Acute kidney injury and inflammatory response of sepsis following cecal ligation and puncture in d-galactose-induced aging rats.
BACKGROUND
Recently, the d-galactose (d-gal)-induced mimetic aging rat model has been widely used in studies of age-associated diseases, which have shown that chronic d-gal exposure induces premature aging similar to natural aging in rats. With the increasing rate of sepsis in the geriatric population, an easy-access animal model for preclinical studies of elderly sepsis is urgently needed. This study investigates whether a sepsis model that is established in d-gal-induced aging rats can serve as a suitable model for preclinical studies of elderly patients with sepsis.


OBJECTIVE
To investigate the acute kidney injury (AKI) and inflammatory response of sepsis following cecal ligation and puncture (CLP) in d-gal-induced aging rats.


METHODS
Twelve-week-old male Sprague Dawley rats were divided into low-dose d-gal (L d-gal, 125 mg/kg/d), high-dose d-gal (H d-gal, 500 mg/kg/d), and control groups. After daily subcutaneous injection of d-gal for 6 weeks, the CLP method was used to establish a sepsis model.


RESULTS
The mortality was 73.3%, 40%, and 33.3% in the H d-gal, L d-gal, and control groups, respectively. Blood urea nitrogen, creatinine, plasma neutrophil gelatinase-associated lipocalin, interleukin-6, interleukin-10, and tumor necrosis factor-α were markedly increased in the H d-gal group after establishment of the sepsis model (H d-gal vs control, P<0.05 at 12 h and 24 h post-CLP). The rate of severe AKI (RIFLE-F) at 24 h post-CLP was 43% for both the control and L d-gal groups and 80% for the H d-gal group.


CONCLUSION
High-dose- d-gal-induced aging rats are more likely to die from sepsis than are young rats, and probably this is associated with increased severity of septic AKI and an increased inflammatory response. Therefore, use of the high-dose- d-gal-induced aging rat model of sepsis for preclinical studies can provide more useful information for the treatment of sepsis in elderly patients.
['Liu|Chao|C|', 'Hu|Jie|J|', 'Mao|Zhi|Z|', 'Kang|Hongjun|H|', 'Liu|Hui|H|', 'Fu|Wanlei|W|', 'Lv|Yangfan|Y|', 'Zhou|Feihu|F|']
D058186:Acute Kidney Injury D000375:Aging D000818:Animals D001921:Brain D002432:Cecum D017626:Cochlear Nucleus D003404:Creatinine D004195:Disease Models, Animal D005690:Galactose D008026:Ligation D008297:Male D019255:NADPH Oxidases D051381:Rats D017207:Rats, Sprague-Dawley D018805:Sepsis
acute kidney injury inflammatory response cecal ligation and puncture aging rat d-galactose