[HTML][HTML] Systemic gene therapy with interleukin-13 attenuates renal ischemia–reperfusion injury

M Sandovici, RH Henning, H van Goor, W Helfrich… - Kidney international, 2008 - Elsevier
M Sandovici, RH Henning, H van Goor, W Helfrich, D de Zeeuw, LE Deelman
Kidney international, 2008Elsevier
Ischemia–reperfusion injury is a leading cause of acute renal failure and a major
determinant in the outcome of kidney transplantation. Here we explored systemic gene
therapy with a modified adenovirus expressing Interleukin (IL)-13, a cytokine with strong anti-
inflammatory and cytoprotective properties. When ischemia was induced we found that the
IL-13 receptor is expressed in both the normal and experimental kidneys. Prior to the
induction of ischemia, rats received adenovirus-IL-13, control adenovirus or saline. IL-13 …
Ischemia–reperfusion injury is a leading cause of acute renal failure and a major determinant in the outcome of kidney transplantation. Here we explored systemic gene therapy with a modified adenovirus expressing Interleukin (IL)-13, a cytokine with strong anti-inflammatory and cytoprotective properties. When ischemia was induced we found that the IL-13 receptor is expressed in both the normal and experimental kidneys. Prior to the induction of ischemia, rats received adenovirus-IL-13, control adenovirus or saline. IL-13 plasma levels increased more than 50-fold in adenovirus-IL-13 treated animals, confirming successful IL-13 gene delivery. Histological analysis showed decreased tubular epithelial cell damage with adenovirus-IL-13 therapy, accompanied by reduced kidney injury molecule-1 expression. Interstitial infiltration by neutrophils and macrophages was reduced by half as was interstitial fibrosis and expression of α-smooth muscle actin. IL-13 treatment significantly diminished the expression of E-selectin, IL-8, MIP-2, TNF-α and MCP-1 mRNA. These results suggest that the use of systemic IL-13 gene therapy may be useful in reducing renal tubulointerstitial damage and inflammation caused by ischemia–reperfusion.
Elsevier