Original Articles

Endogenous Galectin-8 protects against Th17 infiltration and fibrosis following acute kidney injury

Endogenous Galectin-8 protects against Th17 infiltration and fibrosis following acute kidney injury

Elisa Perez-Moreno, Adely de la Peña, Tomás Toledo, Javiera Saez, Francisca Pérez-Molina, Sofía Espinoza, Claudia Metz, Nicole Díaz-Valdivia, Lorena Azócar, Carolina Prado, Rodrigo Pacheco, Fabian Segovia-Miranda, Alejandro S Godoy, Cristian A Amador, Teo Feuerhake, Alfonso González, Andrea Soza. Mol Med. 2025 May 16;31(1):192. PMID: 40375122

 

Acute kidney injury (AKI) is a serious clinical condition characterized by a rapid decline in renal function, often progressing to chronic kidney disease (CKD) and fibrosis. The endogenous mechanisms influencing kidney injury resolution or maladaptive repair remain poorly understood. Galectin-8 (Gal-8), a tandem-repeat β-galactoside-binding lectin, plays a role in epithelial cell proliferation, epithelial-mesenchymal transition, and immune regulation, all of which are critical in AKI outcomes. While exogenous Gal-8 administration has shown renoprotective effects, its endogenous role in kidney injury progression and resolution remains unclear.

A Successful Experience of Individualized Vancomycin Dosing in Critically Ill Patients by Using a Loading Dose and Maintenance Dose

A Successful Experience of Individualized Vancomycin Dosing in Critically Ill Patients by Using a Loading Dose and Maintenance Dose

Jorge S Amador, Álvaro Vega, Patricio Araos, Luis A Quiñones, Cristián A Amador.
Pharmaceuticals (Basel). 2025 May 2;18(5):677; PMID: 40430496.

 

Vancomycin, a hydrophilic glycopeptide antibiotic with bactericidal activity against Gram-positive microorganisms, is one of the most commonly used antibiotics un the intensive care unit (ICU). Different efforts have been made to achieve a therapeutically effective plasma concentration of vancomycin by using loading and subsequent maintenance doses on an individual basis, but this remains subject to debate. Our objective was to individualize a dosage regimen in a Chilean ICU to optimize the pharmacological treatment of vancomycin by using a population pharmacokinetic model

Renal Antigen-presenting cells from ANG II hypertensive donors transfer blood pressure and promote sodium retention

Renal Antigen-presenting cells from ANG II hypertensive donors transfer blood pressure and promote sodium retention

Patricio Araos, Pablo León, Ignacio Gallegos-Pérez, Carolina Schäfer, Richard García-Betancourt, Edison Salas-Huenuleo, Carolina Prado, Víctor Barrientos, Jessica Liberona, Tomohiro Kojimahara, Stefanny M Figueroa, Cristián A Amador, Leandro J Carreño, Marcelo J Kogan, Alexis A Gonzalez, Rodrigo Pacheco, Rodrigo Alzamora, Heddwen L Brooks, Luis Michea. Am J Physiol Renal Physiol. 2025; PMID: 40327323.

 

Antigen-presenting cells (APCs) are present in the renal interstitium and may modulate tubular function. We hypothesize that angiotensin II (Ang II) induces a pro-hypertensive phenotype in renal APCs, contributing to decreased natriuresis and hypertension. We evaluated the role of renal APCs as modulators of BP, in CD11c.DOG mice injected with diphtheria toxin (DT). Elimination of 70% of renal APCs by DT prevented the increase in BP, cardiac hypertrophy, decreased natriuresis, and NKCC2 activation. Secondly, we compared the effect of adoptive transfer of renal and splenic APCs on BP and natriuresis in wild type mice.

The Mineralocorticoid Receptor on Smooth Muscle Cells Promotes Tacrolimus-Induced Renal Injury in Mice

A preclinical mice model of multiple sclerosis based on the toxin-induced double-site demyelination of callosal and cerebellar fibers

Sebastián Vejar, Ignacio S. Pizarro, Raúl Pulgar-Sepúlveda, Sinay C. Vicencio, Andrés Polit, Cristian A. Amador, Rodrigo del Rio, Rodrigo Varas, Juan A. Orellana & Fernando C. Ortiz. Biological Research. 2024; 57:48.

 

Multiple sclerosis (MS) is an irreversible progressive CNS pathology characterized by the loss of myelin (i.e. demyelination). The lack of myelin is followed by a progressive neurodegeneration triggering symptoms as diverse as fatigue, motor, locomotor and sensory impairments and/or bladder, cardiac and respiratory dysfunction. Even though…

The Mineralocorticoid Receptor on Smooth Muscle Cells Promotes Tacrolimus-Induced Renal Injury in Mice

The Mineralocorticoid Receptor on Smooth Muscle Cells Promotes Tacrolimus-Induced Renal Injury in Mice

Figueroa S.M., Bertocchio J., Nakamura T., El-Moghrabi S., Jaisser F. and Amador C.A. Pharmaceutics. 2023; 15(5):1373.

