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Publication : Urinary L-type fatty acid-binding protein can reflect renal tubulointerstitial injury.

First Author  Tanaka T Year  2009
Journal  Am J Pathol Volume  174
Issue  4 Pages  1203-11
PubMed ID  19264908 Mgi Jnum  J:147087
Mgi Id  MGI:3839207 Doi  10.2353/ajpath.2009.080511
Citation  Tanaka T, et al. (2009) Urinary L-type fatty acid-binding protein can reflect renal tubulointerstitial injury. Am J Pathol 174(4):1203-11
abstractText  This study aimed to elucidate the role of L-type fatty acid-binding protein (L-FABP) in renal tubulointerstitial injury using a mouse adenine-induced renal injury model. C57BL/6 mice fed excess dietary adenine for 6 weeks showed a gradual increase in levels of blood urea nitrogen (BUN). They also showed severe tubulointerstitial pathological findings, such as fibrosis and macrophage infiltration without glomerular damage, which were attenuated by treatment with either allopurinol or Y-700, a new xanthine dehydroxygenase inhibitor. Because renal expression of L-FABP is defective in C57BL/6 mice, human L-FABP transgenic mice were fed an adenine-containing diet. Transgenic mice showed lower BUN levels and lower levels of pathological injury compared with wild-type mice. On the other hand, urinary levels and renal expression of L-FABP in the adenine group was significantly increased and attenuated by treatment with either allopurinol or Y-700. Urinary L-FABP was positively correlated with BUN levels and pathological damages in the tubulointerstitium. No increases in urinary protein, albumin, or N-acetyl-beta-D-glucosaminidase levels were found for 6 weeks in any group. In conclusion, we demonstrated that urinary L-FABP levels can be used to monitor both dynamics and drug responses in a mouse adenine-induced tubulointerstitial injury model.
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