- The effect of adipose-derived mesenchymal stem cells on renal function and histopathology in a rat model of ischemia-reperfusion induced acute kidney injury
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Saeed Changizi-Ashtiyani,1,* leila hafazeh,2 Faezeh Ghasemi,3 Houshang Najafi,4 Saeed Babaei,5 Farideh JalallyMashayekhi,6
1. Department of Physiology, Arak University of Medical Sciences, Arak, Iran
2. Department of Physiology, Arak University of Medical Sciences, Arak, Iran
3. Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
4. Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
5. Department of Anatomy, School of Medicine, Arak University of Medical Sciences, Arak, Iran
6. Department of Genetics and Biochemistry, School of Medicine, Arak University of MedicalSciences, Arak, Iran.
- Introduction: It has been shown that adipose-derived mesenchymal stem cells (AD-MSC) have
protective effects in acute kidney injury (AKI). This study was conducted to assess the therapeutic
effects of AD-MSC in rats subjected to acute kidney injury by 45 min of renal ischemia followed by 48
hr of reperfusion (I/R).
- Methods: 28 male Wistar rats were divided into four groups, including control, 48-hr sham,
48-hr I/R, and 48-hr I/R receiving AD-MSC. After 48 hr of reperfusion, blood samples were taken from rats’
hearts, and 24-hr urines were collected using a metabolic cage. Serum creatinine level (Cr), blood urea
nitrogen (BUN), creatinine clearance (Ccr), absolute sodium excretion (UNaV°), fractional sodium excretion
(FENa), absolute potassium excretion (UKV°), factional potassium excretion (FEK), and urine osmolarity
were measured. Malondialdehyde (MDA) and ferric reducing antioxidant power (FRAP) levels were
measured in the right kidney, while the left kidney was used for histologic study after Hematoxylin-Eosin
staining.
- Results: Renal I/R significantly increased serum Cr, BUN, UNaV°, FENa, FEK, and tissue MDA, and
significantly decreased Ccr and urine osmolarity as compared with the sham group. Moreover,
histologic studies showed that I/R increased Bowman capsule area, tubular necrosis, vascular
congestion, and caused formation of intratubular casts. Administration of AD-MSC at the time of I/R
completely or partially protected kidneys from these I/R induced injuries.
- Conclusion: Our results show that injection of AD-MSC can reduce degree of renal injury caused by 45
min of ischemia followed by 48 hr of reperfusion in rats.
- Keywords: Acute kidney injury
Adipose tissue
Ischemia-reperfusion injury
Mesenchymal stem cells
Rats