Role of protease‐activated receptor‐1 (PAR‐1) in the glomerular filtration barrier integrity

Abstract Protease‐activated receptors (PAR) play an important role in the regulation of cellular function by the coagulation system, and they are activated by thrombin. PAR‐1 is expressed in both endothelial cells and podocytes in the kidney. The role of PAR1 in the maintenance of the glomerular fil...

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Main Authors: Ajay Medipally, Min Xiao, Laura Biederman, Anjali A. Satoskar, Iouri Ivanov, Brad Rovin, Samir Parikh, Bryce A. Kerlin, Sergey V. Brodsky
Format: Article
Language:English
Published: Wiley 2022-08-01
Series:Physiological Reports
Subjects:
Online Access:https://doi.org/10.14814/phy2.15343
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author Ajay Medipally
Min Xiao
Laura Biederman
Anjali A. Satoskar
Iouri Ivanov
Brad Rovin
Samir Parikh
Bryce A. Kerlin
Sergey V. Brodsky
author_facet Ajay Medipally
Min Xiao
Laura Biederman
Anjali A. Satoskar
Iouri Ivanov
Brad Rovin
Samir Parikh
Bryce A. Kerlin
Sergey V. Brodsky
author_sort Ajay Medipally
collection DOAJ
description Abstract Protease‐activated receptors (PAR) play an important role in the regulation of cellular function by the coagulation system, and they are activated by thrombin. PAR‐1 is expressed in both endothelial cells and podocytes in the kidney. The role of PAR1 in the maintenance of the glomerular filtration barrier is not clear. Anticoagulant‐related nephropathy (ARN) is a kidney disease with glomerular hematuria and red blood cell tubular casts. We validated 5/6 nephrectomy (5/6NE) in rats as a model of ARN and had demonstrated that direct thrombin inhibitor (dabigatran) induces ARN. The aim of this study was to investigate the role of PAR‐1 in the ARN pathogenesis. 5/6NE rats were treated with dabigatran (150 mg/kg/day), PAR‐1 inhibitor SCH79797 (1 and 3 mg/kg/day) and PAR‐1 agonist TFLLR‐NH2 (0.25 and 0.50 µmol/kg/day) for 7 days. Serum creatinine and hematuria were assessed daily. Kidney morphology was evaluated at the end of the study. In 5/6NE rats treated with either dabigatran or combination with a PAR‐1 modulator, there was an elevation in serum creatinine, glomerular hematuria, red blood casts in the tubules, and acute tubular epithelial cell injury. Interestingly, both PAR‐1 modulators in a dose‐depended manner had similar effects on the serum creatinine levels and hematuria as those of dabigatran. Dabigatran‐induced increase in the systolic blood pressure was not affected by PAR‐1 modulators. In conclusion, the normal function of PAR‐1 is crucial to maintain the glomerular filtration barrier integrity. Either activation or blockage of PAR‐1 leads to glomerular hematuria and subsequent acute tubular epithelial cell injury.
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spelling doaj.art-fb2420905bc341c4bb9c84ecbada00fc2023-12-11T09:10:41ZengWileyPhysiological Reports2051-817X2022-08-011015n/an/a10.14814/phy2.15343Role of protease‐activated receptor‐1 (PAR‐1) in the glomerular filtration barrier integrityAjay Medipally0Min Xiao1Laura Biederman2Anjali A. Satoskar3Iouri Ivanov4Brad Rovin5Samir Parikh6Bryce A. Kerlin7Sergey V. Brodsky8Departments of Pathology The Ohio State University Wexner Medical Center Columbus Ohio USADepartments of Pathology The Ohio State University Wexner Medical Center Columbus Ohio USADepartments of Pathology The Ohio State University Wexner Medical Center Columbus Ohio USADepartments of Pathology The Ohio State University Wexner Medical Center Columbus Ohio USADepartments of Pathology The Ohio State University Wexner Medical Center Columbus Ohio USADepartments of Medicine The Ohio State University Wexner Medical Center Columbus Ohio USADepartments of Medicine The Ohio State University Wexner Medical Center Columbus Ohio USADepartment of Pediatrics Nationwide Children’s Hospital Columbus Ohio USADepartments of Pathology The Ohio State University Wexner Medical Center Columbus Ohio USAAbstract Protease‐activated receptors (PAR) play an important role in the regulation of cellular function by the coagulation system, and they are activated by thrombin. PAR‐1 is expressed in both endothelial cells and podocytes in the kidney. The role of PAR1 in the maintenance of the glomerular filtration barrier is not clear. Anticoagulant‐related nephropathy (ARN) is a kidney disease with glomerular hematuria and red blood cell tubular casts. We validated 5/6 nephrectomy (5/6NE) in rats as a model of ARN and had demonstrated that direct thrombin inhibitor (dabigatran) induces ARN. The aim of this study was to investigate the role of PAR‐1 in the ARN pathogenesis. 5/6NE rats were treated with dabigatran (150 mg/kg/day), PAR‐1 inhibitor SCH79797 (1 and 3 mg/kg/day) and PAR‐1 agonist TFLLR‐NH2 (0.25 and 0.50 µmol/kg/day) for 7 days. Serum creatinine and hematuria were assessed daily. Kidney morphology was evaluated at the end of the study. In 5/6NE rats treated with either dabigatran or combination with a PAR‐1 modulator, there was an elevation in serum creatinine, glomerular hematuria, red blood casts in the tubules, and acute tubular epithelial cell injury. Interestingly, both PAR‐1 modulators in a dose‐depended manner had similar effects on the serum creatinine levels and hematuria as those of dabigatran. Dabigatran‐induced increase in the systolic blood pressure was not affected by PAR‐1 modulators. In conclusion, the normal function of PAR‐1 is crucial to maintain the glomerular filtration barrier integrity. Either activation or blockage of PAR‐1 leads to glomerular hematuria and subsequent acute tubular epithelial cell injury.https://doi.org/10.14814/phy2.15343anticoagulant related nephropathyglomerular filtration barrierPAR‐1renal pathology
spellingShingle Ajay Medipally
Min Xiao
Laura Biederman
Anjali A. Satoskar
Iouri Ivanov
Brad Rovin
Samir Parikh
Bryce A. Kerlin
Sergey V. Brodsky
Role of protease‐activated receptor‐1 (PAR‐1) in the glomerular filtration barrier integrity
Physiological Reports
anticoagulant related nephropathy
glomerular filtration barrier
PAR‐1
renal pathology
title Role of protease‐activated receptor‐1 (PAR‐1) in the glomerular filtration barrier integrity
title_full Role of protease‐activated receptor‐1 (PAR‐1) in the glomerular filtration barrier integrity
title_fullStr Role of protease‐activated receptor‐1 (PAR‐1) in the glomerular filtration barrier integrity
title_full_unstemmed Role of protease‐activated receptor‐1 (PAR‐1) in the glomerular filtration barrier integrity
title_short Role of protease‐activated receptor‐1 (PAR‐1) in the glomerular filtration barrier integrity
title_sort role of protease activated receptor 1 par 1 in the glomerular filtration barrier integrity
topic anticoagulant related nephropathy
glomerular filtration barrier
PAR‐1
renal pathology
url https://doi.org/10.14814/phy2.15343
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