Austin Health

Title
Protective effect of zinc preconditioning against renal ischemia reperfusion injury is dose dependent
Publication Date
2017-07-07
Author(s)
Rao, Kenny
Sethi, Kapil
Ischia, Joseph J
Gibson, Luke
Galea, Laurence A
Xiao, Lin
Yim, Mildred
Chang, Mike
Papa, Nathan P
Bolton, Damien M
Shulkes, Arthur
Baldwin, Graham S
Patel, Oneel
Type of document
Journal Article
OrcId
0000-0002-3188-1803
0000-0002-5145-6783
0000-0002-0944-8747
DOI
10.1371/journal.pone.0180028
Abstract
OBJECTIVES: Ischemia-reperfusion injury (IRI) is a major cause of acute kidney injury and chronic kidney disease. Two promising preconditioning methods for the kidney, intermittent arterial clamping (IC) and treatment with the hypoxia mimetic cobalt chloride, have never been directly compared. Furthermore, the protective efficacy of the chemically related transition metal Zn2+ against renal IRI is unclear. Although Co2+ ions have been shown to protect the kidney via hypoxia inducible factor (HIF), the effect of Zn2+ ions on the induction of HIF1α, HIF2α and HIF3α has not been investigated previously. MATERIALS AND METHODS: The efficacy of different preconditioning techniques was assessed using a Sprague-Dawley rat model of renal IRI. Induction of HIF proteins following Zn2+ treatment of the human kidney cell lines HK-2 (immortalized normal tubular cells) and ACHN (renal cancer) was measured using Western Blot. RESULTS: Following 40 minutes of renal ischemia in rats, cobalt preconditioning offered greater protection against renal IRI than IC as evidenced by lower peak serum creatinine and urea concentrations. ZnCl2 (10 mg/kg) significantly lowered the creatinine and urea concentrations compared to saline-treated control rats following a clinically relevant 60 minutes of ischemia. Zn2+ induced expression of HIF1α and HIF2α but not HIF3α in HK-2 and ACHN cells. CONCLUSION: ZnCl2 preconditioning protects against renal IRI in a dose-dependent manner. Further studies are warranted to determine the possible mechanisms involved, and to assess the benefit of ZnCl2 preconditioning for clinical applications.
Link
Citation
PLoS One 2017; 12(7): e0180028
Jornal Title
PLoS One

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