2017
DOI: 10.1016/j.kint.2017.01.004
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The spleen as a bidirectional signal transducer in acute kidney injury

Abstract: In acute kidney injury models, the lung is damaged through an interleukin-6-dependent inflammatory response. Clinically, development of lung injury requiring mechanical ventilation markedly increases in-hospital acute kidney injury mortality. Andres-Hernando et al. demonstrate that the spleen coordinates interleukin-6-dependent interleukin-10 production, which lessens lung injury during experimental acute kidney injury. This study highlights the beneficial influence of the spleen on the lung, and dovetails wit… Show more

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Cited by 6 publications
(6 citation statements)
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References 9 publications
(7 reference statements)
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“…It is noteworthy that the IL-6 produced in response to liver and kidney injury is a signal in the event of tissue damages [ 33–35 ]. The IL-6 produced in response to kidney damage directly causes inflammation and injury to lung tissue [ 35 ], which is consistent with the results shown in the present study. However, IL-6 activates splenocytes to produce IL-10 via α-7nAchR that is required to temper tissue injury, as reported in the study of Kinsey [ 35 ].…”
Section: Discussionsupporting
confidence: 92%
See 1 more Smart Citation
“…It is noteworthy that the IL-6 produced in response to liver and kidney injury is a signal in the event of tissue damages [ 33–35 ]. The IL-6 produced in response to kidney damage directly causes inflammation and injury to lung tissue [ 35 ], which is consistent with the results shown in the present study. However, IL-6 activates splenocytes to produce IL-10 via α-7nAchR that is required to temper tissue injury, as reported in the study of Kinsey [ 35 ].…”
Section: Discussionsupporting
confidence: 92%
“…The IL-6 produced in response to kidney damage directly causes inflammation and injury to lung tissue [ 35 ], which is consistent with the results shown in the present study. However, IL-6 activates splenocytes to produce IL-10 via α-7nAchR that is required to temper tissue injury, as reported in the study of Kinsey [ 35 ]. The γ-irradiation microenvironment could direct the persistent activation of the IL-6 in tissues and systemic pro-inflammatory mediators (TNF-α and IL-1β) to be detrimental rather than beneficial, as manifested by the down-regulation of splenic α-7nAchR and IL-10 levels as observed in the present study.…”
Section: Discussionsupporting
confidence: 92%
“…35 Furthermore, the spleen coordinates interleukin (IL)-6-dependent IL-10 production, which reduces lung injury during experimental acute kidney injury (AKI). 36 Splenic factors also exacerbate severe acute pancreatitis (SAP)associated lung injury. 30 In animal experiments, the splenectomy model can be used as an auxiliary method to distinguish high and low inflammatory subtypes.…”
Section: Discussionmentioning
confidence: 99%
“…The spleen is necessary for the recruitment of classical monocytes and neutrophil extravasation into the injured lungs, 34 and it can play an important role in intestinal ischemia–reperfusion (IIR)‐induced ALI 35 . Furthermore, the spleen coordinates interleukin (IL)‐6‐dependent IL‐10 production, which reduces lung injury during experimental acute kidney injury (AKI) 36 . Splenic factors also exacerbate severe acute pancreatitis (SAP)‐associated lung injury 30 …”
Section: Discussionmentioning
confidence: 99%
“…Spleen is involved in many diseases, including thrombosis, diabetes, lipid metabolism, malaria, acute kidney injury, sepsis, ischemic cardiomyopathy, and neuron immune disease. [4][5][6][7][8][9] The role of spleen in tumor progression is complex and uncertain. Tuftsin is a spleen-derived peptide, exhibiting obvious antitumor effect.…”
Section: Introductionmentioning
confidence: 99%