not TLR4 knockout mice. The protective effect of rHMGB1 preconditioning involved Siglec-G upregulation, a negative regulator of HMGB1-mediated TLR4 pathway activation. Thus, preconditioning with rHMGB1 affords significant protection from TLR4-dependent kidney ischemia–reperfusion injury, indicating therapeutic potential.
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