 

Tacrolimus (Tac) is a calcineurin inhibitor commonly used as an immunosuppressor after solid organ transplantation. However, Tac may induce hypertension, nephrotoxicity, and an increase in aldosterone levels. The activation of the mineralocorticoid receptor (MR) is related to the proinflammatory status at the renal level. It modulates the vasoactive response as they are expressed on vascular smooth muscle cells…

α-Ketoglutarate Upregulates Collecting Duct (Pro)renin Receptor Expression, Tubular Angiotensin II Formation, and Na+ Reabsorption During High Glucose Conditions

α-Ketoglutarate Upregulates Collecting Duct (Pro)renin Receptor Expression, Tubular Angiotensin II Formation, and Na+ Reabsorption During High Glucose Conditions

Guerrero A., Visniauskas B., Cárdenas P., Figueroa S.M., Vivanco J., Salinas-Parra N., Araos P., Nguyen Q.M., Kassan M., Amador C.A., Prieto M.C. and Gonzalez A.A. Frontiers in Cardiovascular Medicine. 2021; 8:644797.

 

Diabetes mellitus (DM) causes high glucose (HG) levels in the plasma and urine. The (pro)renin receptor (PRR) is a key regulator of renal Na+ handling. PRR is expressed in intercalated (IC) cells of the collecting duct (CD) and binds renin to promote angiotensin (Ang) II formation, thereby contributing to Na+ reabsorption. In DM, the Kreb’s cycle is in a state of suppression in most tissues. However, …

Upregulation of Cortical Renin and Downregulation of Medullary (Pro) Renin Receptor in Unilateral Ureteral Obstruction

Upregulation of Cortical Renin and Downregulation of Medullary (Pro) Renin Receptor in Unilateral Ureteral Obstruction

Figueroa S.M., Lozano M., Lobos C., Hennrikus M.T., Gonzalez A.A., Amador C.A. Frontiers in Pharmacology. 2019; 14(10):1314. PMID: 31803050

 

Chronic kidney disease (CKD) is characterized by renal dysfunction, which is a common feature of other major diseases, such as hypertension and diabetes. Unilateral ureteral obstruction (UUO) has been used as a model of CKD in experimental animals and consists of total obstruction of one kidney ureter. The UUO decreases renal blood flow, which promotes the synthesis of renin in the juxtaglomerular apparatus…

Dendritic cells are crucial for cardiovascular remodeling and modulate neutrophil gelatinase- associated lipocalin expression upon mineralocorticoid receptor activation

Dendritic cells are crucial for cardiovascular remodeling and modulate neutrophil gelatinase- associated lipocalin expression upon mineralocorticoid receptor activation

Araos P., Prado C., Lozano M., Figueroa S., Espinoza A., Berger T., Mak T., Jaisser F., Pacheco R., Michea L., Amador C.A. Journal of Hypertension. 2019; 37(7):1482-1492. PMID: 31033725

 

Adaptive immunity is crucial in cardiovascular and renal inflammation/fibrosis upon hyperactivation of mineralocorticoid receptor. We have previously demonstrated that dendritic cells can respond to mineralocorticoid receptor activation, and the neutrophil gelatinase-associated lipocalin (NGAL) in dendritic cells is highly increased during aldosterone (Aldo)/mineralocorticoid receptor-dependent cardiovascular damage…

Deletion of mineralocorticoid receptors in smooth muscle cells blunts renal vascular resistance following acute cyclosporine administration

Deletion of mineralocorticoid receptors in smooth muscle cells blunts renal vascular resistance following acute cyclosporine administration

Amador C., Bertocchio J.P., André-Grégoire G., Placier S., Duong Van Huyen J.P., El Moghrabi S., Berger S., Warnock D., Chatziantoniou C., Jaffe I., Rieu P., Jaisser F.. Kidney International. 2016; 89(2): 354-62. PMID: 26422501

 

Calcineurin inhibitors such as cyclosporine A (CsA) are still commonly used after renal transplantation, despite CsA–induced nephrotoxicity (CIN), which is partly related to vasoactive mechanisms. The mineralocorticoid receptor (MR) is now recognized as a key player in the control of vascular tone, and both endothelial cell- and vascular smooth muscle cell (SMC)-MR modulate the vasoactive responses to vasodilators and …

Spironolactone decreases DOCA-salt-induced organ damage by blocking the activation of T helper 17 and the downregulation of regulatory T lymphocytes.

