Estrogen protects renal endothelial barrier function from ischemia-reperfusion in vitro and in vivo

Am J Physiol Renal Physiol. 2012 Aug 1;303(3):F377-85. doi: 10.1152/ajprenal.00354.2011. Epub 2012 May 23.

Abstract

Emerging evidence suggests that renal endothelial function may be altered in ischemia-reperfusion injury. Acute kidney injury is sexually dimorphic, and estrogen protects renal tubular function after experimental ischemic injury. This study tested the hypothesis that during ischemia-reperfusion, estrogen alters glomerular endothelial function to prevent hyperpermeability. Glomerular endothelial cells were exposed to 8-h oxygen-glucose deprivation (OGD) followed by 4- and 8-h reoxygenation-glucose repletion. After 4-h reoxygenation-glucose repletion, transendothelial permeability to Ficoll-70 was reduced, and transendothelial resistance increased, by 17β-estradiol vs. vehicle treatment during OGD (OGD-vehicle: 91.0 ± 11.8%, OGD-estrogen: 102.6 ± 10.8%, P < 0.05). This effect was reversed by coadministration of G protein-coupled receptor 30 (GPR30) antagonist G15 with 17β-estradiol (OGD-estrogen-G15: 89.5 ± 6.9, P < 0.05 compared with 17β-estradiol). To provide preliminary confirmation of this result in vivo, Ficoll-70 was administered to mice 24 h after cardiac arrest and cardiopulmonary resuscitation (CA/CPR). Blood urea nitrogen (BUN) and serum creatinine (SCr) in these mice were elevated within 12 h following CA/CPR and reduced at 24 h by pretreatment with 17β-estradiol (BUN/SCr 17β-estradiol: 34 ± 19/0.2 ± 0.1 vehicle: 92 ± 49/0.5 ± 0.3, n = 8-12, P < 0.05). Glomerular sieving of Ficoll 70 was increased by CA/CPR within 2 h of injury and 17β-estradiol treatment (θ; 17β-estradiol: 0.74 ± 0.26 vs. vehicle: 1.05 ± 0.53, n = 14-15, P < 0.05). These results suggest that estrogen reduces postischemic glomerular endothelial hyperpermeability at least in part through GPR30 and that estrogen may regulate post CA/CPR glomerular permeability in a similar fashion in vivo.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Cell Line
  • Endothelium / drug effects
  • Endothelium / metabolism*
  • Estradiol / pharmacology
  • Estrogens / pharmacology*
  • Female
  • Fibronectins / metabolism
  • Fluorescein-5-isothiocyanate
  • Fluorescent Dyes
  • Glomerular Filtration Barrier / drug effects*
  • Glucose / deficiency
  • Hypoxia / metabolism
  • Kidney / drug effects
  • Kidney / metabolism*
  • Kidney Glomerulus / drug effects
  • Kidney Glomerulus / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Ovariectomy
  • Real-Time Polymerase Chain Reaction
  • Receptors, Estrogen / metabolism
  • Reperfusion Injury / metabolism
  • Reperfusion Injury / prevention & control*

Substances

  • Estrogens
  • Fibronectins
  • Fluorescent Dyes
  • Receptors, Estrogen
  • Estradiol
  • Fluorescein-5-isothiocyanate
  • Glucose