author_facet Santelli, Adrian
Sun, In O.
Eirin, Alfonso
Abumoawad, Abdelrhman M.
Woollard, John R.
Lerman, Amir
Textor, Stephen C.
Puranik, Amrutesh S.
Lerman, Lilach O.
Santelli, Adrian
Sun, In O.
Eirin, Alfonso
Abumoawad, Abdelrhman M.
Woollard, John R.
Lerman, Amir
Textor, Stephen C.
Puranik, Amrutesh S.
Lerman, Lilach O.
author Santelli, Adrian
Sun, In O.
Eirin, Alfonso
Abumoawad, Abdelrhman M.
Woollard, John R.
Lerman, Amir
Textor, Stephen C.
Puranik, Amrutesh S.
Lerman, Lilach O.
spellingShingle Santelli, Adrian
Sun, In O.
Eirin, Alfonso
Abumoawad, Abdelrhman M.
Woollard, John R.
Lerman, Amir
Textor, Stephen C.
Puranik, Amrutesh S.
Lerman, Lilach O.
Journal of the American Heart Association
Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
Cardiology and Cardiovascular Medicine
author_sort santelli, adrian
spelling Santelli, Adrian Sun, In O. Eirin, Alfonso Abumoawad, Abdelrhman M. Woollard, John R. Lerman, Amir Textor, Stephen C. Puranik, Amrutesh S. Lerman, Lilach O. 2047-9980 Ovid Technologies (Wolters Kluwer Health) Cardiology and Cardiovascular Medicine http://dx.doi.org/10.1161/jaha.119.012584 <jats:sec xml:lang="en"> <jats:title>Background</jats:title> <jats:p xml:lang="en"> Hypertension may be associated with renal cellular injury. Cells in distress release extracellular vesicles ( <jats:styled-content style="fixed-case">EV</jats:styled-content> s), and their numbers in urine may reflect renal injury. Cellular senescence, an irreversible growth arrest in response to a noxious milieu, is characterized by release of proinflammatory cytokines. We hypothesized that <jats:styled-content style="fixed-case">EV</jats:styled-content> s released by senescent nephron cells can be identified in urine of patients with hypertension. </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Methods and Results</jats:title> <jats:p xml:lang="en"> We recruited patients with essential hypertension ( <jats:styled-content style="fixed-case">EH</jats:styled-content> ) or renovascular hypertension and healthy volunteers (n=14 each). Renal oxygenation was assessed using magnetic resonance imaging and blood samples collected from both renal veins for cytokine‐level measurements. <jats:styled-content style="fixed-case">EV</jats:styled-content> s isolated from urine samples were characterized by imaging flow cytometry based on specific markers, including p16 (senescence marker), calyxin (podocytes), urate transporter 1 (proximal tubules), uromodulin (ascending limb of Henle's loop), and prominin‐2 (distal tubules). Overall percentage of urinary p16+ <jats:styled-content style="fixed-case">EV</jats:styled-content> s was elevated in <jats:styled-content style="fixed-case">EH</jats:styled-content> and renovascular hypertension patients compared with healthy volunteers and correlated inversely with renal function and directly with renal vein cytokine levels. Urinary levels of p16 <jats:sup>+</jats:sup> /urate transporter 1 <jats:sup>+</jats:sup> were elevated in all hypertensive subjects compared with healthy volunteers, whereas p16 <jats:sup>+</jats:sup> /prominin‐2 <jats:sup>+</jats:sup> levels were elevated only in <jats:styled-content style="fixed-case">EH</jats:styled-content> versus healthy volunteers and p16 <jats:sup>+</jats:sup> /uromodulin <jats:sup>+</jats:sup> in renovascular hypertension versus <jats:styled-content style="fixed-case">EH</jats:styled-content> . </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Conclusions</jats:title> <jats:p xml:lang="en"> Levels of p16 <jats:sup>+</jats:sup> <jats:styled-content style="fixed-case">EV</jats:styled-content> s are elevated in urine of hypertensive patients and may reflect increased proximal tubular cellular senescence. In <jats:styled-content style="fixed-case">EH</jats:styled-content> , <jats:styled-content style="fixed-case">EV</jats:styled-content> s originate also from distal tubules and in renovascular hypertension from Henle's loop. Hence, urinary <jats:styled-content style="fixed-case">EV</jats:styled-content> s levels may be useful to identify intrarenal sites of cellular senescence. </jats:p> </jats:sec> Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles Journal of the American Heart Association
