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10.1097/CCM.0000000000001566

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suck abstract from ncbi


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pmid26757165      Crit+Care+Med 2016 ; 44 (5): e289-99
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  • Complement factor B production in renal tubular cells and its role in sodium transporter expression during polymicrobial sepsis #MMPMID26757165
  • Li D; Zou L; Feng Y; Xu G; Gong Y; Zhao G; Ouyang W; Thurman JM; Chao W
  • Crit Care Med 2016[May]; 44 (5): e289-99 PMID26757165show ga
  • Objectives: Toll-like receptors (TLRs) and complement are two components of the innate immunity. Factor B (cfB) is essential for the alternative pathway (AP) of complement activation. We have recently reported that cfB is significantly up-regulated in the kidney and may contribute to acute tubular injury in an animal model of sepsis. The current study investigates the mechanisms responsible for the cfB up-regulation and its role in sodium transporter expression in tubular cells during sepsis. Design: Animal study. Setting: Laboratory investigation. Subjects: C57BL/6 J wide-type (WT), cfB?/?, and Nfkb1tm1Bal p50?/? mice. Interventions: Human proximal tubular cells (HK-2) and mouse tubular epithelial cells (MTECs) were stimulated with TLR agonists. Bay 11-7082 was used to block NF-?B pathway. AP activation was detected by C3 zymosan deposition. Polymicrobial sepsis was created by cecal ligation and puncture (CLP). Sodium transporter gene expression was determined by qRT-PCR. Measurements and Main Results: The agonists for TLR4 (LPS) or TLR3 (poly I:C) induced a marked increase in cfB expression in HK-2 and MTECs both at gene and protein levels. The TLR1/2 agonist, Pam3cys, induced cfB production only in HK-2 cells, not MTEC. The TLR9 ligand, CpG, failed to induce cfB production either in HK-2 cells or MTEC. LPS/poly I:C-induced cfB up-regulation was blocked by Bay 11-7082, a potent inhibitor of NF-?B signaling, and in MTECs deficient in p50 subunit of NF-?B. Media from the LPS-treated MTEC cultures contained de novo synthesized cfB and led to functional AP activation. In a CLP model, WT septic mice had down-regulated expression of sodium transporters in the kidney compared with the sham. In comparison, cfB?/? mice or mice treated with anti-cfB displayed preserved levels of Na+/K+ ATPase-?1 following sepsis. Conclusions: 1) TLR3/4 activation is sufficient to induce cfB production via NF-?B pathway and to enhance AP activation in the kidney tubular epithelial cells; 2) cfB may contribute to the down-regulation of certain sodium transporter expression during sepsis.
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