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Peer-reviewedCC BYAntioxidants (Basel, Switzerland)

Low Molecular Weight Dextran Sulfate Mitigates Acute Kidney Injury Induced by Renal Ischemia/Reperfusion: Implication of JNK/p38 MAPK and Caspase-3.

2 more authors
  1. 1Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, P.O. Box 2457, Riyadh 11451, Saudi Arabia.
  2. 2Department of Pharmaceutical Chemistry, College of Pharmacy, King Saud University, P.O. Box 2457, Riyadh 11451, Saudi Arabia.
  3. 3Experimental Surgery and Animal Lab, Prince Naif for Health Research Center (PNHRC), College of Medicine, King Saud University, P.O. Box 2925, Riyadh 11451, Saudi Arabia.

Abstract

Renal ischemia/reperfusion injury (RI/RI) is one of the major causes of acute kidney injury (AKI). Low molecular weight-dextran sulphate (LMW-DS) is a bioactive polysaccharide with anti-inflammatory and cytoprotective properties. This study investigated the nephroprotective potential of LMW-DS against the RI/RI. RI/RI rat model underwent surgery that involved a complete bilateral clamping of renal hila for 30 min, followed by unclamping for 30 min. LMW-DS (5 mg/kg, s.c.) was injected 5 min before unclamping. After 24 h, kidneys were collected for biochemical, histopathological, and immunohistochemical examinations. RI/RI dramatically induced renal deterioration, as reflected by marked elevation in the levels of renal oxidative stress, tumor necrosis factor-α, interleukin-6, and toll-like receptor-4, indicating lipid peroxidation and inflammatory response. Furthermore, RI/RI caused upregulation of kidney injury molecule-1 and neutrophil gelatinase-associated lipocalin. Additionally, morphological alterations and collagen deposition were also detected in kidney tissues. The immunohistochemical analysis revealed a strong positive immunoreaction for p38 mitogen-activated protein kinase, c-Jun N-terminal kinase, and caspase-3. Treatment with LMW-DS produced a pronounced amelioration in the altered parameters induced by RI/RI. In conclusion, LMW-DS exerts nephroprotective effects against RI/RI by restoring redox balance, suppressing inflammatory signaling, JNK/p38 MAPK, and caspase-3, highlighting its potential as a therapeutic strategy for renal I/R-induced AKI.

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BibTeX
@article{alamri2026molecular,
  title = {{Low Molecular Weight Dextran Sulfate Mitigates Acute Kidney Injury Induced by Renal Ischemia/Reperfusion: Implication of JNK/p38 MAPK and Caspase-3.}},
  author = {Nadrah S Alamri and Ahlam M Alhusaini and Wedad S Sarawi and Hala A Attia and Iman H Hasan and Alia O Alshabanah and Ragad A Alharajeen and Ahmed A Altuwaijri and Faris A Almutairi and Hanaa M Altuwaijri and Dalal A Alkhelb and Sahar S Alotaibi and Abdullah Y Almubarak and Yasser A Alshawakir},
  journal = {Antioxidants (Basel, Switzerland)},
  year = {2026},
  month = sep,
  doi = {10.3390/antiox15101238},
  url = {https://europepmc.org/article/MED/42939812},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Low Molecular Weight Dextran Sulfate Mitigates Acute Kidney Injury Induced by Renal Ischemia/Reperfusion: Implication of JNK/p38 MAPK and Caspase-3.
AU  - Nadrah S Alamri
AU  - Ahlam M Alhusaini
AU  - Wedad S Sarawi
AU  - Hala A Attia
AU  - Iman H Hasan
AU  - Alia O Alshabanah
AU  - Ragad A Alharajeen
AU  - Ahmed A Altuwaijri
AU  - Faris A Almutairi
AU  - Hanaa M Altuwaijri
AU  - Dalal A Alkhelb
AU  - Sahar S Alotaibi
AU  - Abdullah Y Almubarak
AU  - Yasser A Alshawakir
PY  - 2026
DA  - 2026/09/25
JO  - Antioxidants (Basel, Switzerland)
DO  - 10.3390/antiox15101238
UR  - https://europepmc.org/article/MED/42939812
AB  - Renal ischemia/reperfusion injury (RI/RI) is one of the major causes of acute kidney injury (AKI). Low molecular weight-dextran sulphate (LMW-DS) is a bioactive polysaccharide with anti-inflammatory and cytoprotective properties. This study investigated the nephroprotective potential of LMW-DS against the RI/RI. RI/RI rat model underwent surgery that involved a complete bilateral clamping of renal hila for 30 min, followed by unclamping for 30 min. LMW-DS (5 mg/kg, s.c.) was injected 5 min before unclamping. After 24 h, kidneys were collected for biochemical, histopathological, and immunohistochemical examinations. RI/RI dramatically induced renal deterioration, as reflected by marked elevation in the levels of renal oxidative stress, tumor necrosis factor-α, interleukin-6, and toll-like receptor-4, indicating lipid peroxidation and inflammatory response. Furthermore, RI/RI caused upregulation of kidney injury molecule-1 and neutrophil gelatinase-associated lipocalin. Additionally, morphological alterations and collagen deposition were also detected in kidney tissues. The immunohistochemical analysis revealed a strong positive immunoreaction for p38 mitogen-activated protein kinase, c-Jun N-terminal kinase, and caspase-3. Treatment with LMW-DS produced a pronounced amelioration in the altered parameters induced by RI/RI. In conclusion, LMW-DS exerts nephroprotective effects against RI/RI by restoring redox balance, suppressing inflammatory signaling, JNK/p38 MAPK, and caspase-3, highlighting its potential as a therapeutic strategy for renal I/R-induced AKI.
SN  - 2076-3921
ER  -