J Korean Pediatr Soc.  2003 Jul;46(7):687-694.

Alteration of Growth Factor Expression after Acute Ischemic Renal Injury

• Koe YS
• Lee SY
• Kim W
• Cho SC
• Hwang PH
• Kim JS
• Lee DY

Abstract

PURPOSE
Regeneration and repair after ischemic renal injury appears to be modulated by circulating or locally produced growth factors. This study examined the changes of serum insulin like growth factor(IGF-I) and renal expression of IGF-I and II, vascular endothelial growth factor(VEGF), transforming growth factor-beta(TGF-beta), and connective tissue growth factor(CTGF) during the active regeneration period after acute ischemic injury.
METHODS
Sera and kidney tissue samples(whole kidney, cortex, outer medullae and inner medullae) were obtained before and after one, three, five and seven days of 40 minutes bilateral renal pedicle clamping. Acute renal failure was assessed by measuring the concentration of serum creatinine. Serum IGF-I level was measured by radioimmunoassay. The mRNA expression in kidney was measured by RT-PCR. The distribution of IGF-I and CTGF was detected by immunohistochemistry.
RESULTS
Serum IGF-I concentration after one day following acute ischemic renal injury was significantly decreased compared to preischemic value. The mRNA levels of IGF-I, IGF-II, TGF-beta1 and VEGF in whole kidney were temporally decreased on day one of ischemic injury. IGF-I and IGF-II expressions in outer medullae were significantly decreased on day one after ischemic injury. TGF- beta, CTGF and VEGF expressions were markedly decreased in medullae after one day of ischemic injury compared to other kidney sections. IGF-I was markedly decreased in cortical tubules on day one of uremic rat. CTGF was markedly increased on tubule within three days of ischemic injury.
CONCLUSION
These findings suggest that IGFs, TGF-beta and CTGF may involve in the pathogenesis or the recovery from acute ischemic renal injury.

Keyword

Acute ischemic renal injury; Regeneration; Growth factor; IGF-I; IGF-II; TGF-beta; CTGF; VEGF

MeSH Terms

Acute Kidney Injury
Animals
Connective Tissue
Constriction
Creatinine
Immunohistochemistry
Insulin
Insulin-Like Growth Factor I
Insulin-Like Growth Factor II
Intercellular Signaling Peptides and Proteins
Kidney
Radioimmunoassay
Rats
Regeneration
RNA, Messenger
Transforming Growth Factor beta
Transforming Growth Factor beta1
Vascular Endothelial Growth Factor A
Creatinine
Insulin
Insulin-Like Growth Factor I
Insulin-Like Growth Factor II
Intercellular Signaling Peptides and Proteins
RNA, Messenger
Transforming Growth Factor beta
Transforming Growth Factor beta1
Vascular Endothelial Growth Factor A