Department of Forensic Medicine, Wakayama Medical University, Wakayama 641-8509, Japan.
Am J Pathol. 2010 Jan;176(1):40-50. doi: 10.2353/ajpath.2010.090146. Epub 2009 Dec 11.
Sodium arsenite (NaAs)-induced autophagic cell death (ACD) of a mouse renal tubular epithelial cell line (mProx24), which expresses enhanced levels of interleukin-6 (IL-6), was reduced by the suppression of autophagy by 3-methyladenine or Atg7 knockdown. The inhibition of the IL-6/signal transducer and activator of transcription 3 (STAT3) signal pathway by anti-IL-6 antibody or a Jak2 inhibitor (AG490) exaggerated ACD of mProx24 cells after NaAs challenge, attenuating STAT3 activation and reciprocally enhancing extracellular signal-regulated kinase (ERK) phosphorylation. In contrast, an ERK inhibitor, PD98059, reduced NaAs-induced ACD in mProx24 cells. Subcutaneous injection of NaAs (12.5 mg/kg) into BALB/c (wild-type) mice enhanced intrarenal expression of IL-6, mainly produced by tubular cells, and caused severe renal injury characterized by hemorrhages, acute tubular necrosis, cast formation, and brush border disappearance, with increases in serum urea nitrogen (blood urea nitrogen) and creatinine levels. In addition, IL-6-deficient (IL-6(-/-)) mice exhibited exaggerated histopathological changes with higher blood urea nitrogen and creatinine levels. Moreover, in IL-6(-/-) mice treated with NaAs, ACD in renal tubular cells was significantly augmented, along with diminished STAT3 activation and reciprocal enhancement of ERK signaling, compared with wild-type mice. Finally, the administration of exogenous IL-6 into wild-type mice significantly reduced NaAs-induced ACD along with diminished ERK activation and eventually alleviated acute renal dysfunction. Thus, IL-6/STAT3 signal pathway could inhibit ERK activation, a crucial step for ACD, eventually attenuating NaAs-induced renal dysfunction.
亚砷酸钠(NaAs)诱导的表达增强水平的白细胞介素-6(IL-6)的小鼠肾小管上皮细胞系(mProx24)的自噬性细胞死亡(ACD),通过 3-甲基腺嘌呤或 Atg7 敲低抑制自噬而减少。抗 IL-6 抗体或 Jak2 抑制剂(AG490)抑制 IL-6/信号转导和转录激活因子 3(STAT3)信号通路,加剧了 mProx24 细胞在 NaAs 挑战后的 ACD,减弱了 STAT3 激活并反向增强细胞外信号调节激酶(ERK)磷酸化。相比之下,ERK 抑制剂 PD98059 降低了 mProx24 细胞中 NaAs 诱导的 ACD。将 NaAs(12.5mg/kg)皮下注射到 BALB/c(野生型)小鼠中,增强了肾脏内 IL-6 的表达,主要由肾小管细胞产生,并导致严重的肾损伤,表现为出血、急性肾小管坏死、铸型形成和刷状缘消失,同时血清尿素氮(血尿素氮)和肌酐水平升高。此外,IL-6 缺陷(IL-6(-/-))小鼠表现出更严重的组织病理学变化,血尿素氮和肌酐水平更高。此外,在 NaAs 处理的 IL-6(-/-)小鼠中,与野生型小鼠相比,肾小管细胞的 ACD 明显增加,同时 STAT3 激活减少,ERK 信号增强。最后,向野生型小鼠给予外源性 IL-6 可显著减少 NaAs 诱导的 ACD,同时减少 ERK 激活,并最终缓解急性肾功能障碍。因此,IL-6/STAT3 信号通路可抑制 ACD 的关键步骤 ERK 激活,最终减轻 NaAs 诱导的肾功能障碍。