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The Journal of Immunology, 2002, 168: 5817-5823.
Copyright © 2002 by The American Association of Immunologists

Acute Renal Failure in Endotoxemia Is Caused by TNF Acting Directly on TNF Receptor-1 in Kidney1

Patrick N. Cunningham2,*, Hristem M. Dyanov*, Pierce Park*, Jun Wang{dagger}, Kenneth A. Newell{dagger} and Richard J. Quigg*

* Section of Nephrology, Department of Medicine, and {dagger} Section of Transplantation Surgery, University of Chicago, Chicago, IL 60637

Bacterial endotoxin (LPS) is responsible for much of the widespread inflammatory response seen in sepsis, a condition often accompanied by acute renal failure (ARF). In this work we report that mice deficient in TNFR1 (TNFR1-/-) were resistant to LPS-induced renal failure. Compared with TNFR1+/+ controls, TNFR1-/- mice had less apoptosis in renal cells and fewer neutrophils infiltrating the kidney following LPS administration, supporting these as mediators of ARF. TNFR1+/+ kidneys transplanted into TNFR1-/- mice sustained severe ARF after LPS injection, which was not the case with TNFR1-/- kidneys transplanted into TNFR1+/+ mice. Therefore, TNF is a key mediator of LPS-induced ARF, acting through its receptor TNFR1 in the kidney.




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