Cardiorenal Syndrome Type 5: In Vitro Cytotoxicity Effects on Renal Tubular Cells and Inflammatory Profile

Background. Cardiorenal Syndrome Type 5 (CRS Type 5) reflects concomitant cardiac and renal dysfunctions in the setting of a wide spectrum of systemic disorders. Our aim was to study in vitro effects of CRS Type 5 plasma on renal tubular cells (RTCs), in terms of cellular death and the characterizat...

Full description

Saved in:
Bibliographic Details
Main Authors: Alessandra Brocca, Grazia Maria Virzì, Chiara Pasqualin, Silvia Pastori, Stefano Marcante, Massimo de Cal, Claudio Ronco
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Analytical Cellular Pathology
Online Access:http://dx.doi.org/10.1155/2015/469461
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832555129093488640
author Alessandra Brocca
Grazia Maria Virzì
Chiara Pasqualin
Silvia Pastori
Stefano Marcante
Massimo de Cal
Claudio Ronco
author_facet Alessandra Brocca
Grazia Maria Virzì
Chiara Pasqualin
Silvia Pastori
Stefano Marcante
Massimo de Cal
Claudio Ronco
author_sort Alessandra Brocca
collection DOAJ
description Background. Cardiorenal Syndrome Type 5 (CRS Type 5) reflects concomitant cardiac and renal dysfunctions in the setting of a wide spectrum of systemic disorders. Our aim was to study in vitro effects of CRS Type 5 plasma on renal tubular cells (RTCs), in terms of cellular death and the characterization of inflammatory plasma profile in these patients. Material and Methods. We enrolled 11 CRS Type 5 patients from ICU and 16 healthy controls. Plasma from patients and controls was incubated with renal tubular cells (RTCs) and cell death was evaluated. Plasma cytokines were detected. Results. RTCs incubated with CRS Type 5 plasma showed significantly higher apoptosis and necrosis with respect to controls. Plasma cytokine profile of CRS Type 5 patients was significantly different from controls: we observed the production of pro- and anti-inflammatory mediators in these patients. Caspase-3, caspase-8, and caspase-9 were activated in cells treated with CRS Type 5 plasma compared to controls. Conclusions. Our results underline the cytotoxic effect of CRS Type 5 mediators on RTC viability, probably due to the activation of both intrinsic and extrinsic pathways of apoptosis and to the deregulation of cytokine release. The consequence may be the damage of distant organs which lead to the worsening of condition of patients.
format Article
id doaj-art-bf737bfe16074d759ae905a9f0fe9cd3
institution Kabale University
issn 2210-7177
2210-7185
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Analytical Cellular Pathology
spelling doaj-art-bf737bfe16074d759ae905a9f0fe9cd32025-02-03T05:49:33ZengWileyAnalytical Cellular Pathology2210-71772210-71852015-01-01201510.1155/2015/469461469461Cardiorenal Syndrome Type 5: In Vitro Cytotoxicity Effects on Renal Tubular Cells and Inflammatory ProfileAlessandra Brocca0Grazia Maria Virzì1Chiara Pasqualin2Silvia Pastori3Stefano Marcante4Massimo de Cal5Claudio Ronco6Department of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza (IRRIV), San Bortolo Hospital, Via Rodolfi 37, 36100 Vicenza, ItalyDepartment of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza (IRRIV), San Bortolo Hospital, Via Rodolfi 37, 36100 Vicenza, ItalyDepartment of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza (IRRIV), San Bortolo Hospital, Via Rodolfi 37, 36100 Vicenza, ItalyDepartment of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza (IRRIV), San Bortolo Hospital, Via Rodolfi 37, 36100 Vicenza, ItalyIntensive Care Unit, San Bortolo Hospital, Via Rodolfi 37, 36100 Vicenza, ItalyDepartment of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza (IRRIV), San Bortolo Hospital, Via Rodolfi 37, 36100 Vicenza, ItalyDepartment of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza (IRRIV), San Bortolo Hospital, Via Rodolfi 37, 36100 Vicenza, ItalyBackground. Cardiorenal Syndrome Type 5 (CRS Type 5) reflects concomitant cardiac and renal dysfunctions in the setting of a wide spectrum of systemic disorders. Our aim was to study in vitro effects of CRS Type 5 plasma on renal tubular cells (RTCs), in terms of cellular death and the characterization of inflammatory plasma profile in these patients. Material and Methods. We enrolled 11 CRS Type 5 patients from ICU and 16 healthy controls. Plasma from patients and controls was incubated with renal tubular cells (RTCs) and cell death was evaluated. Plasma cytokines were detected. Results. RTCs incubated with CRS Type 5 plasma showed significantly higher apoptosis and necrosis with respect to controls. Plasma cytokine profile of CRS Type 5 patients was significantly different from controls: we observed the production of pro- and anti-inflammatory mediators in these patients. Caspase-3, caspase-8, and caspase-9 were activated in cells treated with CRS Type 5 plasma compared to controls. Conclusions. Our results underline the cytotoxic effect of CRS Type 5 mediators on RTC viability, probably due to the activation of both intrinsic and extrinsic pathways of apoptosis and to the deregulation of cytokine release. The consequence may be the damage of distant organs which lead to the worsening of condition of patients.http://dx.doi.org/10.1155/2015/469461
spellingShingle Alessandra Brocca
Grazia Maria Virzì
Chiara Pasqualin
Silvia Pastori
Stefano Marcante
Massimo de Cal
Claudio Ronco
Cardiorenal Syndrome Type 5: In Vitro Cytotoxicity Effects on Renal Tubular Cells and Inflammatory Profile
Analytical Cellular Pathology
title Cardiorenal Syndrome Type 5: In Vitro Cytotoxicity Effects on Renal Tubular Cells and Inflammatory Profile
title_full Cardiorenal Syndrome Type 5: In Vitro Cytotoxicity Effects on Renal Tubular Cells and Inflammatory Profile
title_fullStr Cardiorenal Syndrome Type 5: In Vitro Cytotoxicity Effects on Renal Tubular Cells and Inflammatory Profile
title_full_unstemmed Cardiorenal Syndrome Type 5: In Vitro Cytotoxicity Effects on Renal Tubular Cells and Inflammatory Profile
title_short Cardiorenal Syndrome Type 5: In Vitro Cytotoxicity Effects on Renal Tubular Cells and Inflammatory Profile
title_sort cardiorenal syndrome type 5 in vitro cytotoxicity effects on renal tubular cells and inflammatory profile
url http://dx.doi.org/10.1155/2015/469461
work_keys_str_mv AT alessandrabrocca cardiorenalsyndrometype5invitrocytotoxicityeffectsonrenaltubularcellsandinflammatoryprofile
AT graziamariavirzi cardiorenalsyndrometype5invitrocytotoxicityeffectsonrenaltubularcellsandinflammatoryprofile
AT chiarapasqualin cardiorenalsyndrometype5invitrocytotoxicityeffectsonrenaltubularcellsandinflammatoryprofile
AT silviapastori cardiorenalsyndrometype5invitrocytotoxicityeffectsonrenaltubularcellsandinflammatoryprofile
AT stefanomarcante cardiorenalsyndrometype5invitrocytotoxicityeffectsonrenaltubularcellsandinflammatoryprofile
AT massimodecal cardiorenalsyndrometype5invitrocytotoxicityeffectsonrenaltubularcellsandinflammatoryprofile
AT claudioronco cardiorenalsyndrometype5invitrocytotoxicityeffectsonrenaltubularcellsandinflammatoryprofile