Pentoxifylline treatment alleviates kidney ischemia/reperfusion injury: Novel involvement of galectin-3 and ASK-1/JNK & ERK1/2/NF-κB/HMGB-1 trajectories

J Pharmacol Sci. 2021 Jul;146(3):136-148. doi: 10.1016/j.jphs.2021.03.011. Epub 2021 Apr 9.

Abstract

Despite the documented renoprotective effect of pentoxifylline (PTX), a non-selective phosphodiesterase-4 inhibitor, the studies appraised only its anti-inflammatory/-oxidant/-apoptotic capacities without assessment of the possible involved trajectories. Here, we evaluated the potential role of galectin-3 and the ASK-1/NF-κB p65 signaling pathway with its upstream/downstream signals in an attempt to unveil part of the cascades involved in the renotherapeutic effect using a renal bilateral ischemia/reperfusion (I/R) model. Rats were randomized into sham-operated, renal I/R (45 min/72 h) and I/R + PTX (100 mg/kg; p.o). Post-treatment with PTX improved renal function and abated serum levels of cystatin C, creatinine, BUN and renal KIM-1 content, effects that were reflected on an improvement of the I/R-induced renal histological changes. On the molecular level, PTX reduced renal contents of galectin-3, ASK-1 with its downstream molecule JNK and ERK1/2, as well as NF-κB p65 and HMGB1. This inhibitory effect extended also to suppress neutrophil infiltration, evidenced by diminishing ICAM-1 and MPO, as well as inflammatory cytokines (TNF-α/IL-18), oxidative stress (MDA/TAC), and caspase-3. The PTX novel renotherapeutic effect involved in part the inhibition of galectin-3 and ASK-1/JNK and ERK1/2/NF-κB/HMGB-1 trajectories to mitigate renal I/R injury and to provide basis for its anti-inflammatory, antioxidant, and anti-apoptotic impacts.

Keywords: ASK-1; ERK; Galectin-3; HMGB1; JNK.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents
  • Antioxidants
  • Disease Models, Animal
  • Galectin 3 / metabolism*
  • HMGB1 Protein / metabolism*
  • Kidney / blood supply*
  • MAP Kinase Kinase Kinase 5 / metabolism*
  • MAP Kinase Signaling System*
  • Male
  • Pentoxifylline / pharmacology*
  • Pentoxifylline / therapeutic use*
  • Phosphodiesterase Inhibitors / pharmacology*
  • Phosphodiesterase Inhibitors / therapeutic use*
  • Rats
  • Rats, Wistar
  • Reperfusion Injury / drug therapy*
  • Reperfusion Injury / genetics*
  • Signal Transduction / genetics*
  • Signal Transduction / physiology*
  • Transcription Factor RelA / metabolism*

Substances

  • Anti-Inflammatory Agents
  • Antioxidants
  • Galectin 3
  • HMGB1 Protein
  • Hbp1 protein, rat
  • Phosphodiesterase Inhibitors
  • Transcription Factor RelA
  • MAP Kinase Kinase Kinase 5
  • Pentoxifylline