Research Topics
Species | RICHARD ZAGERSummaryAffiliation: Fred Hutchinson Cancer Research Center Country: USA Publications
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Publications
Acute unilateral ischemic renal injury induces progressive renal inflammation, lipid accumulation, histone modification, and "end-stage" kidney diseaseRichard A Zager
Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Rm D2 190, Seattle, WA 98109
Am J Physiol Renal Physiol 301:F1334-45. 2011....
Levosimendan protects against experimental endotoxemic acute renal failureRichard A Zager
Department of Medicine, University of Washington, Seattle, USA
Am J Physiol Renal Physiol 290:F1453-62. 2006..This suggests that LS, and other K(ATP) channel agonists, have a margin of safety if employed in situations (sepsis syndrome, heart failure) in which severe renal vasoconstriction might lead to ischemic ARF...
Acute nephrotoxic and obstructive injury primes the kidney to endotoxin-driven cytokine/chemokine productionR A Zager
Department of Medicine, University of Washington, Seattle, Washington, USA
Kidney Int 69:1181-8. 2006....
Parenteral iron treatment induces MCP-1 accumulation in plasma, normal kidneys, and in experimental nephropathyRichard A Zager
Department of Medicine, University of Washington, Seattle, Washington 98109, USA
Kidney Int 68:1533-42. 2005..Thus, this study tested whether pro-oxidant iron/carbohydrate complexes, used to treat iron deficiency, induce MCP-1 in renal/extrarenal tissues, in plasma, and in the setting of experimental nephropathy...
Ischemic proximal tubular injury primes mice to endotoxin-induced TNF-alpha generation and systemic releaseR A Zager
Department of Medicine, University of Washington, Seattle, 98109, USA
Am J Physiol Renal Physiol 289:F289-97. 2005..That ischemia can "prime" tubules to LPS response(s) could have potentially important implications for sepsis syndrome, concomitant renal ischemia, and for the induction of ARF...
Renal tubular triglyercide accumulation following endotoxic, toxic, and ischemic injuryRichard A Zager
Department of Medicine, University of Washington, and Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
Kidney Int 67:111-21. 2005..However, the fate of triglycerides after acute renal insults is poorly defined. This study sought new insights into this issue...
Parenteral iron compounds sensitize mice to injury-initiated TNF-alpha mRNA production and TNF-alpha releaseRichard A Zager
University of Washington, Seattle, Washington, USA
Am J Physiol Renal Physiol 288:F290-7. 2005....
Parenteral iron nephrotoxicity: potential mechanisms and consequencesRichard A Zager
Department of Medicine, University of Washington, Seattle, Washington, USA
Kidney Int 66:144-56. 2004..However, concerns of potential iron toxicity persist. Thus, this study was conducted to more fully gauge iron toxicologic profiles and potential determinants thereof...
Proximal tubular cytochrome c efflux: determinant, and potential marker, of mitochondrial injuryRichard A Zager
Department of Medicine, University of Washington, and Fred Hutchinson Cancer Research Center, Seattle, 98109, USA
Kidney Int 65:2123-34. 2004....
Parenteral iron therapy exacerbates experimental sepsisRichard A Zager
Department of Medicine, University of Washington, and the Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
Kidney Int 65:2108-12. 2004..This raises the possibility that parenteral iron administration might exacerbate a concomitant septic state. This study sought to experimentally test this hypothesis...
Acute renal failure: determinants and characteristics of the injury-induced hyperinflammatory responseRichard A Zager
Department of Medicine, University of Washington, Seattle, WA, USA
Am J Physiol Renal Physiol 291:F546-56. 2006..This suggests that diverse signaling pathways may be involved...
Toll-like receptor (TLR4) shedding and depletion: acute proximal tubular cell responses to hypoxic and toxic injuryRichard A Zager
Department of Medicine, University of Washington, and the Fred Hutchinson Cancer Research Center, Seattle, Washington 98109 1024, USA
Am J Physiol Renal Physiol 292:F304-12. 2007..Rapid postinjury urinary TLR4 excretion suggests its potential utility as a "biomarker" of impending ARF...
'Endotoxin tolerance': TNF-alpha hyper-reactivity and tubular cytoresistance in a renal cholesterol loading stateR A Zager
Department of Medicine, University of Washington, Seattle, Washington 98109 1024, USA
Kidney Int 71:496-503. 2007..g., TNF-alpha, iNOS, IL-10); (ii) PT cytoresistance against hypoxic/membrane injury coexists; and (iii) LPS-induced renal/PT cholesterol accumulation may mechanistically contribute to each of these results...
