Background: Induction of septic shock by lipopolysaccharide (LPS) may lead to acute renal failure. The present study aimed to investigate the impact of sex differences on the effectiveness of low-dose LPS preconditioning (LPS-PC) on LPS-induced acute renal failure in rats. Methods: This study was conducted at Tehran University of Medical Sciences, in 2017. A total of 48 Wistar rats were equally divided into two groups of male and female rats. The rats in each group were then allocated to three groups (n=8 per group), namely control, septic shock, and LPS-PC group. A high dose of LPS was administered for septic shock induction. LPS-PC was induced by injecting LPS before sepsis induction. The effect of sex differences on renal functional indices, renal oxidative stress markers, plasma tumor necrosis factor-α level, and renal histological changes was evaluated. Data were analyzed using two-way ANOVA followed by Tukey’s post hoc test. Results: In the septic shock groups, renal functional parameters (creatinine [Cr] and blood urea nitrogen [BUN]) were increased in both sexes. However, the increase was more significant in male rats (male rats: Cr=2.14±0.13, BUN=81±4.15; female rats: Cr=1.64±0.12, BUN=50±2.7). LPS-PC reduced these indices in both sexes (male rats: Cr=1.24±0.03, BUN=57±4.1; female rats: Cr=0.86±0.02, BUN=30.31±2.25). Renal superoxide dismutase (SOD) activity (male rats: 11.54±1.34, female rats: 24.4±2.04) and catalase (CAT) activity (male rats: 15±1.74, female rats: 25.75±1.97) were significantly higher in the female septic group. LPS-PC significantly increased SOD (male rats: 25.7±2.45, female rats: 42.6±3.31) and CAT (male rats: 37.25±2.34, female rats: 59.21±3.29) activities in renal tissue samples in the LPS-PC group in both sexes compared to the septic groups. In the LPS groups, plasma tumor necrosis factor-α (male rats: 375±25.65, female rats: 285.45±25.94) were significantly higher than in the LPS-PC groups (male rats: 250±21.35, female rats: 121±24.14). Conclusion: Male rats were more susceptible to sepsis-induced renal damage. LPS-PC had protective effects on the LPS-induced renal injury, and these effects were most prominent in female rats. |
- Chen Y, Du Y, Li Y, Wang X, Gao P, Yang G, et al. Panaxadiol Saponin and Dexamethasone Improve Renal Function in Lipopolysaccharide-Induced Mouse Model of Acute Kidney Injury. PLoS One. 2015;10:e0134653. doi: 10.1371/journal.pone.0134653. PubMed PMID: 26230340; PubMed Central PMCID: PMCPMC4521715.
- Swaminathan S, Rosner MH, Okusa MD. Emerging therapeutic targets of sepsis-associated acute kidney injury. Semin Nephrol. 2015;35:38-54. doi: 10.1016/j.semnephrol.2015.01.005. PubMed PMID: 25795498; PubMed Central PMCID: PMCPMC4369320.
- Liu J, Abdel-Razek O, Liu Z, Hu F, Zhou Q, Cooney RN, et al. Role of surfactant proteins A and D in sepsis-induced acute kidney injury. Shock. 2015;43:31-8. doi: 10.1097/SHK.0000000000000270. PubMed PMID: 25255378; PubMed Central PMCID: PMCPMC4269566.
- Gupta A, Rhodes GJ, Berg DT, Gerlitz B, Molitoris BA, Grinnell BW. Activated protein C ameliorates LPS-induced acute kidney injury and downregulates renal INOS and angiotensin 2. Am J Physiol Renal Physiol. 2007;293:F245-54. doi: 10.1152/ajprenal.00477.2006. PubMed PMID: 17409278.
- Wang J, Li Y, Sun H. [Lipopolysaccharide--a Target for the Development of Novel Drugs Being Aimed at Gram-Negative Bacteria]. Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2015;32:910-3. PubMed PMID: 26710468.
- Cawcutt KA, Peters SG. Severe sepsis and septic shock: clinical overview and update on management. Mayo Clin Proc. 2014;89:1572-8. doi: 10.1016/j.mayocp.2014.07.009. PubMed PMID: 25444488.
- Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315:801-10. doi: 10.1001/jama.2016.0287. PubMed PMID: 26903338; PubMed Central PMCID: PMCPMC4968574.
- Stenzel-Poore MP, Stevens SL, King JS, Simon RP. Preconditioning reprograms the response to ischemic injury and primes the emergence of unique endogenous neuroprotective phenotypes: a speculative synthesis. Stroke. 2007;38:680-5. doi: 10.1161/01.STR.0000251444.56487.4c. PubMed PMID: 17261715.
- Bauer P, Welbourne T, Shigematsu T, Russell J, Granger DN. Endothelial expression of selectins during endotoxin preconditioning. Am J Physiol Regul Integr Comp Physiol. 2000;279:R2015-21. doi: 10.1152/ajpregu.2000.279.6.R2015. PubMed PMID: 11080064.
- Kher A, Meldrum KK, Wang M, Tsai BM, Pitcher JM, Meldrum DR. Cellular and molecular mechanisms of sex differences in renal ischemia-reperfusion injury. Cardiovasc Res. 2005;67:594-603. doi: 10.1016/j.cardiores.2005.05.005. PubMed PMID: 15950202.
- Neugarten J, Acharya A, Silbiger SR. Effect of gender on the progression of nondiabetic renal disease: a meta-analysis. J Am Soc Nephrol. 2000;11:319-29. PubMed PMID: 10665939.
