Frank [53] |
Genomics-DNA microarray |
887 critically ill patients with septic shock |
5 SNPs were associated with SA-AKI: BCL2, SERPINA, SIK3 genes. |
Vilander [54] |
Genomics-SNP genotyping |
837 septic patients, 627 with septic shock |
SNPs in SERPINA4,5 but not BCL2 nor SIK3, associated with SA-AKI after controlling for confounders. |
Tran [47] |
Transcriptomics- Gene expression microarray |
Global and tubule-specific PGC-1a knockout mice exposed to endotoxemia |
Ox-phos genes were selectively suppressed during SA-AKI, and PGC1a was proportionally suppressed. PGC1a KO mice suffered persistent kidney injury after sepsis. |
Basu [57] |
Transcriptomics- Gene expression microarray |
179 critically ill children with septic shock |
Elevated expression of 21 genes predicted SA-AKI. The genes mainly related to immune signaling and function. |
Ferreyra [56] |
Transcriptomics- Gene expression microarray |
Mice exposed to intranasal staph enterotoxin B |
Global gene-expression changes found a host-wide Interferon- response. |
Ge [59] |
Transcriptomics- Gene expression microarray |
Whole-blood derived miRNAs from septic patients with/ without AKI |
2 miRNAs that regulate AKT, NOX5 expression (involved in oxidative stress, mitochondrial dysfunction) significantly overexpressed in SA-AKI. |
Hultstrom [39] |
Transcriptomics- Gene expression microarrays |
Microarray studies of renal gene expression after AKI in 6 different models |
5254 differentially expressed genes. 2/3 found in only 1 model. 4 genes in all 6 models. Pathway analysis showed MYC to be a central connection in AKI. |
Holly [66] |
Urine Proteomics- DIGE, MS |
Rat CLP sepsis |
Meprin-1-alpha, a brush-border enzyme, was changed in rats with septic AKI, and an inhibitor of this enzyme prevented acute renal failure in aged mice. |
Gong [65] |
Serum proteomics- 2DE, MS |
20 patients with severe sepsis receiving CVVH |
10 proteins differentially expressed in pts getting CVVH, 7 proteins decreased in serum, 3 increased. |
Thongboonkerd [63] |
Plasma proteomics- 2DE, MS |
Intraperitoneal injection of feces into pigs |
27 unique proteins whose levels changed in sepsis, related to inflammation, oxidative/nitrosative stress, and cytoskeleton. |
Metzger [67] |
Urine Proteomics- CE-MS |
Critically ill patients |
6 proteins associated with AKI--albumin, A1AT, b2- microglobulin upregulated; collagen, fibrinogen downregulated. |
Maddens [69] |
Urine, plasma, tissue proteomics- gel free technique |
Mice after uterine ligation and E Coli inoculation |
Urinary chitinase3-like proteins and acidic mammalian chitinase were only detected in septic mice with AKI. |
Wu [60] |
Tissue Proteomics- DIGE, MS |
Mouse CLP sepsis |
Phosphorylated myosin regulatory light chain 12B was upregulated in septic AKI, which is important for cytoskeletal integrity. |
Carrick [68] |
Urinary proteomics- MALDI-MS |
95 septic patients |
39 urinary peptides were markers of AKI; proteins included b-2-microglobulin, collagen, fibrinogen,A1AT. |
Matejovic [62] |
Tissue proteomics- 2DE, MS |
Continuous infusion of PsA in pigs and biopsies of renal cortical tissue. |
21 proteins were differentially regulated in septic AKI, specifically Na/H exchange regulatory cofactor 3. |
Hashida [64] |
Proteomics from hemofilter adsorbates- SDS PAGE, MS |
20 critically ill patients with AKI requiring CRRT. |
3 proteins, including carbonic anhydrase 1 and leucine-rich alpha-glycoprotein, were in all septic patients with AKI but not in non-septic patients. |
Hinkelbein [61] |
Tissue proteomics- DIGE, MS |
Rat CLP sepsis |
Myosin and cytochrome C oxidase proteins upregulated; major urinary protein 5 downregulated in SA-AKI. These proteins correlate with mitochondrial energy production and electron transport. |
Waltz [70] |
Tissue (whole kidney) metabolomics- LC/MS |
Mice CLP sepsis |
Sepsis resulted in increased glucose and glycolytic intermediates, decreased TCA cycle intermediates, increased renal osmolytes (pinitol, urea, taurine), and metabolites associated with inflammation; decreased antioxidants (ascorbate, a-tocopherol, erogthioneine). |
Li [72] |
Tissue and serum metabolomics-NMR |
Mice after intraperitoneal injection of LPS |
Decreased antioxidants/regulatory osmolytes (betaine, taurine), membrane repair metabolites (choline, phosphocholine, ethanolamine). Decreased glucose, lactate, alanine, citrate and a-oxoglutarate, increased ketone bodies, creatine, creatinine, and ATP breakdown products (adenosine, inosine), marker of energy deficiency. Oxidative stress, energy metabolism pathways most significantly affected. |
Rodrigues [73] |
Urine metabolomics-NMR |
Rat CLP sepsis |
Elevated urinary creatine, allantoin, and dimethylglycine in CLP compared to sham mice. |
Izquierdo-Garcia [71] |
Tissue, plasma, and urine metabolomics- NMR |
Pigs infused with E Coli |
Metabolic differences between sepsis and controls--Tissue: increased lactate, nicotinuric acid; decreased value, aspartate, glucose, threonine. Serum: increased lactate, pyruvate, alanine, glutamine; decreased glucose, betaine. Urine: increased ascorbic acid, isovaleroglycine, aminoadipic acid, N-acetylglutamine, N-acetylaspartate, and decreased myoinositol, phenylacetylglycine. Altogether signified alterations of cellular energy pathways, specifically fatty acid metabolism. |
Hato [74] |
Unbiased transcriptomics, tissue metabolomics- DIGE, MS; GC/MS, LC/MS |
Endotoxin preconditioning in CLP mouse model |
There are benefits of preconditioning from molecules involved in antibacterial defense, redox balance, and tissue healing, specifically increased itaconate in proximal RTECs, that protect the kidney. |
Hato [38] |
Transcriptomics (RNAseq), proteomics (nascent), metabolomics (GC/MS, LC/MS) Ribo-seq translatomics |
Mice injected with LPS. Transcriptomics performed on S1 and S2/S3 kidney segments after laser and manual microdissection. |
Activation of Eif2ak2/Eif2a axis is the key mediator of translation initiation block in late-phase sepsis in RTECs. Reversal of this axis mitigated kidney injury and this global translational shutdown is likely an important contributor to SA-AKI. |