Abstract:
Objective To investigate whether complement C3 is involved in the process of post-injury fibrosis after ischemia-reperfusion induced acute kidney injury(IR-AKI). Methods The IR-AKI and post-injury fibrosis model was established by left renal artery clamping with micro-arterial clip for 30 minutes, and resecting the right kidney one week later in C57 BL/6 mice. Fifty successful mice were randomly divided into 5 groups to detect the concentrations of complement C3, interleukin(IL) 1, IL-6 and transforming growth factor(TGF)-β
1 and the protein expression of these indexes in renal tissue by enzyme-linked immunosorbent assay(ELISA) and Western blot on day 0, 3, 7, 14 and 28 respectively. In addition, twenty C57 BL/6 mice and twenty gender-and age-matched complement C3 knockout(C3
-/-) mice were randomly divided into IR-AKI and post-injury fibrosis(chronic kidney disease, CKD) group and sham-operation group respectively, namely C57 BL/6-AKI-CKD group, C3
-/--AKI-CKD group, C57 BL/6-sham group, C3
-/--sham group. In the sham group, only the left renal artery were isolated without blocking the blood flow.After 28 days, the 24 h urine protein, serum creatinine(Scr) and blood urea nitrogen(BUN) were detected; HE and Masson staining were performed to observe glomerulus, renal tubules and renal fibrosis; the concentrations of complement C3, IL-1, IL-6 and TGF-β
1 of renal tissue were measured by ELISA, and the expression of complement C3, IL-1, IL-6, and TGF-β
1 protein were detected by Western blot. Results After AKI, the expression of renal complement C3, IL-1, IL-6 and TGF-β
1 increased in a time-dependent manner and reached to the peak on the 7 th day. Compared with the sham group, on the 28 th day, the ScrC57 BL/6-sham(8.05±1.06) vs C57 BL/6-AKI-CKD(25.35±3.02) vs C3
-/--sham(7.96±1.09) vs C3
-/--AKI-CKD(16.94±1.89)μmol/L, F=210.72, P<0.01, BUN and urine protein levels in C57 BL/6-AKI-CKD group and C3
-/--AKI-CKD group increased, and the levels of renal complement C3, IL-1, IL-6 and TGF-β
1 increased, and the renal fibrosis was obvious. Compared with the C57 BL/6-AKI-CKD group, on Day 28, the levels of Scr, BUN and urinary protein in the C3
-/--AKI-CKD group were decreased, the levels of complement C3, IL-1, IL-6 and TGF-β
1 in the C3
-/--AKI-CKD group significantly declined, glomerular mesangial hyperplasia, glomerular sclerosis and kidney tubulointerstitial scores in the C3
-/--AKI-CKD group substantially decreased, the glomerular, renal tubule and renal interstitial collagen area in the C3
-/--AKI-CKD group decreased(all P<0.05). Conclusion Complement C3 participates in inflammation and post-injury fibrosis after IR-AKI.