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series Journal of the American Heart Association
source_id 49
title Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
title_unstemmed Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
title_full Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
title_fullStr Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
title_full_unstemmed Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
title_short Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
title_sort senescent kidney cells in hypertensive patients release urinary extracellular vesicles
topic Cardiology and Cardiovascular Medicine
url http://dx.doi.org/10.1161/jaha.119.012584
publishDate 2019
physical
description <jats:sec xml:lang="en"> <jats:title>Background</jats:title> <jats:p xml:lang="en"> Hypertension may be associated with renal cellular injury. Cells in distress release extracellular vesicles ( <jats:styled-content style="fixed-case">EV</jats:styled-content> s), and their numbers in urine may reflect renal injury. Cellular senescence, an irreversible growth arrest in response to a noxious milieu, is characterized by release of proinflammatory cytokines. We hypothesized that <jats:styled-content style="fixed-case">EV</jats:styled-content> s released by senescent nephron cells can be identified in urine of patients with hypertension. </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Methods and Results</jats:title> <jats:p xml:lang="en"> We recruited patients with essential hypertension ( <jats:styled-content style="fixed-case">EH</jats:styled-content> ) or renovascular hypertension and healthy volunteers (n=14 each). Renal oxygenation was assessed using magnetic resonance imaging and blood samples collected from both renal veins for cytokine‐level measurements. <jats:styled-content style="fixed-case">EV</jats:styled-content> s isolated from urine samples were characterized by imaging flow cytometry based on specific markers, including p16 (senescence marker), calyxin (podocytes), urate transporter 1 (proximal tubules), uromodulin (ascending limb of Henle's loop), and prominin‐2 (distal tubules). Overall percentage of urinary p16+ <jats:styled-content style="fixed-case">EV</jats:styled-content> s was elevated in <jats:styled-content style="fixed-case">EH</jats:styled-content> and renovascular hypertension patients compared with healthy volunteers and correlated inversely with renal function and directly with renal vein cytokine levels. Urinary levels of p16 <jats:sup>+</jats:sup> /urate transporter 1 <jats:sup>+</jats:sup> were elevated in all hypertensive subjects compared with healthy volunteers, whereas p16 <jats:sup>+</jats:sup> /prominin‐2 <jats:sup>+</jats:sup> levels were elevated only in <jats:styled-content style="fixed-case">EH</jats:styled-content> versus healthy volunteers and p16 <jats:sup>+</jats:sup> /uromodulin <jats:sup>+</jats:sup> in renovascular hypertension versus <jats:styled-content style="fixed-case">EH</jats:styled-content> . </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Conclusions</jats:title> <jats:p xml:lang="en"> Levels of p16 <jats:sup>+</jats:sup> <jats:styled-content style="fixed-case">EV</jats:styled-content> s are elevated in urine of hypertensive patients and may reflect increased proximal tubular cellular senescence. In <jats:styled-content style="fixed-case">EH</jats:styled-content> , <jats:styled-content style="fixed-case">EV</jats:styled-content> s originate also from distal tubules and in renovascular hypertension from Henle's loop. Hence, urinary <jats:styled-content style="fixed-case">EV</jats:styled-content> s levels may be useful to identify intrarenal sites of cellular senescence. </jats:p> </jats:sec>
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author Santelli, Adrian, Sun, In O., Eirin, Alfonso, Abumoawad, Abdelrhman M., Woollard, John R., Lerman, Amir, Textor, Stephen C., Puranik, Amrutesh S., Lerman, Lilach O.
