title: Acute sodium overload produces renal tubulointerstitial inflammation in normal rats.
abstract: The aim of the present study was to determine whether acute sodium overload could trigger an inflammatory reaction in the tubulointerstitial (TI) compartment in normal rats. Four groups of Sprague-Dawley rats received increasing NaCl concentrations by intravenous infusion. Control (C): Na+ 0.15 M; G1: Na+ 0.5 M; G2: Na+ 1.0 M; and G3: Na+ 1.5 M. Creatinine clearance, mean arterial pressure (MAP), renal blood flow (RBF), and sodium fractional excretion were determined. Transforming growth factor beta1 (TGF-beta1), alpha-smooth muscle actin (alpha-SMA), RANTES, transcription factor nuclear factor-kappa B (NF-kappaB), and angiotensin II (ANG II) were evaluated in kidneys by immunohistochemistry. Animals with NaCl overload showed normal glomerular function without MAP and RBF modifications and exhibited a concentration-dependent natriuretic response. Plasmatic sodium increased in G2 (P < 0.01) and G3 (P < 0.001). Light microscopy did not show renal morphological damage. Immunohistochemistry revealed an increased number of ANG II-positive tubular cells in G2 and G3, and positive immunostaining for NF-kappaB only in G3 (P < 0.01). Increased staining of alpha-SMA in the interstitium (P < 0.01), TGF-beta1 in tubular cells (P < 0.01), and a significant percentage (P < 0.01) of positive immunostaining for RANTES in tubular epithelium and in glomerular and peritubular endothelium were detected in G3 > G2 > C group. These results suggest that an acute sodium overload is able 'per se' to initiate TI endothelial inflammatory reaction (glomerular and peritubular) and incipient fibrosis in normal rats, independently of hemodynamic modifications. Furthermore, these findings are consistent with the possibility that activation of NF-kappaB and local ANG II may be involved in the pathway of this inflammatory process.
authors.affiliation: Cátedras de Fisiopatología Farmacologia Bioquímica Clínica y Anatomía Macro y Microscópica, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Piso, Buenos Aires. iroson@ffyb.uba.ar
authors.forename: M I
authors.initials: MI
authors.lastname: Rosón
authors.forename: S
authors.initials: S
authors.lastname: Cavallero
authors.forename: S
authors.initials: S
authors.lastname: Della Penna
authors.forename: G
authors.initials: G
authors.lastname: Cao
authors.forename: S
authors.initials: S
authors.lastname: Gorzalczany
authors.forename: M
authors.initials: M
authors.lastname: Pandolfo
authors.forename: A
authors.initials: A
authors.lastname: Kuprewicz
authors.forename: O
authors.initials: O
authors.lastname: Canessa
authors.forename: J E
authors.initials: JE
authors.lastname: Toblli
authors.forename: B E
authors.initials: BE
authors.lastname: Fernández
mesh_terms: D000199:Actins / Q000378:metabolism; D000804:Angiotensin II / Q000378:metabolism; D000818:Animals; D001692:Biological Transport / Q000502:physiology; D001794:Blood Pressure / Q000187:drug effects; D019069:Cell Respiration / Q000502:physiology; D018946:Chemokine CCL5 / Q000378:metabolism; D004305:Dose-Response Relationship, Drug; D007150:Immunohistochemistry; D007249:Inflammation / Q000503:physiopathology; D007684:Kidney Tubules / Q000098:blood supply / Q000187:drug effects / Q000378:metabolism / Q000473:pathology*; D008297:Male; D016328:NF-kappa B / Q000378:metabolism; D009395:Nephritis, Interstitial / Q000209:etiology* / Q000378:metabolism / Q000473:pathology*; D051381:Rats; D017207:Rats, Sprague-Dawley; D012039:Regional Blood Flow / Q000187:drug effects; D012964:Sodium / Q000009:adverse effects* / Q000378:metabolism; D016212:Transforming Growth Factor beta / Q000378:metabolism; D053773:Transforming Growth Factor beta1
chemical_list: D000199:Actins; D000804:Angiotensin II; D018946:Chemokine CCL5; D016328:NF-kappa B; D012964:Sodium; D016212:Transforming Growth Factor beta; D053773:Transforming Growth Factor beta1; C508962:Tgfb1 protein, rat; C498862:Acta2 protein, rat