Abstract

The Tn antigen, an N-acetylgalactosamine structure linked to serine or threonine, has been shown to induce high-specificity, high-affinity anti-Tn antibodies in mice. Maternal immunization with the Tn vaccine increases serum anti-Tn antibody titers and attenuates hyperoxia-induced kidney injury in neonatal rats. However, immunizing mothers to treat neonatal kidney disease is clinically impractical. This study is aimed at determining whether anti-Tn monoclonal antibody treatment ameliorates hyperoxia-induced kidney injury in neonatal mice. Newborn BALB/c mice were exposed to room air (RA) or normobaric hyperoxia (85% O2) for 1 week. On postnatal days 2, 4, and 6, the mice were injected intraperitoneally with PBS alone or with anti-Tn monoclonal antibodies at 25 μg/g body weight in 50 μL phosphate-buffered saline (PBS). The mice were divided into four study groups: RA + PBS, RA + anti-Tn monoclonal antibody, O2 + PBS, and O2 + anti-Tn monoclonal antibody. The kidneys were excised for histology, oxidative stress, cytokine, and Western blot analyses on postnatal day 7. The O2 + PBS mice exhibited significantly higher kidney injury scores, 8-hydroxy-2'-deoxyguanosine (8-OHdG) and nuclear factor-κB (NF-κB) expression, and cytokine levels than did the RA + PBS mice or RA + anti-Tn mice. Anti-Tn monoclonal antibody treatment reduced kidney injury and cytokine levels to normoxic levels. The attenuation of kidney injury was accompanied by a reduction of oxidative stress and NF-κB expression. Therefore, we propose that anti-Tn monoclonal antibody treatment ameliorates hyperoxia-induced kidney injury by suppressing oxidative stress and inflammation in neonatal mice.

Highlights

  • Supplemental oxygen is often required to treat newborns with respiratory disorders

  • Our in vivo model demonstrated that hyperoxia exposure during the first 7 days after birth induced kidney injury, as demonstrated by increased kidney injury scores and cytokine levels

  • The improvement of kidney injury was associated with a reduction in oxidative stress, nuclear factor-κB (NF-κB) expression, and cytokine levels

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Summary

Introduction

Administering highconcentration oxygen to newborn infants with respiratory failure increases oxidative stress and leads to kidney injury [1]. Prolonged hyperoxia induces glomerular and tubular damage in neonatal rodents, which manifests as enlarged renal corpuscles, renal tubular necrosis, interstitial inflammation, and kidney fibrosis during the perinatal period [2,3,4,5,6]. These harmful effects may continue into adulthood [4, 7]. Chiang et al used linear array epitope technology to develop an anti-Tn vaccine that induces high-specificity, high-affinity anti-Tn antibodies in mice

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