author_facet Santelli, Adrian, Sun, In O., Eirin, Alfonso, Abumoawad, Abdelrhman M., Woollard, John R., Lerman, Amir, Textor, Stephen C., Puranik, Amrutesh S., Lerman, Lilach O., Santelli, Adrian, Sun, In O., Eirin, Alfonso, Abumoawad, Abdelrhman M., Woollard, John R., Lerman, Amir, Textor, Stephen C., Puranik, Amrutesh S., Lerman, Lilach O.
author_sort santelli, adrian
container_issue 11
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container_title Journal of the American Heart Association
container_volume 8
description <jats:sec xml:lang="en"> <jats:title>Background</jats:title> <jats:p xml:lang="en"> Hypertension may be associated with renal cellular injury. Cells in distress release extracellular vesicles ( <jats:styled-content style="fixed-case">EV</jats:styled-content> s), and their numbers in urine may reflect renal injury. Cellular senescence, an irreversible growth arrest in response to a noxious milieu, is characterized by release of proinflammatory cytokines. We hypothesized that <jats:styled-content style="fixed-case">EV</jats:styled-content> s released by senescent nephron cells can be identified in urine of patients with hypertension. </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Methods and Results</jats:title> <jats:p xml:lang="en"> We recruited patients with essential hypertension ( <jats:styled-content style="fixed-case">EH</jats:styled-content> ) or renovascular hypertension and healthy volunteers (n=14 each). Renal oxygenation was assessed using magnetic resonance imaging and blood samples collected from both renal veins for cytokine‐level measurements. <jats:styled-content style="fixed-case">EV</jats:styled-content> s isolated from urine samples were characterized by imaging flow cytometry based on specific markers, including p16 (senescence marker), calyxin (podocytes), urate transporter 1 (proximal tubules), uromodulin (ascending limb of Henle's loop), and prominin‐2 (distal tubules). Overall percentage of urinary p16+ <jats:styled-content style="fixed-case">EV</jats:styled-content> s was elevated in <jats:styled-content style="fixed-case">EH</jats:styled-content> and renovascular hypertension patients compared with healthy volunteers and correlated inversely with renal function and directly with renal vein cytokine levels. Urinary levels of p16 <jats:sup>+</jats:sup> /urate transporter 1 <jats:sup>+</jats:sup> were elevated in all hypertensive subjects compared with healthy volunteers, whereas p16 <jats:sup>+</jats:sup> /prominin‐2 <jats:sup>+</jats:sup> levels were elevated only in <jats:styled-content style="fixed-case">EH</jats:styled-content> versus healthy volunteers and p16 <jats:sup>+</jats:sup> /uromodulin <jats:sup>+</jats:sup> in renovascular hypertension versus <jats:styled-content style="fixed-case">EH</jats:styled-content> . </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Conclusions</jats:title> <jats:p xml:lang="en"> Levels of p16 <jats:sup>+</jats:sup> <jats:styled-content style="fixed-case">EV</jats:styled-content> s are elevated in urine of hypertensive patients and may reflect increased proximal tubular cellular senescence. In <jats:styled-content style="fixed-case">EH</jats:styled-content> , <jats:styled-content style="fixed-case">EV</jats:styled-content> s originate also from distal tubules and in renovascular hypertension from Henle's loop. Hence, urinary <jats:styled-content style="fixed-case">EV</jats:styled-content> s levels may be useful to identify intrarenal sites of cellular senescence. </jats:p> </jats:sec>
