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10.1038/s41419-018-0378-3

http://scihub22266oqcxt.onion/10.1038/s41419-018-0378-3
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suck abstract from ncbi


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pmid29500339
      Cell+Death+Dis 2018 ; 9 (3 ): 351
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  • Hydroxychloroquine attenuates renal ischemia/reperfusion injury by inhibiting cathepsin mediated NLRP3 inflammasome activation #MMPMID29500339
  • Tang TT ; Lv LL ; Pan MM ; Wen Y ; Wang B ; Li ZL ; Wu M ; Wang FM ; Crowley SD ; Liu BC
  • Cell Death Dis 2018[Mar]; 9 (3 ): 351 PMID29500339 show ga
  • Inflammation is a major contributor to the pathogenesis of ischemic acute kidney injury (AKI), which complicates the post-operative outcomes of large numbers of hospitalized surgical patients. Hydroxychloroquine (HCQ), a well-known anti-malarial drug, is commonly used in clinical practice for its anti-inflammatory actions. However, little is known about its role in renal ischemia/reperfusion (I/R) injury. In the current study, mice were subjected to I/R injury and HCQ was administered for seven days by gavage prior to surgery. In parallel, HK-2 human renal proximal tubule cells were prophylactically treated with HCQ and then were exposed to hypoxia/reoxygenation (H/R). The results showed that HCQ significantly attenuated renal dysfunction evidenced by blunted decreases in serum creatinine and kidney injury molecular-1 expression and the improvement of HK-2 cell viability. Additionally, HCQ markedly reduced macrophage and neutrophil infiltration, pro-inflammatory cytokine production, and NLRP3 inflammasome activation. Mechanistic studies showed that HCQ could inhibit the priming of the NLRP3 inflammasome by down-regulating I/R or H/R-induced NF-?B signaling. Moreover, HCQ reduced cathepsin (CTS) B, CTSD and CTSL activity, and their redistribution from lysosomes to cytoplasm. CTSB and CTSL (not CTSD) were implicated in I/R triggered NLRP3 inflammasome activation. Notably, we found that HCQ attenuated renal injury through downregulation of CTSB and CTSL-mediated NLRP3 inflammasome activation. This study provides new insights into the anti-inflammatory effect of HCQ in the treatment of AKI.
  • |Acute Kidney Injury/*drug therapy [MESH]
  • |Animals [MESH]
  • |Anti-Inflammatory Agents/metabolism/*therapeutic use [MESH]
  • |Cathepsin B/*metabolism [MESH]
  • |Cathepsin L/*metabolism [MESH]
  • |Cell Line [MESH]
  • |Cell Survival/drug effects [MESH]
  • |Creatinine/blood [MESH]
  • |Disease Models, Animal [MESH]
  • |Hepatitis A Virus Cellular Receptor 1/blood [MESH]
  • |Humans [MESH]
  • |Hydroxychloroquine/metabolism/*therapeutic use [MESH]
  • |Inflammasomes/*metabolism [MESH]
  • |Macrophages/drug effects [MESH]
  • |Male [MESH]
  • |Mice [MESH]
  • |Mice, Inbred C57BL [MESH]
  • |NF-kappa B/metabolism [MESH]
  • |NLR Family, Pyrin Domain-Containing 3 Protein/*metabolism [MESH]
  • |Neutrophil Infiltration/drug effects [MESH]


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