Acquired cytoresistance in the setting of hematopoietic cell transplantationRichard A Zager
The Clinical Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
Clin J Am Soc Nephrol 5:2150-3. 2010....
Progressive histone alterations and proinflammatory gene activation: consequences of heme protein/iron-mediated proximal tubule injuryRichard A Zager
Fred Hutchinson Cancer Research Center and Department of Medicine, University of Washington, Seattle, Washington 98109, USA
Am J Physiol Renal Physiol 298:F827-37. 2010..Thus they may help sustain a proinflammatory state, despite resolving ARF...
Uremia impacts renal inflammatory cytokine gene expression in the setting of experimental acute kidney injuryRichard A Zager
Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Rm D2 190, Seattle, WA 98109, USA
Am J Physiol Renal Physiol 297:F961-70. 2009..Changes in gene transcription (as reflected by Pol II recruitment), and possible posttranscriptional modifications (known to be induced by microRNAs), are likely involved...
Renal ischemia-reperfusion injury upregulates histone-modifying enzyme systems and alters histone expression at proinflammatory/profibrotic genesRichard A Zager
Department of Medicine, University of Washington, and the Clinical Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, WA 98109, USA
Am J Physiol Renal Physiol 296:F1032-41. 2009....
Uremia induces proximal tubular cytoresistance and heme oxygenase-1 expression in the absence of acute kidney injuryRichard A Zager
Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Rm D2 190, Seattle, WA 98109, USA
Am J Physiol Renal Physiol 296:F362-8. 2009..g., HO-1 gene activation) are likely involved. Finally, renal HO-1 induction following AKI may reflect direct cell injury effects and adaptations to uremia...
Growth and development alter susceptibility to acute renal injuryRichard A Zager
Department of Medicine, University of Washington, Seattle, Washington, USA
Kidney Int 74:674-8. 2008..Our study shows that the early phase of mouse growth can profoundly alter renal susceptibility to diverse forms of experimental acute renal injury...
Maleate nephrotoxicity: mechanisms of injury and correlates with ischemic/hypoxic tubular cell deathRichard A Zager
Department of Medicine, Seattle, WA, USA
Am J Physiol Renal Physiol 294:F187-97. 2008..These results further define critical determinants of maleate nephrotoxicity and suggest that it can serve as a useful adjunct for studies of ischemia/ATP depletion-induced, proximal tubule-specific, cell death...
Parenteral iron compounds: potent oxidants but mainstays of anemia management in chronic renal diseaseRichard A Zager
Fred Hutchinson Cancer Research Center, Department of Medicine, University of Washington, Seattle, Washington 98109, USA
Clin J Am Soc Nephrol 1:S24-31. 2006..By so doing, a better understanding of Fe's potential protean effects on patients with renal disease may result...
"Subclinical" gentamicin nephrotoxicity: a potential risk factor for exaggerated endotoxin-driven TNF-alpha productionRichard A Zager
Department of Medicine, University of Washington, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Rm D2 190, Seattle, WA 98109, USA
Am J Physiol Renal Physiol 293:F43-9. 2007..Thus gentamicin's activity in Gram-negative sepsis may extend beyond its traditional antimicrobial effect...
Proximal tubular cholesterol loading after mitochondrial, but not glycolytic, blockadeRichard A Zager
Fred Hutchinson Cancer Research Center, University of Washington, Rm D2 190, 1100 Fairview Avenue N, Seattle, WA 98109, USA
Am J Physiol Renal Physiol 285:F1092-9. 2003....
Acute tubular injury causes dysregulation of cellular cholesterol transport proteinsRichard A Zager
Fred Hutchinson Cancer Research Center, The University of Washington, Seattle, Washington, USA
Am J Pathol 163:313-20. 2003..Reductions in HK-2 cell SR-B1 and ABCA-1 mRNAs and increases in renal cortical LDL-R mRNA imply that this dysregulation reflects, at least in part, altered genomic/transcriptional events...
P glycoprotein-mediated cholesterol cycling determines proximal tubular cell viabilityR A Zager
Department of Medicine, University of Washington, Seattle, Washington, USA
Kidney Int 60:944-56. 2001..This study assessed whether P glycoprotein inhibitors alter renal tubular FC/CE expression, thereby altering cell integrity...
