Abstract

Aim: Supplemental oxygen is often used to treat neonates with respiratory disorders. Human and animal studies have demonstrated that neonatal hyperoxia increases oxidative stress and induces damage and collagen deposition in kidney during the perinatal period. Cathelicidin LL-37 is one important group of human antimicrobial peptides which exhibits antioxidant activity and its overexpression resists hyperoxia-induced oxidative stress. This study was designed to evaluate the protective effects of cathelicidin in hyperoxia-induced kidney injury in newborn rats.Methods: Sprague-Dawley rat pups were reared in either room air (RA) or hyperoxia (85% O2) and were randomly treated with low-dose (4 mg/kg) and high-dose (8 mg/kg) cathelicidin in normal saline (NS) administered intraperitoneally on postnatal days 1–6. The following six groups were obtained: RA + NS, RA + low-dose cathelicidin, RA + high-dose cathelicidin, O2 + NS, O2 + low-dose cathelicidin, and O2 + high-dose cathelicidin. Kidneys were taken for Western blot and histological analyses on postnatal day 7.Results: The hyperoxia-reared rats exhibited significantly lower body weights and anti-inflammatory M2 macrophages, but the kidney injury scores, oxidative stress marker 8-hydroxy-2'-deoxyguanosine (8-OHdG)-positive cells, pro-inflammatory M1 macrophages, collagen deposition, and NF-κB expression were higher than did the RA-reared rats.Conclusions: Cathelicidin treatment attenuated kidney injury as evidenced by lower kidney injury scores, 8-OHdG-positive cells, collagen deposition, and reversion of hyperoxia-induced M1/M2 macrophage polarization. The role of Cathelicidin in ameliorates kidney injury of the hyperoxia newborn rats was accompanied by decreased NF-κB expression, which probably through the modulating NF-κB activity in the kidney.

Highlights

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

  • Ten rats reared in room air (RA) and treated with normal saline (NS) or cathelicidin and ten rats reared in hyperoxia and treated with cathelicidin all survived

  • One rat pup reared in hyperoxia and treated with NS died on postnatal day 6

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Summary

Introduction

Supplemental oxygen is often used to treat newborns with respiratory disorders. oxygen therapy provided to infants has adverse effects. Human and animal studies have demonstrated that neonatal hyperoxia increases oxidative stress and induces glomerular and tubular damage. These are manifested as enlarged renal corpuscles, renal tubular necrosis, interstitial inflammation, and kidney fibrosis during the perinatal period [1,2,3,4]. Newborn infants are often needed to be resuscitated by high concentration of oxygen. These result in accumulation oxidative stress of the newborn [5,6]. Cathelicidins are a family of antimicrobial peptides with anti-bacterial, anti-viral, and anti-fungal properties [9]. In addition to its antimicrobial activity, LL37 has potent chemotactic and immunomodulatory properties [13]

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