Spironolactone decreases DOCA-salt-induced organ damage by blocking the activation of T helper 17 and the downregulation of regulatory T lymphocytes.

Amador C.A., Barrientos V., Peña J., Herrada A.A., González M., Valdés S., Carrasco L., Alzamora R., Figueroa F., Kalergis A.M., Michea L. Hypertension. 2014; 63(4): 797-803. PMID: 24420551

 

Adaptive immune response has been implicated in inflammation and fibrosis as a result of exposure to mineralocorticoids and a high-salt diet. We hypothesized that in mineralocorticoid-salt–induced hypertension, activation of the mineralocorticoid receptor alters the T-helper 17 lymphocyte (Th17)/regulatory T-lymphocyte/interleukin-17 (IL-17) pathway, contributing to cardiac and renal damage. We studied the …

Neutrophil Gelatinase–Associated Lipocalin, a Novel Mineralocorticoid Biotarget, Mediates Vascular Profibrotic Effects of Mineralocorticoids

Neutrophil Gelatinase–Associated Lipocalin, a Novel Mineralocorticoid Biotarget, Mediates Vascular Profibrotic Effects of Mineralocorticoids

Tarjus A., Martínez E., Amador C., Latouche C., El Moghrabi S., Berger T., Wah Mak T., Fay R., Farman N., Rossignol P., Zannad F., López N., Jaisser F. Hypertension. 2015; 66(1): 158-66. PMID: 25987661

 

Activation of the mineralocorticoid receptor has been shown to be deleterious in cardiovascular diseases (CVDs). We have recently shown that lipocalin 2 (Lcn2), or neutrophil gelatinase–associated lipocalin (NGAL), is a primary target of aldosterone/mineralocorticoid receptor in the cardiovascular system. Lcn2 is a circulating protein, which binds matrix metalloproteinase 9 and modulates its stability. We hypothesized that Lcn2 could be a mediator of …

Neutrophil Gelatinase-Associated Lipocalin from immune cells is mandatory for aldosterone-induced cardiac remodeling and inflammation

Neutrophil Gelatinase-Associated Lipocalin from immune cells is mandatory for aldosterone-induced cardiac remodeling and inflammation

Buonafine M., Martínez-Martínez E., Amador C, Gravez B., Ibarrola J., Fernández-Celis A., El Moghrabi S., Rossignol P., López-Andrés N., Jaisser F. Journal of Molecular and Cellular Cardiology. 2018; 115:32-38. PMID: 29289651.

 

Immune system activation is involved in cardiovascular (CV) inflammation and fibrosis, following activation of the mineralocorticoid receptor (MR). We previously showed that Neutrophil Gelatinase-Associated Lipocalin (NGAL) is a novel target of MR signaling in CV tissue and plays a critical role in aldosterone/MR-dependent hypertension and fibrosis. We hypothesized that the production of NGAL by immune cells may play an important part in the …

Myeloid CD11c+ Antigen-Presenting Cells Ablation Prevents Hypertension in Response to Angiotensin II Plus High-Salt Diet.

Myeloid CD11c+ Antigen-Presenting Cells Ablation Prevents Hypertension in Response to Angiotensin II Plus High-Salt Diet.

Hevia D., Araos P., Prado C., Fuentes Luppichini E., Rojas M., Alzamora R., Cifuentes-Araneda F., González A., Amador C.A., Pacheco R., Michea L. Hypertension. 2018; 71(4):709-718. PMID: 29378857.

 

Increasing evidence shows that antigen-presenting cells (APCs) are involved in the development of inflammation associated to hypertension. However, the potential role of APCs in the modulation of renal sodium transport has not been addressed. We hypothesized that APCs participate in renal sodium transport and, thus, development of high blood pressure in response to angiotensin II plus a high-salt diet. Using transgenic mice that allow the …

Aldosterone Promotes Autoimmune Damage by Enhancing Th17-Mediated Immunity

Aldosterone Promotes Autoimmune Damage by Enhancing Th17-Mediated Immunity

Herrada A.A., Contreras F.J., Marini N.P., Amador C.A., González P.A., Cortés C.M., Riedel C.A., Carvajal C.A., Figueroa F., Michea L.F., Fardella C.E., Kalergis A.M. J Immunol. 2010; 184(1): 191-202. PMID: 19949098

 

Excessive production of aldosterone leads to the development of hypertension and cardiovascular disease by generating an inflammatory state that can be promoted by T cell immunity. Because nature and intensity of T cell responses is controlled by dendritic cells (DCs), it is important to evaluate whether the function of these cells can be modulated by aldosterone. In this study we show that aldosterone augmented the activation of …