Renal cholesterol accumulation: a durable response after acute and subacute renal insultsR A Zager
Department of Medicine, Fred Hutchinson Cancer Center, University of Washington, 1100 Fairview Ave N, Rm D2 190, Seattle, WA 98109, USA
Am J Pathol 159:743-52. 2001..That cholesterol accumulation can result from glomerular injury and dehydration suggests that it is a generic renal stress response, with potential relevance extending beyond just the phenomenon of acquired cytoresistance...
Cholesterol ester accumulation: an immediate consequence of acute in vivo ischemic renal injuryR A Zager
University of Washington and Fred Hutchinson Cancer Research Center, Seattle, Washington 98109 1024, USA
Kidney Int 59:1750-61. 2001..The present studies sought to provide initial insights into these issues...
Changes in free and esterified cholesterol: hallmarks of acute renal tubular injury and acquired cytoresistanceR A Zager
Fred Hutchinson Cancer Research Center and the University of Washington, Seattle, Washington 98109 1024, USA
Am J Pathol 157:1007-16. 2000..Based on previous observations that cholesterol has cytoprotectant properties, the present findings have potential relevance for both the induction and maintenance phases of ARF...
Polyene antibiotics: relative degrees of in vitro cytotoxicity and potential effects on tubule phospholipid and ceramide contentR A Zager
Department of Medicine, University of Washington, Seattle, USA
Am J Kidney Dis 36:238-49. 2000....
Plasma membrane cholesterol: a critical determinant of cellular energetics and tubular resistance to attackR A Zager
The Fred Hutchinson Cancer Research Center and the University of Washington, Seattle 98109 1024, USA
Kidney Int 58:193-205. 2000..The present study was undertaken to better define the effects of membrane cholesterol/microdomains on tubule homeostasis and cell susceptibility to superimposed attack...
Sphingomyelinase and membrane sphingomyelin content: determinants ofProximal tubule cell susceptibility to injuryR A Zager
The Fred Hutchinson Cancer Research Center and the University of Washington, Seattle, Washington, USA
J Am Soc Nephrol 11:894-902. 2000..The ability of SM to decrease membrane fluidity may explain, at least in part, its cytoprotective effect...
Increased proximal tubular cholesterol content: implications for cell injury and "acquired cytoresistance"R A Zager
The Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
Kidney Int 56:1788-97. 1999..Therefore, this study sought to identify potential changes in plasma membrane lipid composition in CR tubules/renal cortex and, if present, to test whether they might mechanistically contribute to the CR state...
Plasma membrane phospholipid integrity and orientation during hypoxic and toxic proximal tubular attackR A Zager
The Fred Hutchinson Cancer Research Center, University of Washington, Seattle 98109, USA
Kidney Int 56:104-17. 1999..The mechanistic importance of PLA2-mediated PL breakdown and possible PL redistribution ("flip flop") to lethal tubule injury has not been well defined. This study was performed to help clarify these issues...
Calcitriol directly sensitizes renal tubular cells to ATP-depletion- and iron-mediated attackR A Zager
Fred Hutchinson Cancer Research Center and the University of Washington, Seattle, USA
Am J Pathol 154:1899-909. 1999..Vitamins D(s) may directly, and differentially, increase proximal tubule cell susceptibility to superimposed attack. This property should be considered as new uses for these agents are defined...
Isoflurane alters proximal tubular cell susceptibility to toxic and hypoxic forms of attackR A Zager
The Fred Hutchinson Cancer Research Center and the University of Washington, Seattle, Washington, USA
Kidney Int 55:148-59. 1999..Because major surgery often precipitates acute renal failure, this study assessed whether the most commonly used fluorinated anesthetic, isoflurane, alters tubular cell responses to toxic and hypoxic attack...
Differential effects of glutathione and cysteine on Fe2+, Fe3+, H2O2 and myoglobin-induced proximal tubular cell attackR A Zager
University of Washington, Seattle, USA
Kidney Int 53:1661-72. 1998..Since the kidney rapidly catabolizes GSH to cysteine, the latter may be at least partially responsible for GSH's reported cytoprotective actions against myoglobinuric acute renal failure...
Renal cortical cholesterol accumulation is an integral component of the systemic stress responseR A Zager
Department of Medicine, University of Washington, and Fred Hutchinson Cancer Research Center, Seattle, Washington 98109 1024, USA
Kidney Int 60:2299-310. 2001....
Altered sphingomyelinase and ceramide expression in the setting of ischemic and nephrotoxic acute renal failureR A Zager
Department of Medicine, University of Washington, Seattle, USA
Kidney Int 53:573-82. 1998....
