The role of complement activation in rhabdomyolysis-induced acute kidney injury

PLoS One. 2018 Feb 21;13(2):e0192361. doi: 10.1371/journal.pone.0192361. eCollection 2018.

Abstract

Rhabdomyolysis (RM) may cause kidney damage and results primarily in acute kidney injury (AKI). Complement is implicated in the pathogenesis of renal diseases and ischemia-reperfusion injury (IRI), but the role of complement, especially its activation pathway(s) and its effect in RM-induced AKI, is not clear. This study established a rat model of AKI induced by RM via intramuscular treatment with glycerol. Cobra venom factor (CVF) was administered via tail vein injection to deplete complement 12 h prior to intramuscular injection of glycerol. We found that the complement components, including complement 3 (C3), C1q, MBL-A, factor B(fB), C5a, C5b-9, and CD59, were significantly increased in rat kidneys after intramuscular glycerol administration. However, the levels of serum BUN and Cr, renal tubular injury scores, and the number of TUNEL-positive cells decreased significantly in the CVF+AKI group. These results suggest that complement plays an important role in RM-induced AKI and that complement depletion may improve renal function and decrease renal tissue damage by reducing the inflammatory response and apoptosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Kidney Injury / etiology*
  • Animals
  • Complement Activation*
  • Disease Models, Animal*
  • Glycerol / administration & dosage
  • In Situ Nick-End Labeling
  • Male
  • Rats
  • Rats, Sprague-Dawley
  • Real-Time Polymerase Chain Reaction
  • Rhabdomyolysis / complications*

Substances

  • Glycerol

Grants and funding

This study was supported by grants from the Fund of the Chinese PLA 12th Five-Year Plan for Medical Sciences (CWS12J061, CBJ14J013) and the Chinese PLA Medical Science and Technology Youth Development Project (16QNP072). The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.