Proteomic analysis of endothelial cells and extracellular vesicles in response to indoxyl sulfate: Mechanisms of endothelial dysfunction in chronic kidney disease.

AIMS: Cardiovascular pathology is the main cause of death in chronic kidney disease (CKD) patients. CKD is associated with the accumulation of uremic toxins in the bloodstream, and indoxyl sulfate (IS) is one of the most abundant uremic toxins found in the blood of CKD patients. We conducted an in vitro study to assess the mechanisms underlying the IS-induced endothelial dysfunction that could lead to cardiovascular diseases. We also studied their extracellular vesicles (EVs) owing to their capacity to act as messengers that transmit signals through their cargo. MAIN METHODS: EVs were characterized by nanoparticle tracking analysis, transmission electron microscopy, flow cytometry, and tetraspanin expression. Cell lysates and isolated EVs were analyzed using liquid chromatography coupled with mass spectrometry, followed by Gene Set Enrichment Analysis to identify the altered pathways. KEY FINDINGS: Proteomic analysis of endothelial cells revealed that IS causes an increase in proteins related to adipogenesis, inflammation, and xenobiotic metabolism and a decrease in proliferation. Extracellular matrix elements, as well as proteins associated with myogenesis, response to UV irradiation, and inflammation, were found to be downregulated in IS-treated EVs. Fatty acid metabolism was also found to be increased along with adipogenesis and inflammation observed in cells. SIGNIFICANCE: The treatment of endothelial cells with IS increased the expression of proteins related to adipogenesis, inflammation, and xenobiotic metabolism and was less associated with proliferation. Furthermore, EVs from cells treated with IS may mediate endothelial dysfunction, since they present fewer extracellular matrix elements, myogenesis, inflammatory factors, and proteins downregulated in response to UV radiation.

Angiotensin II and post-streptococcal glomerulonephritis.

BACKGROUND: Post-streptococcal glomerulonephritis (PSGN) is a consequence of the infection by group A beta-hemolytic streptococcus. During this infection, various immunological processes generated by streptococcal antigens are triggered, such as the induction of antibodies and immune complexes. This activation of the immune system involves both innate and acquired immunity. The immunological events that occur at the renal level lead to kidney damage with chronic renal failure as well as resolution of the pathological process (in most cases). Angiotensin II (Ang II) is a molecule with vasopressor and pro-inflammatory capacities, being an important factor in various inflammatory processes. During PSGN some events are defined that make Ang II conceivable as a molecule involved in the inflammatory processes during the disease. CONCLUSION: This review is focused on defining which reported events would be related to the presence of this hormone in PSGN.

Apoptosis in post-streptococcal glomerulonephritis and mechanisms for failed of inflammation resolution.

Post-streptococcal glomerulonephritis is a condition resulting from infection by group A beta-hemolytic streptococcus. The main mechanism involves the formation of immune complexes formed in the circulation or in situ on the glomerular basement membrane, which activates complement and causes various inflammatory processes. Cellular mechanisms have been reported in the induction of kidney damage represented by the infiltration of innate cells (neutrophils and monocyte/macrophages) and adaptive cells (CD4 + lymphocytes and CD8 + lymphocytes) of the immune system. These cells induce kidney damage through various mechanisms. It has been reported that nephritogenic antigens are capable of inducing inflammatory processes early, even before the formation of immune complexes. Usually, this disease progresses towards clinical and renal normalization; however, in a smaller number of patients, it evolves into chronicity and persistent kidney damage. Hypotheses have been proposed regarding the mechanisms underlying this progression to chronicity including failure to induce apoptosis and failure to phagocytose apoptotic cells, allowing these cells to undergo membrane permeabilization and release pro-inflammatory molecules into the environment, thereby perpetuating renal inflammation. Other mechanisms involved include persistent infection, genetic background of the host's complement system, tubulointerstitial changes, and pre-existing kidney damage due to old age and comorbidities.

Angiotensin II and dengue.

