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      Resolvin D1 attenuates sepsis induced acute kidney injury targeting mitochondria and NF-κB signaling pathway

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          Abstract

          Background

          Acute kidney injury is a highly common and multifactorial renal disease resulting in significant morbidity and mortality, especially sepsis-induced acute kidney injury. There is no effective therapy available to treat or prevent sepsis-induced acute kidney injury. One of the specialized pro-resolving mediators, Resolvin D1 exhibits special anti-inflammatory effects in several inflammatory disease models, but there is little evidence about the effect and mechanism of Resolvin D1 in sepsis-induced acute kidney injury.

          Methods

          We conducted experiments to explore the effect and mechanism of Resolvin D1 in sepsis-induced acute kidney injury. In vitro, human proximal tubular epithelial cells were used to test the apoptosis ratio, cell viability and reactive oxygen species level. In vivo, C57BL/6 mice were injected with lipopolysaccharide to establish a sepsis-induced acute kidney injury model. Renal function and structure, apoptosis ratio of kidney cells, mitochondrial structure and function and related protein and gene levels were assessed.

          Results

          In vitro, the resolvin D1-treated group showed higher cell viability and lower reactive oxygen species levels and apoptosis ratios than the LPS group. In vivo, Resolvin D1 can not only improve renal function and mitochondrial function but also reduce the apoptosis ratio, while mediating mitochondrial dynamics and inhibiting NF-κB pathway.

          Conclusions

          Resolvin D1 has a good renoprotective effect by maintaining mitochondrial dynamics and inhibiting the NF-κB pathway.

          Abstract

          Sepsis-induced acute kidney injury; RvD1; Mitochondrial function; Apoptosis; NF-κB pathway.

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          Most cited references46

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          The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).

          Definitions of sepsis and septic shock were last revised in 2001. Considerable advances have since been made into the pathobiology (changes in organ function, morphology, cell biology, biochemistry, immunology, and circulation), management, and epidemiology of sepsis, suggesting the need for reexamination.
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            Acute kidney injury, mortality, length of stay, and costs in hospitalized patients.

            The marginal effects of acute kidney injury on in-hospital mortality, length of stay (LOS), and costs have not been well described. A consecutive sample of 19,982 adults who were admitted to an urban academic medical center, including 9210 who had two or more serum creatinine (SCr) determinations, was evaluated. The presence and degree of acute kidney injury were assessed using absolute and relative increases from baseline to peak SCr concentration during hospitalization. Large increases in SCr concentration were relatively rare (e.g., >or=2.0 mg/dl in 105 [1%] patients), whereas more modest increases in SCr were common (e.g., >or=0.5 mg/dl in 1237 [13%] patients). Modest changes in SCr were significantly associated with mortality, LOS, and costs, even after adjustment for age, gender, admission International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis, severity of illness (diagnosis-related group weight), and chronic kidney disease. For example, an increase in SCr >or=0.5 mg/dl was associated with a 6.5-fold (95% confidence interval 5.0 to 8.5) increase in the odds of death, a 3.5-d increase in LOS, and nearly 7500 dollars in excess hospital costs. Acute kidney injury is associated with significantly increased mortality, LOS, and costs across a broad spectrum of conditions. Moreover, outcomes are related directly to the severity of acute kidney injury, whether characterized by nominal or percentage changes in serum creatinine.
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              NF-κB, inflammation, immunity and cancer: coming of age

              Fourteen years have passed since nuclear factor-κB (NF-κB) was first shown to serve as a molecular lynchpin that links persistent infections and chronic inflammation to increased cancer risk. The young field of inflammation and cancer has now come of age, and inflammation has been recognized by the broad cancer research community as a hallmark and cause of cancer. Here, we discuss how the initial discovery of a role for NF-κB in linking inflammation and cancer led to an improved understanding of tumour-elicited inflammation and its effects on anticancer immunity.
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                Author and article information

                Contributors
                Journal
                Heliyon
                Heliyon
                Heliyon
                Elsevier
                2405-8440
                13 December 2022
                December 2022
                13 December 2022
                : 8
                : 12
                : e12269
                Affiliations
                [a ]Department of Nephrology, Med-X Center for Manufacturing, West China Hospital, Sichuan University, Chengdu 610041, China
                [b ]The First People's Hospital of Shuangliu District, Chengdu, 610200, China
                [c ]Institute for Disaster Management and Reconstruction, Sichuan University, Chengdu 610207, China
                [d ]Disaster Medicine Center, Sichuan University, Chengdu, 610041, China
                [e ]Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, 610041, China
                [f ]Med-X Center for Materials, Sichuan University, Chengdu 610041, China
                Author notes
                []Corresponding author. subaihai@ 123456scu.edu.cn
                [∗∗ ]Corresponding author. Dr.zhaoyuliang@ 123456gmail.com
                [1]

                Liya Wang and Jiameng Li contributed equally to this work.

                Article
                S2405-8440(22)03557-5 e12269
                10.1016/j.heliyon.2022.e12269
                9791840
                36578378
                3d51eec4-9f24-4da3-bf6f-c8ef11c5c45d
                © 2022 The Author(s)

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 11 May 2022
                : 13 October 2022
                : 2 December 2022
                Categories
                Research Article

                sepsis-induced acute kidney injury,rvd1,mitochondrial function,apoptosis,nf-κb pathway

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