All issues > Volume 46(7); 2003

Original Article

J Korean Pediatr Soc. 2003;46(7):687-694. Published online July 15, 2003.

Alteration of Growth Factor Expression after Acute Ischemic Renal Injury

Yang Sim YS Koe¹, Soo Yeon SY Lee¹, Won W Kim², Soo Chul SC Cho¹, Pyoung Han PH Hwang¹, Jung Soo JS Kim¹, Dae-Yeol DY Lee¹

¹Department of Pediatrics, Chonbuk National University Medical School, Jeonju, Korea
²Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea

Correspondence Dae-Yeol DY Lee ,Email: leedy@moak.chonbuk.ac.kr

Abstract

Purpose
: Regeneration and repair after ischemic renal injury appears to be modulated by circulating or locally produced growth factors. This study examined the changes of serum insulin like growth factor(IGF-I) and renal expression of IGF-I and II, vascular endothelial growth factor(VEGF), transforming growth factor-β(TGF-β), and connective tissue growth factor(CTGF) during the active regeneration period after acute ischemic injury.
Methods
: Sera and kidney tissue samples(whole kidney, cortex, outer medullae and inner medullae) were obtained before and after one, three, five and seven days of 40 minutes bilateral renal pedicle clamping. Acute renal failure was assessed by measuring the concentration of serum creatinine. Serum IGF-I level was measured by radioimmunoassay. The mRNA expression in kidney was measured by RT-PCR. The distribution of IGF-I and CTGF was detected by immunohistochemistry. Resuts : Serum IGF-I concentration after one day following acute ischemic renal injury was significantly decreased compared to preischemic value. The mRNA levels of IGF-I, IGF-II, TGF-β1 and VEGF in whole kidney were temporally decreased on day one of ischemic injury. IGF-I and IGF-II expressions in outer medullae were significantly decreased on day one after ischemic injury. TGF- β1, CTGF and VEGF expressions were markedly decreased in medullae after one day of ischemic injury compared to other kidney sections. IGF-I was markedly decreased in cortical tubules on day one of uremic rat. CTGF was markedly increased on tubule within three days of ischemic injury.
Conclusion
: These findings suggest that IGFs, TGF-β1 and CTGF may involve in the pathogenesis or the recovery from acute ischemic renal injury.

Keywords :Acute ischemic renal injury, Regeneration, Growth factor, IGF-I, IGF-II, TGF-β1, CTGF, VEGF