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1 Department of Medicine, Divisions of Renal Diseases and Hypertension and Infectious Diseases, University of Colorado Health Sciences Center, Denver, Colorado, USA
2 Department of Pathology, University Hospital Dubrava, Zagreb, Croatia
* To whom correspondence should be addressed. E-mail: robert.schrier{at}uchsc.edu.
Caspase-1 deficient (-/-) mice are protected against sepsis-induced hypotension
and mortality. We investigated the role of caspase-1 and its associated cytokines in a
non hypotensive model of endotoxemic ARF. Mice were injected with
lipopolysaccharide (LPS) 2.5 mg IP that induces endotoxemic ARF. On immunoblot
analysis of whole kidney there was an increase in caspase-1 protein in LPS-treated
mice compared to vehicle treated controls. In LPS treated mice, glomerular filtration rate
(GFR) was significantly higher in caspase-1 -/- vs. wild type mice at 16 and 36 hours
after LPS. To determine the mechanism of this protection, the caspase-1-activated
cytokines IL-1
and IL-18 were investigated. IL-1
and IL-18 protein were significantly
increased in the kidneys of LPS vs. vehicle treated mice. To determine the role of these
cytokines, mice were treated with recombinant IL-1 receptor antagonist (IL-1Ra) or IL-
18-neutralizing antiserum. In LPS-treated mice, GFR was not different in IL-1Ra-treated
or IL-18-neutralizing antiserum-treated or combination therapy (IL-1Ra plus IL-18-
neutralizing antiserum-treated) compared to control mice. In addition, tubular cell
apoptosis, neutrophil infiltration, myeloperoxidase (MPO) activity, caspase-3 activity and
calpain activity were not different between wild type and caspase-1 -/- mice with
endotoxemic ARF. In LPS vs. vehicle-treated wild type mice, renal IL-1
was
significantly increased. In both LPS and vehicle treated caspase-1 -/- mice, renal IL-1
was very low. In summary, caspase-1 -/- mice are functionally protected against
endotoxemic ARF. Neutralization of IL-1
and IL-18 is not functionally protective. The
role of the intracellular pro-inflammatory cytokine, IL-1
, in endotoxemic ARF merits
further study.
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