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(American Journal of Pathology. 2006;169:21-31.)
© 2006 American Society for Investigative Pathology
DOI: 10.2353/ajpath.2006.051195

Anomalous Renal Effects of Tin Protoporphyrin in a Murine Model of Sickle Cell Disease

Julio P. Juncos*, Joseph P. Grande{dagger}, Narayana Murali*, Anthony J. Croatt*, Luis A. Juncos*, Robert P. Hebbel{ddagger}, Zvonimir S. Katusic§ and Karl A. Nath*

From the Division of Nephrology and Hypertension,* the Department of Pathology,{dagger} and the Department of Anesthesiology and Molecular Pharmacology and Experimental Therapeutics,§ Mayo Clinic College of Medicine, Rochester, Minnesota; and the Vascular Biology Center and the Division of Hematology, Oncology, and Transplantation,{ddagger} University of Minnesota, Minneapolis, Minnesota

In human and murine models of sickle cell disease (SCD), heme oxygenase-1 (HO-1) is induced in the kidney, an organ commonly involved in SCD. The present study assessed the role of HO-1 by using a competitive inhibitor of HO activity, tin protoporphyrin (SnPP), in protocols affording a composite, clinically relevant analysis of the kidney in SCD under unstressed and stressed conditions. Whereas short-term administration of SnPP exerted comparable renal hemodynamic effects in wild-type and sickle mice, chronic administration of SnPP exerted divergent effects: SnPP provoked tubulointerstitial inflammation and up-regulation of injury-related genes in wild-type mice, whereas in sickle mice SnPP reduced expression of injury-related genes and vascular congestion without provoking tubulointerstitial inflammation. SnPP also protected against the heightened sensitivity to renal ischemia observed in sickle mice, preventing ischemia-induced worsening of renal injury in sickle mice above that observed in wild-type mice. Effective and comparable inhibition of HO activity by SnPP in wild-type and sickle mice was confirmed. These findings suggest that induction of HO-1, at least as assessed by this approach, may contribute to renal injury in this murine model of SCD and uncover an experimental maneuver that protects the kidney in murine SCD.





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