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spelling Santelli, Adrian Sun, In O. Eirin, Alfonso Abumoawad, Abdelrhman M. Woollard, John R. Lerman, Amir Textor, Stephen C. Puranik, Amrutesh S. Lerman, Lilach O. 2047-9980 Ovid Technologies (Wolters Kluwer Health) Cardiology and Cardiovascular Medicine http://dx.doi.org/10.1161/jaha.119.012584 <jats:sec xml:lang="en"> <jats:title>Background</jats:title> <jats:p xml:lang="en"> Hypertension may be associated with renal cellular injury. Cells in distress release extracellular vesicles ( <jats:styled-content style="fixed-case">EV</jats:styled-content> s), and their numbers in urine may reflect renal injury. Cellular senescence, an irreversible growth arrest in response to a noxious milieu, is characterized by release of proinflammatory cytokines. We hypothesized that <jats:styled-content style="fixed-case">EV</jats:styled-content> s released by senescent nephron cells can be identified in urine of patients with hypertension. </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Methods and Results</jats:title> <jats:p xml:lang="en"> We recruited patients with essential hypertension ( <jats:styled-content style="fixed-case">EH</jats:styled-content> ) or renovascular hypertension and healthy volunteers (n=14 each). Renal oxygenation was assessed using magnetic resonance imaging and blood samples collected from both renal veins for cytokine‐level measurements. <jats:styled-content style="fixed-case">EV</jats:styled-content> s isolated from urine samples were characterized by imaging flow cytometry based on specific markers, including p16 (senescence marker), calyxin (podocytes), urate transporter 1 (proximal tubules), uromodulin (ascending limb of Henle's loop), and prominin‐2 (distal tubules). Overall percentage of urinary p16+ <jats:styled-content style="fixed-case">EV</jats:styled-content> s was elevated in <jats:styled-content style="fixed-case">EH</jats:styled-content> and renovascular hypertension patients compared with healthy volunteers and correlated inversely with renal function and directly with renal vein cytokine levels. Urinary levels of p16 <jats:sup>+</jats:sup> /urate transporter 1 <jats:sup>+</jats:sup> were elevated in all hypertensive subjects compared with healthy volunteers, whereas p16 <jats:sup>+</jats:sup> /prominin‐2 <jats:sup>+</jats:sup> levels were elevated only in <jats:styled-content style="fixed-case">EH</jats:styled-content> versus healthy volunteers and p16 <jats:sup>+</jats:sup> /uromodulin <jats:sup>+</jats:sup> in renovascular hypertension versus <jats:styled-content style="fixed-case">EH</jats:styled-content> . </jats:p> </jats:sec> <jats:sec xml:lang="en"> <jats:title>Conclusions</jats:title> <jats:p xml:lang="en"> Levels of p16 <jats:sup>+</jats:sup> <jats:styled-content style="fixed-case">EV</jats:styled-content> s are elevated in urine of hypertensive patients and may reflect increased proximal tubular cellular senescence. In <jats:styled-content style="fixed-case">EH</jats:styled-content> , <jats:styled-content style="fixed-case">EV</jats:styled-content> s originate also from distal tubules and in renovascular hypertension from Henle's loop. Hence, urinary <jats:styled-content style="fixed-case">EV</jats:styled-content> s levels may be useful to identify intrarenal sites of cellular senescence. </jats:p> </jats:sec> Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles Journal of the American Heart Association
spellingShingle Santelli, Adrian, Sun, In O., Eirin, Alfonso, Abumoawad, Abdelrhman M., Woollard, John R., Lerman, Amir, Textor, Stephen C., Puranik, Amrutesh S., Lerman, Lilach O., Journal of the American Heart Association, Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles, Cardiology and Cardiovascular Medicine
title Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
title_full Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
title_fullStr Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
title_full_unstemmed Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
title_short Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
title_sort senescent kidney cells in hypertensive patients release urinary extracellular vesicles
title_unstemmed Senescent Kidney Cells in Hypertensive Patients Release Urinary Extracellular Vesicles
topic Cardiology and Cardiovascular Medicine
url http://dx.doi.org/10.1161/jaha.119.012584