Myeloid cell-derived coagulation tissue factor is associated with renal tubular damage in mice fed an adenine diet

Abstract Patients with chronic kidney disease (CKD) commonly exhibit hypercoagulability. Increased levels of uremic toxins cause thrombogenicity by increasing tissue factor (TF) expression and activating the extrinsic coagulation cascade. TF is induced in monocytes and macrophages under pathological...

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Autores principales: Shu Yamakage, Yuji Oe, Emiko Sato, Koji Okamoto, Akiyo Sekimoto, Satoshi Kumakura, Hiroshi Sato, Mai Yoshida, Tasuku Nagasawa, Mariko Miyazaki, Sadayoshi Ito, Nigel Mackman, Nobuyuki Takahashi
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:417c4d56cb9f41a1a7c5ffd5485b6f482021-12-02T17:47:04ZMyeloid cell-derived coagulation tissue factor is associated with renal tubular damage in mice fed an adenine diet10.1038/s41598-021-91586-52045-2322https://doaj.org/article/417c4d56cb9f41a1a7c5ffd5485b6f482021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91586-5https://doaj.org/toc/2045-2322Abstract Patients with chronic kidney disease (CKD) commonly exhibit hypercoagulability. Increased levels of uremic toxins cause thrombogenicity by increasing tissue factor (TF) expression and activating the extrinsic coagulation cascade. TF is induced in monocytes and macrophages under pathological conditions, such as inflammatory diseases. However, the role of monocyte myeloid cell TF in CKD progression remains unclear. We aimed to clarify this issue, and the present study found that patients with CKD had elevated levels of D-dimer, a marker of fibrin degradation, which was associated with decreased estimated glomerular filtration rate and increased serum levels of uremic toxins, such as indoxyl sulfate. In vitro studies showed that several uremic toxins increased cellular TF levels in monocytic THP-1 cells. Mice with TF specifically deleted in myeloid cells were fed an adenine diet to cause uremic kidney injury. Myeloid TF deletion reduced tubular injury and pro-inflammatory gene expression in the kidneys of adenine-induced CKD but did not improve renal function as measured by plasma creatinine or blood urea nitrogen. Collectively, our findings suggest a novel concept of pathogenesis of coagulation-mediated kidney injury, in which elevated TF levels in monocytes under uremic conditions is partly involved in the development of CKD.Shu YamakageYuji OeEmiko SatoKoji OkamotoAkiyo SekimotoSatoshi KumakuraHiroshi SatoMai YoshidaTasuku NagasawaMariko MiyazakiSadayoshi ItoNigel MackmanNobuyuki TakahashiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Shu Yamakage
Yuji Oe
Emiko Sato
Koji Okamoto
Akiyo Sekimoto
Satoshi Kumakura
Hiroshi Sato
Mai Yoshida
Tasuku Nagasawa
Mariko Miyazaki
Sadayoshi Ito
Nigel Mackman
Nobuyuki Takahashi
Myeloid cell-derived coagulation tissue factor is associated with renal tubular damage in mice fed an adenine diet
description Abstract Patients with chronic kidney disease (CKD) commonly exhibit hypercoagulability. Increased levels of uremic toxins cause thrombogenicity by increasing tissue factor (TF) expression and activating the extrinsic coagulation cascade. TF is induced in monocytes and macrophages under pathological conditions, such as inflammatory diseases. However, the role of monocyte myeloid cell TF in CKD progression remains unclear. We aimed to clarify this issue, and the present study found that patients with CKD had elevated levels of D-dimer, a marker of fibrin degradation, which was associated with decreased estimated glomerular filtration rate and increased serum levels of uremic toxins, such as indoxyl sulfate. In vitro studies showed that several uremic toxins increased cellular TF levels in monocytic THP-1 cells. Mice with TF specifically deleted in myeloid cells were fed an adenine diet to cause uremic kidney injury. Myeloid TF deletion reduced tubular injury and pro-inflammatory gene expression in the kidneys of adenine-induced CKD but did not improve renal function as measured by plasma creatinine or blood urea nitrogen. Collectively, our findings suggest a novel concept of pathogenesis of coagulation-mediated kidney injury, in which elevated TF levels in monocytes under uremic conditions is partly involved in the development of CKD.
format article
author Shu Yamakage
Yuji Oe
Emiko Sato
Koji Okamoto
Akiyo Sekimoto
Satoshi Kumakura
Hiroshi Sato
Mai Yoshida
Tasuku Nagasawa
Mariko Miyazaki
Sadayoshi Ito
Nigel Mackman
Nobuyuki Takahashi
author_facet Shu Yamakage
Yuji Oe
Emiko Sato
Koji Okamoto
Akiyo Sekimoto
Satoshi Kumakura
Hiroshi Sato
Mai Yoshida
Tasuku Nagasawa
Mariko Miyazaki
Sadayoshi Ito
Nigel Mackman
Nobuyuki Takahashi
author_sort Shu Yamakage
title Myeloid cell-derived coagulation tissue factor is associated with renal tubular damage in mice fed an adenine diet
title_short Myeloid cell-derived coagulation tissue factor is associated with renal tubular damage in mice fed an adenine diet
title_full Myeloid cell-derived coagulation tissue factor is associated with renal tubular damage in mice fed an adenine diet
title_fullStr Myeloid cell-derived coagulation tissue factor is associated with renal tubular damage in mice fed an adenine diet
title_full_unstemmed Myeloid cell-derived coagulation tissue factor is associated with renal tubular damage in mice fed an adenine diet
title_sort myeloid cell-derived coagulation tissue factor is associated with renal tubular damage in mice fed an adenine diet
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/417c4d56cb9f41a1a7c5ffd5485b6f48
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