Dengue is a disease caused by a flavivirus that is transmitted principally by the bite of an Aedes aegypti mosquito and represents a major public-health problem. Many studies have been carried out to identify soluble factors that are involved in the pathogenesis of this infection. Cytokines, soluble factors, and oxidative stress have been reported to be involved in the development of severe disease. Angiotensin II (Ang II) is a hormone with the ability to induce the production of cytokines and soluble factors related to the inflammatory processes and coagulation disorders observed in dengue. However, a direct involvement of Ang II in this disease has not been demonstrated. This review primarily summarizes the pathophysiology of dengue, the role of Ang II in various diseases, and reports that are highly suggestive of the involvement of this hormone in dengue.

Cardiac myofibroblast induces decreased expression of major histocompatibility complex class II (Ia) on rat monocyte/macrophages.

The up-regulation of HLA antigens is important during heart inflammatory events and myofibroblasts may modulate the expression of this molecule in tissues. To test this possibility, the effect of cardiac myofibroblast:macrophage contact and the production of myofibroblast inhibitor factor(s) on the macrophage HLA (Ia) expression were studied. Listeria monocytogenes-elicited Ia + peritoneal macrophages (high Ia expression) were co-cultured with cardiac myofibroblasts for 3 and 7 days (myofibroblast contact). Proteosa peptone-elicited macrophages (low Ia expression) were cultured for 3 days with interferon gamma (INF-γ) and myofibroblast conditioned medium (FCM). Ia expression was analyzed by immunofluorescence and by radioimmune assay. Myofibroblast contact induced decreased expression of Ia molecule on macrophages (p < 0.001). This was confirmed by the radioimmune analysis in macrophage: myofibroblast co-cultures (p < 0.001). Double staining for Ia and CD14 showed that only CD14 positive cells (macrophages) expressed Ia molecule. FCM was capable of diminishing Ia expression induced by INF-γ on macrophages (p < 0.001). Decreased Ia macrophage expression induced by myofibroblasts could be important in the heart inflammation's resolution, probably involving Ia redistribution on cell: cell contact and myofibroblast inhibitor factor production.

Losartan and enalapril decrease viral absorption and interleukin 1 beta production by macrophages in an experimental dengue virus infection.

The role of angiotensin II (Ang II) in dengue virus infection remains unknown. The aim of this study was to determine the effect of losartan, an antagonist of the angiotensin II type 1 receptor (AT1 receptor), and enalapril, an inhibitor of angiotensin I-converting enzyme (ACE), on viral antigen expression and IL-1ß production in peritoneal macrophages infected with dengue virus type 2. Mice treated with losartan or enalapril and untreated controls were infected intraperitoneally with the virus, and macrophages were analyzed. Infection resulted in increased IL-1ß production and a high percentage of cells expressing viral antigen, and this was decreased by treatment with anti-Ang II drugs, suggesting a role for Ang II in dengue virus infection.

Ultrastructural Changes of Caudate Nucleus in Mice Chronically Treated with Manganese.

Manganese (Mn) is able to cross the blood-brain barrier and induces functional and structural alterations during the intoxication by this metal. Therefore, the effects of chronic administration of Mn in the caudate nucleus of mice were evaluated by electron microscopy. Male albino mice were injected intraperitoneally with MnCl2 (5 mg/kg/d) 5 d per week during 9 weeks. The control group received only 0.9% of NaCl solution. The caudate nuclei were extracted and subsequently processed to be observed on a conventional transmission electron microscope at 2, 4, 6, and 9 weeks after treatment. A high percentage of vacuolated and swollen mitochondria were found throughout all the analyzed periods. Myelin disarrangement and ultrastructural alterations related to edema were observed increased in Mn-treated mice at week 9. Granular degeneration of myelin at week 9 accompanied with deposition of electron dense granules in the neuropil was also observed. Edema in neuropil and glial cells was detected from week 2 to week 9 accompanied by swollen mitochondria. Neuronal bodies, synaptic terminals, and perivascular cells were found swollen. Decreased electron density in postsynaptic areas and decreased and dispersed synaptic vesicles in presynaptic areas were noted in Mn-treated animals. Some neurons from Mn-treated mice showed cisternae dilation of the Golgi apparatus. These results suggest that Mn-treatment produces structural alterations in the caudate nucleus that could be responsible for some of the neurotoxic effects of this metal.

