The early activation of toll-like receptor (TLR)-3 initiates kidney injury after ischemia and reperfusion.

Acute kidney injury (AKI) is one of the most important complications in hospitalized patients and its pathomechanisms are not completely elucidated. We hypothesize that signaling via toll-like receptor (TLR)-3, a receptor that is activated upon binding of double-stranded nucleotides, might play a cr...

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Main Authors: Patrick Paulus, Katrin Rupprecht, Patrick Baer, Nicholas Obermüller, Daniela Penzkofer, Christin Reissig, Bertram Scheller, Johannes Holfeld, Kai Zacharowski, Stefanie Dimmeler, Joelle Schlammes, Anja Urbschat
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3988056?pdf=render
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author Patrick Paulus
Katrin Rupprecht
Patrick Baer
Nicholas Obermüller
Daniela Penzkofer
Christin Reissig
Bertram Scheller
Johannes Holfeld
Kai Zacharowski
Stefanie Dimmeler
Joelle Schlammes
Anja Urbschat
author_facet Patrick Paulus
Katrin Rupprecht
Patrick Baer
Nicholas Obermüller
Daniela Penzkofer
Christin Reissig
Bertram Scheller
Johannes Holfeld
Kai Zacharowski
Stefanie Dimmeler
Joelle Schlammes
Anja Urbschat
author_sort Patrick Paulus
collection DOAJ
description Acute kidney injury (AKI) is one of the most important complications in hospitalized patients and its pathomechanisms are not completely elucidated. We hypothesize that signaling via toll-like receptor (TLR)-3, a receptor that is activated upon binding of double-stranded nucleotides, might play a crucial role in the pathogenesis of AKI following ischemia and reperfusion (IR). Male adult C57Bl6 wild-type (wt) mice and TLR-3 knock-out (-/-) mice were subjected to 30 minutes bilateral selective clamping of the renal artery followed by reperfusion for 30 min 2.5h and 23.5 hours or subjected to sham procedures. TLR-3 down-stream signaling was activated already within 3 h of ischemia and reperfusion in post-ischemic kidneys of wt mice lead to impaired blood perfusion followed by a strong pro-inflammatory response with significant neutrophil invasion. In contrast, this effect was absent in TLR-3-/- mice. Moreover, the quick TLR-3 activation resulted in kidney damage that was histomorphologically associated with significantly increased apoptosis and necrosis rates in renal tubules of wt mice. This finding was confirmed by increased kidney injury marker NGAL in wt mice and a better preserved renal perfusion after IR in TLR-3-/- mice than wt mice. Overall, the absence of TLR-3 is associated with lower cumulative kidney damage and maintained renal blood perfusion within the first 24 hours of reperfusion. Thus, we conclude that TLR-3 seems to participate in the pathogenesis of early acute kidney injury.
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spelling doaj.art-a64b766c332d4f09a8e40d45a458e1e62022-12-21T18:41:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0194e9436610.1371/journal.pone.0094366The early activation of toll-like receptor (TLR)-3 initiates kidney injury after ischemia and reperfusion.Patrick PaulusKatrin RupprechtPatrick BaerNicholas ObermüllerDaniela PenzkoferChristin ReissigBertram SchellerJohannes HolfeldKai ZacharowskiStefanie DimmelerJoelle SchlammesAnja UrbschatAcute kidney injury (AKI) is one of the most important complications in hospitalized patients and its pathomechanisms are not completely elucidated. We hypothesize that signaling via toll-like receptor (TLR)-3, a receptor that is activated upon binding of double-stranded nucleotides, might play a crucial role in the pathogenesis of AKI following ischemia and reperfusion (IR). Male adult C57Bl6 wild-type (wt) mice and TLR-3 knock-out (-/-) mice were subjected to 30 minutes bilateral selective clamping of the renal artery followed by reperfusion for 30 min 2.5h and 23.5 hours or subjected to sham procedures. TLR-3 down-stream signaling was activated already within 3 h of ischemia and reperfusion in post-ischemic kidneys of wt mice lead to impaired blood perfusion followed by a strong pro-inflammatory response with significant neutrophil invasion. In contrast, this effect was absent in TLR-3-/- mice. Moreover, the quick TLR-3 activation resulted in kidney damage that was histomorphologically associated with significantly increased apoptosis and necrosis rates in renal tubules of wt mice. This finding was confirmed by increased kidney injury marker NGAL in wt mice and a better preserved renal perfusion after IR in TLR-3-/- mice than wt mice. Overall, the absence of TLR-3 is associated with lower cumulative kidney damage and maintained renal blood perfusion within the first 24 hours of reperfusion. Thus, we conclude that TLR-3 seems to participate in the pathogenesis of early acute kidney injury.http://europepmc.org/articles/PMC3988056?pdf=render
spellingShingle Patrick Paulus
Katrin Rupprecht
Patrick Baer
Nicholas Obermüller
Daniela Penzkofer
Christin Reissig
Bertram Scheller
Johannes Holfeld
Kai Zacharowski
Stefanie Dimmeler
Joelle Schlammes
Anja Urbschat
The early activation of toll-like receptor (TLR)-3 initiates kidney injury after ischemia and reperfusion.
PLoS ONE
title The early activation of toll-like receptor (TLR)-3 initiates kidney injury after ischemia and reperfusion.
title_full The early activation of toll-like receptor (TLR)-3 initiates kidney injury after ischemia and reperfusion.
title_fullStr The early activation of toll-like receptor (TLR)-3 initiates kidney injury after ischemia and reperfusion.
title_full_unstemmed The early activation of toll-like receptor (TLR)-3 initiates kidney injury after ischemia and reperfusion.
title_short The early activation of toll-like receptor (TLR)-3 initiates kidney injury after ischemia and reperfusion.
title_sort early activation of toll like receptor tlr 3 initiates kidney injury after ischemia and reperfusion
url http://europepmc.org/articles/PMC3988056?pdf=render
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