2015
DOI: 10.1007/s10753-015-0225-y
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Citrate Attenuates Adenine-Induced Chronic Renal Failure in Rats by Modulating the Th17/Treg Cell Balance

Abstract: Citrate is commonly used as an anticoagulant in hemodialysis for chronic renal failure (CRF) and for the regulation of the immune dysfunction in CRF patients. The objective of this study was to investigate the effect of citrate on the balance of T helper 17 (Th17) and regulatory T (Treg) cells in CRF. The levels of blood urea nitrogen (BUN) and serum creatinine (Scr) were significantly increased in the CRF model group compared to the control group, and were decreased in the citrate-treated groups. Citrate trea… Show more

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Cited by 12 publications
(11 citation statements)
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“…Interestingly, citrate has also been associated with immunomodulatory effects. In AKI patients with continuous venovenous hemofiltration therapy, citrate administration reduces myeloperoxidase and interleukin 8 (IL-8) plasma levels [ 58 ]; in a model of CKD induced by adenine in rats, the administration of citrate reduces the production of pro-inflammatory cytokines interleukin 6 (IL-6) and interleukin 17 (IL-17), whereas it increases the anti-inflammatory cytokines interleukin 10 (IL-10) and TGF-β [ 59 ].…”
Section: Citratementioning
confidence: 99%
“…Interestingly, citrate has also been associated with immunomodulatory effects. In AKI patients with continuous venovenous hemofiltration therapy, citrate administration reduces myeloperoxidase and interleukin 8 (IL-8) plasma levels [ 58 ]; in a model of CKD induced by adenine in rats, the administration of citrate reduces the production of pro-inflammatory cytokines interleukin 6 (IL-6) and interleukin 17 (IL-17), whereas it increases the anti-inflammatory cytokines interleukin 10 (IL-10) and TGF-β [ 59 ].…”
Section: Citratementioning
confidence: 99%
“…For example, citrate inhibits urinary stones by reduced calcium stone formation in human . Our former study demonstrates that citrates influence the endoplasmic reticulum stress and immune system in the rat model of CRF . However, there has been no study about the effect of citrate on VC in CRF.…”
Section: Discussionmentioning
confidence: 91%
“…α-ketoglutaric acid (AKG) is a key metabolite in the TCA cycle ( 21 ) that can restore the antioxidant status of the organ, reduce the mitochondrial structural changes, decrease adenosine triphosphate (ATP) levels in the proximal kidney tubule under hypoxia, partially restore ATP levels by supplementing the TCA circulation, and reduce kidney dysfunction ( 22 , 23 ). The role of citrate in kidney disease includes immunomodulatory effects, the regulation of acetyl-CoA synthesis, and even its use as an anticoagulant during kidney replacement therapy in acute kidney injury (AKI) and chronic kidney disease (CKD) ( 24 , 25 ). Malate is an intermediate in the citric acid cycle, and increased malate activity has been reported in cisplatin-induced kidney dysfunction that may be a repair mechanism for malate ( 26 ).…”
Section: Discussionmentioning
confidence: 99%