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1 Department of Medicine, Section of Nephrology, University of Chicago, Chicago, Illinois 60637; and 2 Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205
Ischemia-reperfusion injury
(IRI) is a complex and incompletely understood process involving a
cascade of events that culminates in apoptotic and/or necrotic cell
death. Natural IgM antibodies and complement have been implicated
in the pathogenesis of IRI in a variety of organ systems as have T
lymphocytes in renal IRI. To investigate the role of Ig and T
lymphocytes in renal IRI, recombination-activating gene
(RAG)-1-deficient mice were studied. RAG-1(
/
) mice were not
protected from acute renal failure induced by 27.5 min of bilateral
renal ischemia and subsequent reperfusion [serum urea nitrogen
levels 30 h after reperfusion, 155.2 ± 5.6 and 152.8 ± 11.4 mg/dl in RAG-1(
/
) and wild-type mice, respectively; n = 13 each]. Histological examination showed acute
tubular necrosis and neutrophilic infiltration with no significant
differences between groups. In contrast with other organ systems, Igs
were not found in kidneys at time points ranging from 1 min to 30 h after ischemia. Thus Igs and mature T lymphocytes do not
appear to play a significant role in the pathogenesis of IRI in the kidney.
acute renal failure; neutrophils; complement; recombination activating gene
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