We have demonstrated that caspase-1 is a mediator of both
cisplatin-induced
acute kidney injury (AKI) and ischemic AKI. As caspase-1 is activated in the
inflammasome, we investigated the
inflammasome in
cisplatin-induced and ischemic AKI. Mice were injected with
cisplatin or subjected to bilateral renal pedicle clamping. Immunoblot analysis of whole kidney after
cisplatin-induced AKI revealed: 1) an increase in apoptosis-associated Speck-like
protein containing a caspase recruitment domain (ASC), the major
protein that complexes with
nucleotide-binding oligomerization domain,
leucine-rich repeat and pyrin domain containing
proteins (NLRP) 1 or 3 to form the
inflammasome; 2) an increase in
caspase-1 activity,
caspase-5, and NLRP1, components of the NLRP1
inflammasome; and 3) a trend toward increased NLRP3. To determine whether the NLRP3
inflammasome plays an injurious role in
cisplatin-induced AKI, we studied NLRP knockout (NLRP3(-/-)) mice. In
cisplatin-induced AKI, the blood
urea nitrogen, serum
creatinine, acute tubular
necrosis score, and tubular apoptosis score were not significantly decreased in NALP3(-/-) mice compared with wild-type mice. We have previously demonstrated the injurious role of
caspase-1 in ischemic AKI. NLRP3, but not ASC or NLRP1, is increased in ischemic AKI. NLRP3(-/-) mice with ischemic AKI had significantly lower blood
urea nitrogen, serum
creatinine, and acute tubular
necrosis and apoptosis scores than the wild-type controls. The difference in protection against
cisplatin-induced AKI compared with ischemic AKI in NLRP3(-/-) mice was not explained by the differences in proinflammatory
cytokines interleukin (IL)-1β, IL-6,
chemokine (C-X-C motif) ligand 1, or
tumor necrosis factor α. NLRP3
inflammasome is a mediator of ischemic AKI but not
cisplatin-induced AKI, and further investigation of the NLRP1
inflammasome in
cisplatin-induced AKI should prove interesting.