Acute renal failure in endotoxemia is caused by TNF acting directly on TNF receptor-1 in kidney

PN Cunningham, HM Dyanov, P Park… - The Journal of …, 2002 - journals.aai.org
PN Cunningham, HM Dyanov, P Park, J Wang, KA Newell, RJ Quigg
The Journal of Immunology, 2002journals.aai.org
Bacterial endotoxin (LPS) is responsible for much of the widespread inflammatory response
seen in sepsis, a condition often accompanied by acute renal failure (ARF). In this work we
report that mice deficient in TNFR1 (TNFR1−/−) were resistant to LPS-induced renal failure.
Compared with TNFR1+/+ controls, TNFR1−/− mice had less apoptosis in renal cells and
fewer neutrophils infiltrating the kidney following LPS administration, supporting these as
mediators of ARF. TNFR1+/+ kidneys transplanted into TNFR1−/− mice sustained severe …
Abstract
Bacterial endotoxin (LPS) is responsible for much of the widespread inflammatory response seen in sepsis, a condition often accompanied by acute renal failure (ARF). In this work we report that mice deficient in TNFR1 (TNFR1−/−) were resistant to LPS-induced renal failure. Compared with TNFR1+/+ controls, TNFR1−/− mice had less apoptosis in renal cells and fewer neutrophils infiltrating the kidney following LPS administration, supporting these as mediators of ARF. TNFR1+/+ kidneys transplanted into TNFR1−/− mice sustained severe ARF after LPS injection, which was not the case with TNFR1−/− kidneys transplanted into TNFR1+/+ mice. Therefore, TNF is a key mediator of LPS-induced ARF, acting through its receptor TNFR1 in the kidney.
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