Remdesivir Inhibits Tubulointerstitial Fibrosis in Obstructed Kidneys

Aim: Kidney impairment is observed in patients with COVID-19. The effect of anti-COVID-19 agent remdesivir on kidneys is currently unknown. We aimed to determine the effect of remdesivir on renal fibrosis and its downstream mechanisms.Methods: Remdesivir and its active nucleoside metabolite GS-44152...

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Main Authors: Lin Xu (Author), Bo Tan (Author), Di Huang (Author), Meijie Yuan (Author), Tingting Li (Author), Ming Wu (Author), Chaoyang Ye (Author)
Format: Book
Published: Frontiers Media S.A., 2021-07-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Lin Xu  |e author 
700 1 0 |a Lin Xu  |e author 
700 1 0 |a Lin Xu  |e author 
700 1 0 |a Lin Xu  |e author 
700 1 0 |a Bo Tan  |e author 
700 1 0 |a Di Huang  |e author 
700 1 0 |a Di Huang  |e author 
700 1 0 |a Di Huang  |e author 
700 1 0 |a Di Huang  |e author 
700 1 0 |a Meijie Yuan  |e author 
700 1 0 |a Meijie Yuan  |e author 
700 1 0 |a Tingting Li  |e author 
700 1 0 |a Tingting Li  |e author 
700 1 0 |a Ming Wu  |e author 
700 1 0 |a Ming Wu  |e author 
700 1 0 |a Ming Wu  |e author 
700 1 0 |a Ming Wu  |e author 
700 1 0 |a Chaoyang Ye  |e author 
700 1 0 |a Chaoyang Ye  |e author 
700 1 0 |a Chaoyang Ye  |e author 
700 1 0 |a Chaoyang Ye  |e author 
245 0 0 |a Remdesivir Inhibits Tubulointerstitial Fibrosis in Obstructed Kidneys 
260 |b Frontiers Media S.A.,   |c 2021-07-01T00:00:00Z. 
500 |a 1663-9812 
500 |a 10.3389/fphar.2021.626510 
520 |a Aim: Kidney impairment is observed in patients with COVID-19. The effect of anti-COVID-19 agent remdesivir on kidneys is currently unknown. We aimed to determine the effect of remdesivir on renal fibrosis and its downstream mechanisms.Methods: Remdesivir and its active nucleoside metabolite GS-441524 were used to treat TGF-β stimulated renal fibroblasts (NRK-49F) and human renal epithelial (HK2) cells. Vehicle or remdesivir were given by intraperitoneal injection or renal injection through the left ureter in unilateral ureteral obstruction (UUO) mice. Serum and kidneys were harvested. The concentrations of remdesivir and GS-441524 were measured using LC-MS/MS. Renal and liver function were assessed. Renal fibrosis was evaluated by Masson's trichrome staining and Western blotting.Results: Remdesivir and GS-441524 inhibited the expression of fibrotic markers (fibronectin and aSMA) in NRK-49F and HK2 cells. Intraperitoneal injection or renal injection of remdesivir attenuated renal fibrosis in UUO kidneys. Renal and liver function were unchanged in remdesivir treated UUO mice. Two remdesivir metabolites were detected after injection. Phosphorylation of Smad3 that was enhanced in cell and animal models for renal fibrosis was attenuated by remdesivir. In addition, the expression of Smad7, an anti-fibrotic factor, was increased after remdesivir treatment in vitro and in vivo. Moreover, knockdown of Smad7 blocked the antifibrotic effect of GS and RDV on renal cells.Conclusion: Remdesivir inhibits renal fibrosis in obstructed kidneys. 
546 |a EN 
690 |a remdesivir (GS-5734) 
690 |a renal fibrosis 
690 |a COVID-19 
690 |a CKD-chronic kidney disease 
690 |a obstructed kidneys 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pharmacology, Vol 12 (2021) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fphar.2021.626510/full 
787 0 |n https://doaj.org/toc/1663-9812 
856 4 1 |u https://doaj.org/article/053e53f3f1cb41c4a8ce80decb6389d1  |z Connect to this object online.