EFFECTS OF DIFELIKEFALIN ON INFLAMMATORY RESPONSES AND RENAL DYSFUNCTION IN A RAT MODEL OF RENAL ISCHEMIA–REPERFUSION-INDUCED ACUTE KIDNEY INJURY

 

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https://storage.unitedwebnetwork.com/files/1099/2cf3a3c5bf6693323b94c4c2e9783db8.pdf
EFFECTS OF DIFELIKEFALIN ON INFLAMMATORY RESPONSES AND RENAL DYSFUNCTION IN A RAT MODEL OF RENAL ISCHEMIA–REPERFUSION-INDUCED ACUTE KIDNEY INJURY

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Hiroto
Takeuchi
Hiroto Takeuchi hiroto_takeuchi@pharm.kissei.co.jp Kissei Pharmaceutical Co., Ltd. Central Research Labratory Azumino Japan *
Satoshi Tatemichi satoshi_tatemichi@pharm.kissei.co.jp Kissei Pharmaceutical Co., Ltd. Central Research Labratory Azumino Japan -
Yuji Okuhara yuji_okuhara@pharm.kissei.co.jp Kissei Pharmaceutical Co., Ltd. Safety Research Laboratory Azumino Japan -
Yoshimi Tsukahara yoshimi_tsukahara@pharm.kissei.co.jp Kissei Pharmaceutical Co., Ltd. Safety Research Laboratory Azumino Japan -
Ayaka Yokoyama ayaka_yokoyama@pharm.kissei.co.jp Kissei Pharmaceutical Co., Ltd. Safety Research Laboratory Azumino Japan -
Sumiyoshi Kiguchi sumiyoshi_kiguchi@pharm.kissei.co.jp Kissei Pharmaceutical Co., Ltd. Central Research Labratory Azumino Japan -
Shigeru Nakano shigeru_nakano@pharm.kissei.co.jp Kissei Pharmaceutical Co., Ltd. Central Research Labratory Azumino Japan -
Fumiki Oana fumiki_oana@pharm.kissei.co.jp Kissei Pharmaceutical Co., Ltd. Central Research Labratory Azumino Japan -
Itaru Maruyama itaru_maruyama@pharm.kissei.co.jp Kissei Pharmaceutical Co., Ltd. Central Research Labratory Azumino Japan -
Morimichi Hayashi morimichi_hayashi@pharm.kissei.co.jp Kissei Pharmaceutical Co., Ltd. Safety Research Laboratory Azumino Japan -
 
 
 
 
 

This study evaluated the effects of difelikefalin, a kappa opioid receptor (KOR) agonist, on the inflammatory response and renal dysfunction in a rat model of acute kidney injury induced by renal ischemia–reperfusion (I/R) injury, and compared it with other KOR agonists.

One week after right nephrectomy, rats received one of three drugs (difelikefalin [0.001, 0.01, 0.1 mg/kg, intravenous injection], nalfurafine hydrochloride [0.1, 1 mg/kg, oral administration], or U-50488H [1 mg/kg, intravenous injection]). Thirty minutes later, ischemia was induced in the left kidney by clamping its artery and vein for 45 min. Rats were then transferred to metabolic cages for 24-hour urine collection, and blood was taken at the 24-hour time point. Renal function (blood urea nitrogen [BUN], serum creatinine [SCr], and creatinine clearance [CCr]) and the levels of 23 serum cytokines (IL-1α, IL-1β, IL-2, IL-4, IL-5, IL-6, IL-7, IL-10, IL-12, IL-13, IL-17, IL-18, G-CSF, M-CSF, GM-CSF, IFN-γ, TNF-α, GRO/KC, MCP-1, MIP-1α, MIP-3α, RANTES, and VEGF) were assessed, as well as the histopathological evaluation of renal tubular damage.

Compared with the sham group (non-I/R), the vehicle group showed increased BUN and SCr levels, and reduced CCr and renal tubular damage. Difelikefalin improved BUN, SCr, and CCr levels and mitigated renal tubular damage. Similar effects were observed with nalfurafine hydrochloride and U-50488H. Thirteen of 23 serum cytokines were elevated in the vehicle group. Difelikefalin suppressed all elevated cytokines to the same levels as those in the sham group, U-50488H showed moderate efficacy by suppressing 6 of 13 cytokines, and nalfurafine hydrochloride exhibited a poor inhibitory effect, affecting only 1 of 13 cytokines.

These findings indicate that difelikefalin has anti-inflammatory and renoprotective effects in a rat acute kidney injury model, and that there is variable anti-inflammatory efficacy among KOR agonists.

The content of this abstract was submitted to the 69th Annual Meeting of the Japanese Society for Dialysis Therapy, held in June 2024 in Yokohama, and it was published in BMC Nephrology (Takeuchi H, et al. 2025 Jul 1; 26(1): 307).

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