Acute renal failure has a high morbidity and mortality. We are developing new animal models and studying the mechanisms of disease. We are also screening drugs, and studying mechanisms of action. 1. DMSO protects against mercuric chloride induced renal injury. We found that DMSO is protective, even when given 3 hours after injection of mercury. The protective mechanism involves increasing anti-oxidant defenses. This paper will be submitted in a few months. 2. There is great interest in the renal community for developing new animal models of acute renal failure, since the current models do not represent what happens to patients with sepsis induced ARF, which is about 50% of patients with ARF. We have spend the last year searching for two models, and have found two new animal models of sepsis-induced ARF: a) LPS injection in elderly mice, and b) cecal ligation puncture in elderly mice treated with fluids and antibiotics. In both models, we get increases in creatinine and modest changes in renal histology - similar to human ARF. The LPS model is very senstive to volume repletion - somthing that has not occured to any investigators in the field. The second model is very exciting because the mice are treated with fluids and antibiotics, as occurs to humans with sepsis. We are currently working out themechanisms of diseaae, and will soon begin screening drugs.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Intramural Research (Z01)
Project #
1Z01DK043403-03
Application #
6673584
Study Section
(MDB)
Project Start
Project End
Budget Start
Budget End
Support Year
3
Fiscal Year
2002
Total Cost
Indirect Cost
Name
U.S. National Inst Diabetes/Digst/Kidney
Department
Type
DUNS #
City
State
Country
United States
Zip Code
Doi, Kent; Leelahavanichkul, Asada; Hu, Xuzhen et al. (2008) Pre-existing renal disease promotes sepsis-induced acute kidney injury and worsens outcome. Kidney Int 74:1017-25
Yasuda, Hideo; Leelahavanichkul, Asada; Tsunoda, Shinichiro et al. (2008) Chloroquine and inhibition of Toll-like receptor 9 protect from sepsis-induced acute kidney injury. Am J Physiol Renal Physiol 294:F1050-8
Doi, K; Hu, X; Yuen, P S T et al. (2008) AP214, an analogue of alpha-melanocyte-stimulating hormone, ameliorates sepsis-induced acute kidney injury and mortality. Kidney Int 73:1266-74
Dear, James W; Leelahavanichkul, Asada; Aponte, Angel et al. (2007) Liver proteomics for therapeutic drug discovery: inhibition of the cyclophilin receptor CD147 attenuates sepsis-induced acute renal failure. Crit Care Med 35:2319-28
Holly, M K; Dear, J W; Hu, X et al. (2006) Biomarker and drug-target discovery using proteomics in a new rat model of sepsis-induced acute renal failure. Kidney Int 70:496-506
Yasuda, H; Yuen, P S T; Hu, X et al. (2006) Simvastatin improves sepsis-induced mortality and acute kidney injury via renal vascular effects. Kidney Int 69:1535-42
Dear, J W; Yasuda, H; Hu, X et al. (2006) Sepsis-induced organ failure is mediated by different pathways in the kidney and liver: acute renal failure is dependent on MyD88 but not renal cell apoptosis. Kidney Int 69:832-6
Jo, Sang-Kyung; Hu, Xuzhen; Yuen, Peter S T et al. (2004) Delayed DMSO administration protects the kidney from mercuric chloride-induced injury. J Am Soc Nephrol 15:2648-54
Deng, Jiangping; Hu, Xuzhen; Yuen, Peter S T et al. (2004) Alpha-melanocyte-stimulating hormone inhibits lung injury after renal ischemia/reperfusion. Am J Respir Crit Care Med 169:749-56
Morimoto, Motoko; Morimoto, Masahiro; Whitmire, Jeannette et al. (2004) Peripheral CD4 T cells rapidly accumulate at the host: parasite interface during an inflammatory Th2 memory response. J Immunol 172:2424-30

Showing the most recent 10 out of 19 publications