Radiographic contrast media-induced tubular injury: evaluation of oxidant stress and plasma membrane integrityRichard A Zager
The Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
Kidney Int 64:128-39. 2003..This study addresses these issues directly at the tubular cell level. Potential alternative mechanisms for RCN have also been sought...
Parenteral iron formulations: a comparative toxicologic analysis and mechanisms of cell injuryRichard A Zager
Department of Medicine, University of Washington, Seattle, WA, USA
Am J Kidney Dis 40:90-103. 2002..Thus, the present study contrasted pro-oxidant and cytotoxic potentials of four available Fe preparations: Fe dextran (Fe dext), Fe sucrose (Fe sucr), Fe gluconate (Fe gluc), and Fe oligosaccharide (Fe OS)...
The mevalonate pathway during acute tubular injury: selected determinants and consequencesRichard A Zager
Department of Medicine, The University of Washington, and the Fred Hutchinson Cancer Research Center, Seattle, Washington 98109 1024, USA
Am J Pathol 161:681-92. 2002..3) Cholesterol accumulation, per se, seems to be the dominant mechanism by which the mevalonate pathway contributes to the postrenal injury cytoresistant state...
Sepsis syndrome stimulates proximal tubule cholesterol synthesis and suppresses the SR-B1 cholesterol transporterRichard A Zager
Department of Medicine, University of Washington, and the Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
Kidney Int 63:123-33. 2003..quot; The present study was performed to help define underlying mechanisms, using experimental sepsis as a test model...
Parenteral iron formulations differentially affect MCP-1, HO-1, and NGAL gene expression and renal responses to injuryAli C M Johnson
Department of Medicine, University of Washington, Fred Hutchinson Cancer Research Center, Seattle, USA
Am J Physiol Renal Physiol 299:F426-35. 2010..The clinical implication(s) of the latter, vis a vis the treatment of Fe deficiency in renal disease patients, remains to be defined...
Experimental glomerulopathy alters renal cortical cholesterol, SR-B1, ABCA1, and HMG CoA reductase expressionAli C M Johnson
Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
Am J Pathol 162:283-91. 2003..However, HMGCR protein/mRNA increments can also result. These seem to reflect a maladaptive response, potentially contributing to a cell cholesterol overload state...
Altered cholesterol localization and caveolin expression during the evolution of acute renal failureRichard A Zager
Department of Medicine, University of Washington, and Fred Hutchinson Cancer Research Center, Seattle, Washington 98109 1024, USA
Kidney Int 61:1674-83. 2002..Are maintenance-phase cholesterol increases accompanied by an up-regulation of caveolin, a DRM/caveolar-associated cholesterol binding protein? (2) Is DRM cholesterol/caveolin homeostasis acutely altered during the induction phase of ARF?..
Endotoxin mediates recruitment of RNA polymerase II to target genes in acute renal failureMasayo Naito
Department of Medicine, University of Washington, Seattle, Washington, USA
J Am Soc Nephrol 19:1321-30. 2008..In conclusion, LPS hyperresponsiveness after ARF is likely mediated at the genomic level, possibly by H3K4m3...
BRG1 increases transcription of proinflammatory genes in renal ischemiaMasayo Naito
Department of Medicine, University of Washington, Seattle, WA 98109, USA
J Am Soc Nephrol 20:1787-96. 2009..In conclusion, BRG1 promotes increased transcription of TNF-alpha and MCP-1 by the proximal tubule in response to renal ischemia...
Cholesterol-modulating agents kill acute myeloid leukemia cells and sensitize them to therapeutics by blocking adaptive cholesterol responsesHenry Y Li
Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109-1024, USA
Blood 101:3628-34. 2003....
Renal ischemia-induced cholesterol loading: transcription factor recruitment and chromatin remodeling along the HMG CoA reductase geneMasayo Naito
Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
Am J Pathol 174:54-62. 2009..In conclusion, I/R activates the HMGCR gene via multiple stress-activated transcriptional and epigenetic pathways, contributing to renal cholesterol loading...
Triglyceride accumulation in injured renal tubular cells: alterations in both synthetic and catabolic pathwaysAli C M Johnson
Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
Kidney Int 67:2196-209. 2005..Simple flux of excess FFAs into triglyceride pools is an overly simplistic view of the post-injury-triglyceride loading state...
Gentamicin suppresses endotoxin-driven TNF-alpha production in human and mouse proximal tubule cellsRichard A Zager
Department of Medicine, University of Washington, Seattle, Washington, USA
Am J Physiol Renal Physiol 293:F1373-80. 2007..These results, coupled with increases in gut TNF-alpha/MCP-1 mRNAs, imply that gentamicin may exert protean, countervailing actions on systemic cytokine/chemokine production during gram-negative sepsis...
