Sepsis is the major cause of
acute kidney injury (AKI) in severely ill patients, but only limited therapeutic options are available. During
sepsis,
lipopolysaccharide (LPS), an
endotoxin derived from bacteria, activates signaling cascades involved in inflammatory responses and tissue injury.
Apamin is a component of
bee venom and has been shown to exert antioxidative, antiapoptotic, and anti-inflammatory activities. However, the effect of
apamin on LPS-induced AKI has not been elucidated. Here, we show that
apamin treatment significantly ameliorated renal dysfunction and histological injury, especially tubular injury, in LPS-injected mice.
Apamin also suppressed LPS-induced oxidative stress through modulating the expression of
nicotinamide adenine dinucleotide phosphate oxidase 4 and
heme oxygenase-1. Moreover, tubular cell apoptosis with
caspase-3 activation in LPS-injected mice was significantly attenuated by
apamin.
Apamin also inhibited
cytokine production and immune cell accumulation, suppressed
toll-like receptor 4 pathway, and downregulated vascular adhesion molecules. Taken together, these results suggest that
apamin ameliorates LPS-induced renal injury through inhibiting oxidative stress, apoptosis of tubular epithelial cells, and
inflammation.
Apamin might be a potential therapeutic option for septic AKI.