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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Am+Soc+Nephrol
2016 ; 27
(9
): 2720-32
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gab.com Text
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Renal Handling of Circulating and Renal-Synthesized Hepcidin and Its Protective
Effects against Hemoglobin-Mediated Kidney Injury
#MMPMID26825531
van Swelm RP
; Wetzels JF
; Verweij VG
; Laarakkers CM
; Pertijs JC
; van der Wijst J
; Thévenod F
; Masereeuw R
; Swinkels DW
J Am Soc Nephrol
2016[Sep]; 27
(9
): 2720-32
PMID26825531
show ga
Urinary hepcidin may have protective effects against AKI. However, renal handling
and the potential protective mechanisms of hepcidin are not fully understood. By
measuring hepcidin levels in plasma and urine using mass spectrometry and the
kidney using immunohistochemistry after intraperitoneal administration of human
hepcidin-25 (hhep25) in C57Bl/6N mice, we showed that circulating hepcidin is
filtered by the glomerulus and degraded to smaller isoforms detected in urine but
not plasma. Moreover, hepcidin colocalized with the endocytic receptor megalin in
proximal tubules, and compared with wild-type mice, megalin-deficient mice showed
higher urinary excretion of injected hhep25 and no hepcidin staining in proximal
tubules that lack megalin. This indicates that hepcidin is reaborbed in the
proximal tubules by megalin dependent endocytosis. Administration of hhep25
concomitant with or 4 hours after a single intravenous dose of hemoglobin
abolished hemoglobin-induced upregulation of urinary kidney injury markers (NGAL
and KIM-1) and renal Interleukin-6 and Ngal mRNA observed 24 hours after
administration but did not affect renal ferroportin expression at this point.
Notably, coadministration of hhep25 and hemoglobin but not administration of
either alone greatly increased renal mRNA expression of hepcidin-encoding Hamp1
and hepcidin staining in distal tubules. These findings suggest a role for
locally synthesized hepcidin in renal protection. Our observations did not
support a role for ferroportin in hhep25-mediated protection against
hemoglobin-induced early injury, but other mechanisms of cellular iron handling
may be involved. In conclusion, our data suggest that both systemically delivered
and locally produced hepcidin protect against hemoglobin-induced AKI.
|Acute Kidney Injury/*etiology/prevention & control
[MESH]
|Animals
[MESH]
|Hemoglobins/*physiology
[MESH]
|Hepcidins/*metabolism/therapeutic use
[MESH]
|Kidney Tubules, Proximal/metabolism
[MESH]
|Kidney/*metabolism
[MESH]
|Low Density Lipoprotein Receptor-Related Protein-2/physiology
[MESH]