- Festing S, Wilkinson R. The ethics of animal research. Talking Point on the use of animals in scientific research. EMBO Rep. 2007;8:526-30. doi: 10.1038/sj.embor.7400993. PubMed PMID: 17545991; PubMed Central PMCID: PMCPMC2002542.
- Li WC, Jiang R, Jiang DM, Zhu FC, Su B, Qiao B, et al. Lipopolysaccharide preconditioning attenuates apoptotic processes and improves neuropathologic changes after spinal cord injury in rats. Int J Neurosci. 2014;124:585-92. doi: 10.3109/00207454.2013.864289. PubMed PMID: 24205811.
- Wang Y, Cui H, Niu F, Liu SL, Li Y, Zhang LM, et al. Effect of Resveratrol on Blood Rheological Properties in LPS-Challenged Rats. Front Physiol. 2018;9:1202. doi: 10.3389/fphys.2018.01202. PubMed PMID: 30210364; PubMed Central PMCID: PMCPMC6123545.
- Esterbauer H, Cheeseman KH. Determination of aldehydic lipid peroxidation products: malonaldehyde and 4-hydroxynonenal. Methods Enzymol. 1990;186:407-21. doi: 10.1016/0076-6879(90)86134-h. PubMed PMID: 2233308.
- Paoletti F, Mocali A. Changes in CuZn-superoxide dismutase during induced differentiation of murine erythroleukemia cells. Cancer Res. 1988;48:6674-7. PubMed PMID: 3180077.
- Aebi H. Catalase in vitro. Methods Enzymol. 1984;105:121-6. doi: 10.1016/s0076-6879(84)05016-3. PubMed PMID: 6727660.
- Shrum B, Anantha RV, Xu SX, Donnelly M, Haeryfar SM, McCormick JK, et al. A robust scoring system to evaluate sepsis severity in an animal model. BMC Res Notes. 2014;7:233. doi: 10.1186/1756-0500-7-233. PubMed PMID: 24725742; PubMed Central PMCID: PMCPMC4022086.
- Tran M, Tam D, Bardia A, Bhasin M, Rowe GC, Kher A, et al. PGC-1alpha promotes recovery after acute kidney injury during systemic inflammation in mice. J Clin Invest. 2011;121:4003-14. doi: 10.1172/JCI58662. PubMed PMID: 21881206; PubMed Central PMCID: PMCPMC3195479.
- Mobasher M, Sasani P, Al-e-Davood SJ, Aramesh K, Larijani B. Revision of the guideline for ethical use of animals. Iranian Journal of Medical Ethics and History of Medicine. 2012;5:70-111.
- Marriott I, Bost KL, Huet-Hudson YM. Sexual dimorphism in expression of receptors for bacterial lipopolysaccharides in murine macrophages: a possible mechanism for gender-based differences in endotoxic shock susceptibility. J Reprod Immunol. 2006;71:12-27. doi: 10.1016/j.jri.2006.01.004. PubMed PMID: 16574244.
- Bist G, Pun NT, Magar TB, Shrestha A, Oh HJ, Khakurel A, et al. Inhibition of LPS-stimulated ROS production by fluorinated and hydroxylated chalcones in RAW 264.7 macrophages with structure-activity relationship study. Bioorg Med Chem Lett. 2017;27:1205-9. doi: 10.1016/j.bmcl.2017.01.061. PubMed PMID: 28159411.
- Xu DX, Wang H, Zhao L, Ning H, Chen YH, Zhang C. Effects of low-dose lipopolysaccharide (LPS) pretreatment on LPS-induced intra-uterine fetal death and preterm labor. Toxicology. 2007;234:167-75. doi: 10.1016/j.tox.2007.02.010. PubMed PMID: 17442477.
- Godet C, Goujon JM, Petit I, Lecron JC, Hauet T, Mauco G, et al. Endotoxin tolerance enhances interleukin-10 renal expression and decreases ischemia-reperfusion renal injury in rats. Shock. 2006;25:384-8. doi: 10.1097/01.shk.0000209528.35743.54. PubMed PMID: 16670641.
- Park KM, Kim JI, Ahn Y, Bonventre AJ, Bonventre JV. Testosterone is responsible for enhanced susceptibility of males to ischemic renal injury. J Biol Chem. 2004;279:52282-92. doi: 10.1074/jbc.M407629200. PubMed PMID: 15358759.
- Soljancic A, Ruiz AL, Chandrashekar K, Maranon R, Liu R, Reckelhoff JF, et al. Protective role of testosterone in ischemia-reperfusion-induced acute kidney injury. Am J Physiol Regul Integr Comp Physiol. 2013;304:R951-8. doi: 10.1152/ajpregu.00360.2012. PubMed PMID: 23552495; PubMed Central PMCID: PMCPMC4074000.
- Takaoka M, Yuba M, Fujii T, Ohkita M, Matsumura Y. Oestrogen protects against ischaemic acute renal failure in rats by suppressing renal endothelin-1 overproduction. Clin Sci (Lond). 2002;103 Suppl 48:434S-7S. doi: 10.1042/CS103S434S. PubMed PMID: 12193139.
- Campesi I, Marino M, Montella A, Pais S, Franconi F. Sex Differences in Estrogen Receptor alpha and beta Levels and Activation Status in LPS-Stimulated Human Macrophages. J Cell Physiol. 2017;232:340-5. doi: 10.1002/jcp.25425. PubMed PMID: 27171902.
- West MA, Koons A. Endotoxin tolerance in sepsis: concentration-dependent augmentation or inhibition of LPS-stimulated macrophage TNF secretion by LPS pretreatment. J Trauma. 2008;65:893-8; discussion 8-900. doi: 10.1097/TA.0b013e3181877fde. PubMed PMID: 18849808.
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