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Am J Physiol Renal Physiol 297: F316-F326, 2009. First published May 6, 2009; doi:10.1152/ajprenal.00089.2009
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TNF induces caspase-dependent inflammation in renal endothelial cells through a Rho- and myosin light chain kinase-dependent mechanism

Xiaoyan Wu, Rongqing Guo, Peili Chen, Quan Wang, and Patrick N. Cunningham

Section of Nephrology, University of Chicago, Chicago, Illinois

Submitted 15 February 2009 ; accepted in final form 4 May 2009

The pathogenesis of LPS-induced acute kidney injury (AKI) requires signaling through tumor necrosis factor-{alpha} (TNF) receptor 1 (TNFR1), which within the kidney is primarily located in the endothelium. We showed previously that caspase inhibition protected mice against LPS-induced AKI and in parallel significantly inhibited LPS-induced renal inflammation. Therefore we hypothesized that caspase activation amplifies TNF-induced inflammation in renal endothelial cells (ECs). In cultured renal ECs, TNF induced apoptosis through a caspase-8-dependent pathway. TNF caused translocation of the p65 subunit of NF-{kappa}B to the nucleus, resulting in upregulation of inflammatory markers such as adhesion molecules ICAM-1 and VCAM-1. However, the broad-spectrum caspase inhibitor Boc-D-fmk reduced NF-kB activation as assessed by gel shift assay, reduced phosphorylation of subunit I{kappa}B{alpha}, and significantly inhibited TNF-induced expression of ICAM-1 and VCAM-1 as assessed by both real-time PCR and flow cytometry. Broad-spectrum caspase inhibition markedly inhibited neutrophil adherence to the TNF-activated endothelial monolayer, supporting the functional significance of this effect. Specific inhibitors of caspases-8 and -3, but not of caspase-1, reduced TNF-induced NF-{kappa}B activation. Caspase inhibition also reduced TNF-induced myosin light chain (MLC)-2 phosphorylation, and activation of upstream regulator RhoA. Consistent with this, MLC kinase (MLCK) inhibitor ML-7 reduced TNF-induced NF-{kappa}B activation. Thus caspase activation influences NF-{kappa}B signaling via its affect on cytoskeletal changes occurring through RhoA and MLCK pathways. These cell culture experiments support a role for caspase activation in TNF-induced inflammation in the renal endothelium, a key event in LPS-induced AKI.

adhesion molecules; cytokines; sepsis; acute kidney injury; neutrophil



Address for reprint requests and other correspondence: P. N. Cunningham, MC 5100, Rm. S511, Univ. of Chicago, 5841 South Maryland Ave., Chicago, IL 60637 (pcunning{at}medicine.bsd.uchicago.edu)







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