Bone marrow mesenchymal stem cells protect against folic acid- induced acute kidney injury

Acute kidney injury constitutes a syndrome responsible by a major percentage of acute kidney failures and it continues being associated to high mortality rates. Induced mainly by ischemia-reperfusion injury and nephrotoxic drugs, this condition is marked by a decrease in organ function and histopath...

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Detalhes bibliográficos
Autores: Burgos-Silva, Marina, Donizetti-Oliveira, Cassiano, Cenedeze, Marco Antonio, Malheiros, Denise Maria Avancini Costa, Reis, Marlene Antônia dos, Pacheco-Silva, Álvaro, Semedo, Patricia, Câmara, Niels Olsen Saraiva
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2012
País:Brasil
Recursos:Associação Brasileira de Transplante de Órgãos (ABTO)
Repositório:Brazilian Journal of Transplantation
Idioma:inglês
OAI Identifier:oai:ojs3.emnuvens.com.br:article/178
Acesso em linha:https://bjt.emnuvens.com.br/revista/article/view/178
Access Level:Acceso aberto
Palavra-chave:Lesão Renal Aguda
Células-Tronco Mesenquimais
Imunomodulação
Ácido Fólico
Acute Kidney Injury
Mesenchymal Stem Cells
Immunomodulation
Folic Acid
Descrição
Resumo:Acute kidney injury constitutes a syndrome responsible by a major percentage of acute kidney failures and it continues being associated to high mortality rates. Induced mainly by ischemia-reperfusion injury and nephrotoxic drugs, this condition is marked by a decrease in organ function and histopathological pattern of acute tubular necrosis. In search of more efficient therapies, a great deal of attention has been given to the therapeutic use of stem cells to treat kidney injuries. Bone marrow stem cells in particular have received a great attention due to its immunomodulatory properties, and its therapeutic mechanisms are intensely being studied in the literature. Purpose: In view of recent findings, the aim of our research was to get a better understanding on the potential role of bone marrow mesenchymal stem cells in a murine model of acute nephotoxicity induced by folic acid. Methods: C57Bl/6j mice (8 weeks) were submitted to acute kidney injury by folic acid (200mg/kg) administered intraperitoneally. After 24 hours, mice received mesenchymal stem cells (5.105 cells per animal) through retro-orbital intravenous injection. Mice were sacrificed after 24 hours and blood and kidneys were harvested for analysis. Results: Stem cell treatment conferred functional improvement seen through lower creatinine and urea serum levels in 8 week old C57Bl/6j mice in comparison to mice treated only with folic acid (200mg/kg body weight). This amelioration are also correlated to down regulation of kidney pro-inflammatory cytokine mRNA levels as TNF-a, IL-6 and IL-1b in stem cell treated mice. In addition, treated mice demonstrated higher levels of immunostaining for proliferating cell nuclear antigen and a tendency towards a higher Bcl-2/Bax mRNA ratio, indicating higher tissue regeneration and protection against injury-induced apoptosis. Conclusion: These results indicate bone marrow stem cells as an efficient tool in nephrotoxic kidney injury treatment.