RAGE is a critical factor of sex-based differences in age-induced kidney damage

Introduction: Advanced glycation end products (AGEs) are a heterogeneous group of molecules with potential pathophysiological effects on the kidneys. Fibrosis together with the accumulation of AGEs has been investigated for its contribution to age-related decline in renal function. AGEs mediate thei...

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Main Authors: Seerat Bajwa, Alexander Luebbe, Ngoc Dong Nhi Vo, Eva-Maria Piskor, Christian Kosan, Gunter Wolf, Ivonne Loeffler
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2023.1154551/full
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author Seerat Bajwa
Alexander Luebbe
Ngoc Dong Nhi Vo
Eva-Maria Piskor
Christian Kosan
Gunter Wolf
Ivonne Loeffler
author_facet Seerat Bajwa
Alexander Luebbe
Ngoc Dong Nhi Vo
Eva-Maria Piskor
Christian Kosan
Gunter Wolf
Ivonne Loeffler
author_sort Seerat Bajwa
collection DOAJ
description Introduction: Advanced glycation end products (AGEs) are a heterogeneous group of molecules with potential pathophysiological effects on the kidneys. Fibrosis together with the accumulation of AGEs has been investigated for its contribution to age-related decline in renal function. AGEs mediate their effects in large parts through their interactions with the receptor for AGEs (RAGE). RAGE is a transmembrane protein that belongs to the immunoglobulin superfamily and has the ability to interact with multiple pro-inflammatory/pro-oxidative ligands. The role of RAGE in aging kidneys has not been fully characterized, especially for sex-based differences.Methods: Therefore, we analyzed constitutive RAGE knockout (KO) mice in an age- and sex-dependent manner. Paraffin-embedded kidney sections were used for histological analysis and protein expression of fibrosis and damage markers. RNA expression analysis from the kidney cortex was done by qPCR for AGE receptors, kidney damage, and early inflammation/fibrosis factors. FACS analysis was used for immune cell profiling of the kidneys.Results: Histological analysis revealed enhanced infiltration of immune cells (positive for B220) in aged (>70 weeks old) KO mice in both sexes. FACS analysis revealed a similar pattern of enhanced B-1a cells in aged KO mice. There was an age-based increase in pro-fibrotic and pro-inflammatory markers (IL-6, TNF, TGF-β1, and SNAIL1) in KO male mice that presumably contributed to renal fibrosis and renal damage (glomerular and tubular). In fact, in KO mice, there was an age-dependent increase in renal damage (assessed by NGAL and KIM1) that was accompanied by increased fibrosis (assessed by CTGF). This effect was more pronounced in male KO mice than in the female KO mice. In contrast to the KO animals, no significant increase in damage markers was detectable in wild-type animals at the age examined (>70 weeks old). Moreover, there is an age-based increase in AGEs and scavenger receptor MSR-A2 in the kidneys.Discussion: Our data suggest that the loss of the clearance receptor RAGE in male animals further accelerates age-dependent renal damage; this could be in part due to an increase in AGEs load during aging and the absence of protective female hormones. By contrast, in females, RAGE expression seems to play only a minor role when compared to tissue pathology.
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spelling doaj.art-5879e691ae104f19a42692bfb29d0d442023-03-29T05:40:34ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-03-011410.3389/fphys.2023.11545511154551RAGE is a critical factor of sex-based differences in age-induced kidney damageSeerat Bajwa0Alexander Luebbe1Ngoc Dong Nhi Vo2Eva-Maria Piskor3Christian Kosan4Gunter Wolf5Ivonne Loeffler6Department of Internal Medicine III, Jena University Hospital, Jena, GermanyDepartment of Internal Medicine III, Jena University Hospital, Jena, GermanyDepartment of Internal Medicine III, Jena University Hospital, Jena, GermanyInstitute of Biochemistry and Biophysics, Center for Molecular Biomedicine (CMB), Friedrich Schiller University, Jena, GermanyInstitute of Biochemistry and Biophysics, Center for Molecular Biomedicine (CMB), Friedrich Schiller University, Jena, GermanyDepartment of Internal Medicine III, Jena University Hospital, Jena, GermanyDepartment of Internal Medicine III, Jena University Hospital, Jena, GermanyIntroduction: Advanced glycation end products (AGEs) are a heterogeneous group of molecules with potential pathophysiological effects on the kidneys. Fibrosis together with the accumulation of AGEs has been investigated for its contribution to age-related decline in renal function. AGEs mediate their effects in large parts through their interactions with the receptor for AGEs (RAGE). RAGE is a transmembrane protein that belongs to the immunoglobulin superfamily and has the ability to interact with multiple pro-inflammatory/pro-oxidative ligands. The role of RAGE in aging kidneys has not been fully characterized, especially for sex-based differences.Methods: Therefore, we analyzed constitutive RAGE knockout (KO) mice in an age- and sex-dependent manner. Paraffin-embedded kidney sections were used for histological analysis and protein expression of fibrosis and damage markers. RNA expression analysis from the kidney cortex was done by qPCR for AGE receptors, kidney damage, and early inflammation/fibrosis factors. FACS analysis was used for immune cell profiling of the kidneys.Results: Histological analysis revealed enhanced infiltration of immune cells (positive for B220) in aged (>70 weeks old) KO mice in both sexes. FACS analysis revealed a similar pattern of enhanced B-1a cells in aged KO mice. There was an age-based increase in pro-fibrotic and pro-inflammatory markers (IL-6, TNF, TGF-β1, and SNAIL1) in KO male mice that presumably contributed to renal fibrosis and renal damage (glomerular and tubular). In fact, in KO mice, there was an age-dependent increase in renal damage (assessed by NGAL and KIM1) that was accompanied by increased fibrosis (assessed by CTGF). This effect was more pronounced in male KO mice than in the female KO mice. In contrast to the KO animals, no significant increase in damage markers was detectable in wild-type animals at the age examined (>70 weeks old). Moreover, there is an age-based increase in AGEs and scavenger receptor MSR-A2 in the kidneys.Discussion: Our data suggest that the loss of the clearance receptor RAGE in male animals further accelerates age-dependent renal damage; this could be in part due to an increase in AGEs load during aging and the absence of protective female hormones. By contrast, in females, RAGE expression seems to play only a minor role when compared to tissue pathology.https://www.frontiersin.org/articles/10.3389/fphys.2023.1154551/fullrenal damageaginginflammationsex-based differenceAGE (advanced glycation end products)RAGE (receptor for advanced glycation end products)
spellingShingle Seerat Bajwa
Alexander Luebbe
Ngoc Dong Nhi Vo
Eva-Maria Piskor
Christian Kosan
Gunter Wolf
Ivonne Loeffler
RAGE is a critical factor of sex-based differences in age-induced kidney damage
Frontiers in Physiology
renal damage
aging
inflammation
sex-based difference
AGE (advanced glycation end products)
RAGE (receptor for advanced glycation end products)
title RAGE is a critical factor of sex-based differences in age-induced kidney damage
title_full RAGE is a critical factor of sex-based differences in age-induced kidney damage
title_fullStr RAGE is a critical factor of sex-based differences in age-induced kidney damage
title_full_unstemmed RAGE is a critical factor of sex-based differences in age-induced kidney damage
title_short RAGE is a critical factor of sex-based differences in age-induced kidney damage
title_sort rage is a critical factor of sex based differences in age induced kidney damage
topic renal damage
aging
inflammation
sex-based difference
AGE (advanced glycation end products)
RAGE (receptor for advanced glycation end products)
url https://www.frontiersin.org/articles/10.3389/fphys.2023.1154551/full
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