ꢃffect of insulin-loaded linear Pꢃg-b-(Pꢃꢂg-g-Pꢂꢂ)
3
4
. Faubel S. Pulmonary complications after acute kidney injury. Adv
Chronic Kidney Dis. 2008;15:284–296.
degradation in the body and can reinforce efficacy, and reduce
dosage and side effects. In addition, PEG-b-(PELG-g-PLL)
can increase the stability of insulin in circulation. This study
reveals that PEG-b-(PELG-g-PLL) treatment significantly
protects lung against RI/R-induced injury in rats, compared
to free insulin. In summary, our current study shows that
insulin and insulin/PEG-b-(PELG-g-PLL) pretreatment can
provide lung protection after RI/R-induced injury through
downregulating HIF, whereas insulin/PEG-b-(PELG-g-PLL)
significantly improves this effect.
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vival and renal recovery in critically ill patients with severe acute renal
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5
6
7
2
006;17:604–606.
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NF-κB and increases TNF-α bioactivity in the kidney. J Urol. 2000;163:
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8
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Early kidney TNF-α expression mediates neutrophil infiltration
and injury after renal ischemia-reperfusion. Am J Physiol. 1999;
Conclusion
2
77:R922–R929.
The synthesized block copolymer PEG-b-(PELG-g-PLL)
can significantly improve the bioactivity of insulin. The
observed protective effect can be attributed to the antioxida-
tive stress and the modulation of HIF activation by insulin/
PEG-b-(PELG-g-PLL) in rats as compared to free insulin.
Administration of insulin or insulin/PEG-b-(PELG-g-PLL)
demonstrated protective effect against RI/R-induced pulmo-
nary injury through improving renal function and decreasing
the level of MDA, TNF-α, the activity of MPO, downregulat-
ing the expression of HIF-1α and VEGF, and increasing the
activity of SOD, while significantly improving the protec-
tive effect. More detailed studies are required to explore the
underlying mechanism of insulin/PEG-b-(PELG-g-PLL) on
RI/R-induced pulmonary injury in rats.
9. Oztay F, Kara-Kisla B, Orhan N, Yanardag R, Bolkent S. The protective
effects of prostaglandin E1 on lung injury following renal ischemia-
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Hippel-Lindau ubiquitylation complex by O regulated prolyl hydroxy-
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is a basic-helix-loop-helix-PAS heterodimer regulated by cellular O2
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myeloid cell-mediated inflammation. Cell. 2003;112(5):645–657.
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protein VHL targets hypoxia-inducible factors for oxygen-dependent
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1
6. Burke B, Tang N, Corke KP, et al. Expression of HIF-1α by human
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Acknowledgments
This work was financially supported by the National Natural
Science Foundation of China (50973058) and the Department
of Education, Guangdong Government under the Top-tier
University Development Scheme for Research and Control
of Infectious Diseases.
1
7. Hollander AP, Corke KP, Freemont AJ, Lewis CE. Expression of
hypoxia-inducible factor 1α by macrophages in the rheumatoid syn-
ovium: implications for targeting of therapeutic genes to the inflamed
joint. Arthritis Rheum. 2001;44:1540–1544.
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of the hypoxia-inducible factors HIF-1α and HIF-2α in normal human
tissues, cancers, and tumor-associated macrophages. Am J Pathol. 2000;
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57:411–421.
Author contributions
19. Melin J, Hellberg O, Larsson E, Zezina L, Fellstrom BC. Protective effect
of insulin on ischemia renal injury in diabetes mellitus. Kidney Int. 2002;
All authors contributed toward data analysis, drafting and
critically revising the paper, gave final approval of the ver-
sion to be published, and agree to be accountable for all
aspects of the work.
6
1:1383–1392.
20. InceBW.Plasmaclearancekineticsofunlabeledbovineinsulininrainbow
trout (Salmo gairdneri). Gen Comp Endocrinol. 1982;46:463–472.
2
1. Li Z, Wang Y. Effect of NADPH oxidase inhibitor-apocynin on the
expressionofSrchomology-2domain-containingphosphatase-1(SHP-1)
exposed renal ischemia/reperfusion injury in rats. Toxicology Rep. 2015;
2
:1111–1116.
Disclosure
The authors report no conflicts of interest in this work.
2
2. Jiang Y, Zhou Z, Meng QT, et al. Ginsenoside Rb1 treatment attenuates
pulmonary inflammatory cytokine release and tissue injury following
intestinal ischemia reperfusion injury in mice. Oxid Med Cell Longev.
2
015;2015:843721.
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