Dephosphorylation of cell cycle-regulated proteins correlates with anoxia-induced suspended animation in Caenorhabditis elegansPamela A Padilla
Division of Basic Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
Mol Biol Cell 13:1473-83. 2002..Thus, dephosphorylation of specific proteins correlate with the establishment and/or maintenance of a state of anoxia-induced suspended animation...
Cholesterol synthesis and import contribute to protective cholesterol increments in acute myeloid leukemia cellsDeborah E Banker
Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
Blood 104:1816-24. 2004..Our data suggest that cholesterol synthesis inhibitors may improve the efficacy of standard antileukemia regimens, but that for maximum benefit, therapy may need to be tailored for individual patients with leukemia...
Adenovirus nephritis in hematopoietic stem-cell transplantationBenedetto Bruno
Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109-4417, USA
Transplantation 77:1049-57. 2004..ADV infection was a major cause of death in 17 patients. CONCLUSIONS: ADV nephritis is a specific renal complication in HSCT patients that can be diagnosed by renal biopsy in patients with hematuria and adenoviruria...
IGF-1 induces rat glomerular mesangial cells to accumulate triglycerideAnne K Berfield
Univ of Washington School of Medicine and Department of Medicine, Veterans Affairs Puget Sound Health Care System, 1660 South Columbian Way, Seattle, WA 98108, USA
Am J Physiol Renal Physiol 290:F138-47. 2006..These observations are relevant to understanding vascular disease and progressive renal diseases that are accelerated by abnormalities in lipid metabolism...
MCP-1 gene activation marks acute kidney injuryRaj Munshi
Seattle Children s Hospital Medical Center, Seattle, Washington, USA
J Am Soc Nephrol 22:165-75. 2011..In conclusion, these data suggest that MCP-1 has potential as a biomarker of AKI and provide "proof of concept" that urinary histone assessments provide mechanistic insight among patients with kidney disease...
Renal cortical albumin gene induction and urinary albumin excretion in response to acute kidney injuryLorraine B Ware
Division of Allergy, Pulmonary, and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA
Am J Physiol Renal Physiol 300:F628-38. 2011..In addition, the urinary protein data independently indicate that albuminuria, and perhaps ?-fetoprotein, have substantial utility as biomarkers of acute tubular injury...
HMG-CoA reductase activation and urinary pellet cholesterol elevations in acute kidney injuryAli Cm Johnson
Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
Clin J Am Soc Nephrol 6:2108-13. 2011..This study tested whether these two processes culminate in increased urinary pellet cholesterol content, and whether the latter has potential AKI biomarker utility...
Intravenous iron therapy in peritoneal dialysis patients: short-term efficacy and long-term issuesRichard A Zager
Clin J Am Soc Nephrol 1:353-5. 2006
Cytotoxicity of S-conjugates of the sevoflurane degradation product fluoromethyl-2,2-difluoro-1-(trifluoromethyl) vinyl ether (Compound A) in a human proximal tubular cell lineT Gul Altuntas
Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Ankara University, Ankara, Turkey
Toxicol Appl Pharmacol 193:55-65. 2003..1 mM. These results show that human proximal tubular cells are relatively resistant to FDVE and FDVE S-conjugate cytotoxicity. This may partially explain the lack of FDVE nephrotoxicity in humans...
Research Grants
- ACUTE RENAL FAILURE--MECHANISMS AND ADAPTIVE RESPONSESRICHARD ZAGER; Fiscal Year: 2001....
- ACUTE RENAL FAILURE--IMPACT OF FLUORINATED ANESTHETICSRICHARD ZAGER; Fiscal Year: 2001....
- Iron Therapy in Renal Disease: Potential ToxicitiesRICHARD ZAGER; Fiscal Year: 2007..Potential reasons for these differences will be assessed, with the ultimate goal of defining the safest way of administering parenteral irons to renal disease patients. ..
- Acute Renal Failure: Mechanisms and Adaptive ResponsesRICHARD ZAGER; Fiscal Year: 2007....
- MECHANISMS IN MYOGLOBINURIC ACUTE RENAL FAILURERICHARD ZAGER; Fiscal Year: 1993..By addressing the above, new insights into heme protein/low molecular weight protein nephrotoxicity and shock-induced renal damage will be obtained which should have direct relevance to crush syndrome induced ARF...
