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Lipopolysaccharide-induced cross-tolerance against renal ischemia-reperfusion injury is mediated by hypoxia-inducible factor-2α-regulated nitric oxide production.

Abstract
Although the protective effect of lipopolysaccharide (LPS) pretreatment on renal ischemia/reperfusion injury is known, a link to hypoxia-inducible factors (HIFs) has not been established. Here we show that LPS treatment led to HIF-2α accumulation in mouse kidneys and endothelial cells, a result of nuclear factor-κB activation. Inactivation of HIF-2α, rather than HIF-1α, completely negated LPS-mediated protection against renal ischemia/reperfusion injury. LPS-stimulated renoprotection was related to inducible/endothelial nitric oxide synthase (iNOS/eNOS) expression, increased production of nitric oxide, and enhanced postischemic microcirculatory recovery. All these effects were lost in HIF-2α knockout mice. Preischemic administration of a nitric oxide donor, rather than erythropoietin, restored the lost preconditioning effect of LPS in HIF-2α knockout mice. In vitro and in vivo studies demonstrated that HIF-2α in endothelial cells, rather than myeloid cells or hepatocytes, was responsible for the LPS-mediated effects. Thus, our results demonstrated that LPS preconditioning protected against renal ischemia/reperfusion injury by HIF-2α activation in endothelial cells that subsequently improved renal microvascular perfusion and reduced ischemic tubular damage.
AuthorsKang He, Xiaosong Chen, Conghui Han, Longmei Xu, Jianjun Zhang, Ming Zhang, Qiang Xia
JournalKidney international (Kidney Int) Vol. 85 Issue 2 Pg. 276-88 (Feb 2014) ISSN: 1523-1755 [Electronic] United States
PMID24025643 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Basic Helix-Loop-Helix Transcription Factors
  • Enzyme Inhibitors
  • Hif1a protein, mouse
  • Hypoxia-Inducible Factor 1, alpha Subunit
  • Lipopolysaccharides
  • NF-kappa B
  • Nitric Oxide Donors
  • endothelial PAS domain-containing protein 1
  • Nitric Oxide
  • Nitric Oxide Synthase Type II
  • Nitric Oxide Synthase Type III
  • Nos2 protein, mouse
  • Nos3 protein, mouse
Topics
  • Acute Kidney Injury (genetics, metabolism, physiopathology, prevention & control)
  • Animals
  • Basic Helix-Loop-Helix Transcription Factors (deficiency, genetics, metabolism)
  • Bone Marrow Transplantation
  • Cells, Cultured
  • Cytoprotection
  • Disease Models, Animal
  • Endothelial Cells (drug effects, immunology, metabolism)
  • Enzyme Inhibitors (pharmacology)
  • Human Umbilical Vein Endothelial Cells (drug effects, immunology, metabolism)
  • Humans
  • Hypoxia-Inducible Factor 1, alpha Subunit (genetics, metabolism)
  • Kidney (blood supply, drug effects, metabolism)
  • Lipopolysaccharides (pharmacology)
  • Male
  • Mice
  • Mice, Knockout
  • Microcirculation (drug effects)
  • NF-kappa B (metabolism)
  • Nitric Oxide (metabolism)
  • Nitric Oxide Donors (pharmacology)
  • Nitric Oxide Synthase Type II (antagonists & inhibitors, metabolism)
  • Nitric Oxide Synthase Type III (antagonists & inhibitors, metabolism)
  • RNA Interference
  • Renal Circulation (drug effects)
  • Reperfusion Injury (genetics, metabolism, physiopathology, prevention & control)
  • Signal Transduction
  • Time Factors
  • Transfection
  • Warm Ischemia

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