[HTML][HTML] Gender differences in the acute kidney injury to chronic kidney disease transition

I Lima-Posada, C Portas-Cortés, R Pérez-Villalva… - Scientific reports, 2017 - nature.com
I Lima-Posada, C Portas-Cortés, R Pérez-Villalva, F Fontana, R Rodríguez-Romo, R Prieto
Scientific reports, 2017nature.com
This study evaluated if there is a sexual dimorphism in the acute kidney injury (AKI) to
chronic kidney disease (CKD) transition and the time-course of the potential mechanisms
involved in the dimorphic response. Female and male rats were divided into sham-operated
or underwent 45-min renal ischemia (F+ IR, and M+ IR). All groups were studied at 24-h and
1, 2, 3, or 4-months post-ischemia. Additionally, oophorectomized rats were divided into
sham or IR groups. After 24-h, AKI extent was simllar in females and males, but female rats …
Abstract
This study evaluated if there is a sexual dimorphism in the acute kidney injury (AKI) to chronic kidney disease (CKD) transition and the time-course of the potential mechanisms involved in the dimorphic response. Female and male rats were divided into sham-operated or underwent 45-min renal ischemia (F + IR, and M + IR). All groups were studied at 24-h and 1, 2, 3, or 4-months post-ischemia. Additionally, oophorectomized rats were divided into sham or IR groups. After 24-h, AKI extent was simllar in females and males, but female rats exhibited less oxidative stress and increased renal GSH content. After 4-months and despite similar AKI, the M + IR group developed CKD characterized by proteinuria, tubulointerstitial fibrosis, glomerular hypertrophy, increased oxidative stress and a reduction in HIF1α and VEGF from the 1st-month and persisting throughout the time-course studied. Interestingly, the F + IR group did not develop CKD due to lesser oxidative stress and increased eNOS, TGFβ and HIF1α mRNA levels from the 1st-month after IR. Whereas, oophorectomized rats did develop CKD. We found a sexual dimorphic response in the AKI to CKD transition. Early antioxidant defense and higher TGFβ, HIF1α and eNOS were among the renoprotective mechanisms that the F + IR group demonstrated.
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