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Tissue Inhibitor of Metalloproteinases-2 Mediates Kidney Injury during Sepsis

Authors: Xiaoyan, Wen; Jicheng, Zhang; Xiaojian, Wan; Alicia A, Frank; Xin, Qu; John A, Kellum;

Tissue Inhibitor of Metalloproteinases-2 Mediates Kidney Injury during Sepsis

Abstract

<b><i>Introduction:</i></b> Urinary tissue inhibitor of metalloproteinases (TIMP)-2 has been identified as a predictive marker for acute kidney injury (AKI), including sepsis-associated AKI (S-AKI). Whether TIMP-2 might be causally related to AKI and hence represent a viable drug target is unclear. <b><i>Objective:</i></b> The aim of this study was to evaluate whether suppression of TIMP-2 attenuates S-AKI. <b><i>Methods:</i></b> Balb/c mice were randomized to sham or cecal ligation and puncture surgery and treated with or without a TIMP-2-neutralizing antibody. Animals were followed for 48 h and then sacrificed for analysis of TIMP-2 expression, cell cycle, and histology. <b><i>Results:</i></b> Anti-TIMP-2 resulted in decreased lumen TIMP-2 expression which markedly increased cell cycle progression and attenuated epithelial cell injury by histology. <b><i>Conclusions:</i></b> TIMP-2 mediates S-AKI and appears to be a viable drug target.

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Keywords

Mice, Inbred BALB C, Tissue Inhibitor of Metalloproteinase-2, Cell Cycle, Epithelial Cells, Acute Kidney Injury, Flow Cytometry, Mice, Sepsis, Animals, Humans, Aged

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Top 10%
Average
Average
bronze