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Am J Physiol Renal Physiol (April 5, 2005). doi:10.1152/ajprenal.00038.2005
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Submitted on January 28, 2005
Accepted on March 29, 2005

Anti-inflammatory effect of fibrate protects from cisplatin-induced ARF

Shenyang Li1, Neriman Gokden1, Mark D. Okusa2, Renu Bhatt1, and Didier Portilla1*

1 Division of Nephrology, Departments of Internal Medicine and Pathology, University of Arkansas for Medical Sciences and Central Arkansas Veterans Healthcare Syatem, Little Rock, AR, USA
2 Division of Nephrology, Department of Medicine, University of Virginia, Charlottesville, VA, USA

* To whom correspondence should be addressed. E-mail: portilladidier{at}uams.edu.

Recently we demonstrated that Peroxisome proliferator activated receptor-alpha (PPAR{alpha}) ligand ameliorates cisplatin-induced acute renal failure (ARF) by preventing inhibition of substrate oxidation, and also by preventing apoptosis and necrosis of the proximal tubule. In the following studies we examined the protective effect of PPAR{alpha} ligand on cisplatin-induced inflammatory responses during ARF. Mice subjected to a single intraperitoneal injection of cisplatin developed ARF at day 3. Cisplatin increased mRNA and protein expression of TNF{alpha}, RANTES and also up-regulated endothelial adhesion molecules ICAM-1/ VCAM-1, chemokine receptors CCR1/CCR5. Cisplatin also led to neutrophil infiltration in the cortico-medullary region. Pretreatment of wild-type mice with WY-14,643, a fibrate class of PPAR{alpha} ligands, prior to cisplatin significantly suppressed cisplatin-induced up-regulation of cytokine/chemokine expression; prevented neutrophil accumulation and ameliorated renal dysfunction. In contrast, treatment with PPAR{alpha} ligand prior to cisplatin did not prevent cytokine/chemokine production, neutrophil accumulation and did not protect kidney function in PPAR{alpha} null mice. In addition, we observed that cisplatin-induced NF-{kappa}B binding activity in nuclear extracts of wild type mice was markedly reduced by treatment with PPAR{alpha} ligand. These results demonstrate that PPAR{alpha} exerts an anti-inflammatory effect in kidney tissue by a mechanism that include inhibition of NF-{kappa}B DNA binding activity, and this effect results in inhibition of neutrophil infiltration, cytokine/chemokine release, and amelioration of cisplatin-induced acute renal failure.




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