Ultrastructural study of the hypothalamus in mice chronically treated with manganese / Estudio ultraestructural del hipotálamo de ratones tratados crónicamente con manganeso

Manganese (Mn) is an essential metal that is an integral part of some metalloproteins and acts as a cofactor of several enzymes. Mn is able to cross the blood-brain barrier and enter the nervous system. It has a low toxicity but exposure to high concentrations or for prolonged periods of time produce neurological disorders in humans that initially cause hallucinations and compulsive behaviour followed by stiffness, muscle weakness, ataxia, memory loss and a tremor resembling Parkinson’s disease. This study assessed the ultrastructural alterations produced in the hypothalamus of male albino mice injected intraperitoneally with MnCl2 (5 mg Mn/Kg/day) and a control group injected with NaCl 0.9% (0.1 mL) daily for 9 weeks. The animals were sacrificed by cervical dislocation. The hypothalamus was extracted and subsequently processed to be observed on the conventional transmission electron microscope at 2, 4, 6 and 9 weeks of treatment. After 2 weeks it was observed a slight disruption of the Golgi apparatus and the myelin fibers. After 4 weeks the disorganization was accentuated and dilatation of the endoplasmic reticulum (ER) and alterations of mitochondria were observed. After 6 weeks the normal pattern of the myelin sheath was lost. After 9 weeks of treatment it was found swollen mitochondria with lost of crystae, a marked dilatation of rough and smooth endoplasmic reticulum and dendrites with a high degree of swelling. These results suggest that the neurotoxic effect of Mn increases as time of exposure passes and produces ultrastructural alterations of nerve cells in the hypothalamus.

El manganeso (Mn) es un metal esencial que forma parte de algunas metaloproteínas y actúa como cofactor de varias enzimas. El Mn es capaz de atravesar la barrera hematoencefálica e ingresar al sistema nervioso. Presenta baja toxicidad, pero la exposición a altas concentraciones o por tiempos prolongados produce alteraciones neurológicas en humanos que inicialmente provocan alucinaciones y conducta compulsiva seguidas por rigidez, debilidad muscular, ataxia, pérdida de la memoria y temblor, síntomas similares a los de la enfermedad de Parkinson. En el presente estudio se evaluaron los efectos tóxicos del Mn sobre la ultraestructura del hipotálamo de ratones. Se inyectaron intraperitonealmente ratones albinos machos con MnCl2 (5 mg Mn/Kg/día durante 9 semanas). El grupo control recibió NaCl 0,9% (0,1 mL/dosis). Los animales se sacrificaron por dislocación cervical, extrayéndose y disecándose el hipotálamo, que posteriormente se procesó para realizar observaciones al microscopio electrónico de transmisión convencional a las 2; 4; 6 y 9 semanas de tratamiento. A las 2 semanas, se observó ligera desorganización en el aparato de Golgi y en las fibras mielínicas. A las 4 semanas, se acentuó la desorganización y se comenzó a observar dilatación del retículo endoplasmático liso y rugoso asi como mitocondrias alteradas. A las 6 semanas, se encontró pérdida del patrón normal de la cubierta mielínica. Finalizadas las 9 semanas de tratamiento, se observaron mitocondrias hinchadas con pérdida de las crestas, dilatación acentuada del retículo endoplasmático rugoso y liso y dendritas con cierto grado de edema. Estos resultados parecen indicar que el efecto neurotóxico del Mn aumenta a medida que transcurre el tiempo de exposición para producir alteraciones ultraestructurales de las células nerviosas del hipotálamo.