Department of Surgery, Transplant Surgery, University of Pennsylvania, Philadelphia, PA; Department of Surgery, Children's Hospital of Philadelphia, Philadelphia, PA.
Am J Transplant. 2015 Apr;15(4):965-73. doi: 10.1111/ajt.13106. Epub 2015 Feb 23.
Renal ischemia-reperfusion injury (IRI) is a common cause of renal dysfunction and renal failure. Histone/protein deacetylases (HDACs) regulate gene accessibility and higher order protein structures and may alter cellular responses to a variety of stresses. We investigated whether use of pan- and class-specific HDAC inhibitors (HDACi) could improve IRI tolerance in the kidney. Using a model of unilateral renal IRI, we investigated early renal function after IRI, and calculated fibrosis after IRI using an automated scoring system. We found that pan-HDAC inhibition using trichostatin (TSA) yielded significant renal functional benefit at 24-96 hours (p < 0.001). Treated mice developed significantly less fibrosis at 30 days (p < 0.0004). Class I HDAC inhibition with MS-275 yielded similar effects. Protection from fibrosis formation was also noted in a cold ischemia transplant model (p < 0.008) with a trend toward improved cold ischemic survival in TSA-treated mice. These effects were not accompanied by induction of typical ischemic tolerance pathways or by priming of heat shock protein expression. In fact, heat shock protein 70 deletion or overexpression did not alter renal ischemia tolerance. Micro-RNA 21, known to be enhanced in vitro in renal tubular cells that survive stress, was enhanced by treatment with HDACi, pointing to possible mechanism.
肾缺血再灌注损伤(IRI)是肾功能障碍和肾衰竭的常见原因。组蛋白/蛋白去乙酰化酶(HDACs)调节基因可及性和高级蛋白质结构,并可能改变细胞对各种应激的反应。我们研究了使用泛和类特异性 HDAC 抑制剂(HDACi)是否可以改善肾脏的 IRI 耐受性。使用单侧肾 IRI 模型,我们研究了 IRI 后的早期肾功能,并使用自动评分系统计算了 IRI 后的纤维化。我们发现,使用 Trichostatin(TSA)进行泛 HDAC 抑制在 24-96 小时(p<0.001)时可显著改善肾功能。治疗小鼠在 30 天时形成的纤维化明显减少(p<0.0004)。用 MS-275 抑制 I 类 HDAC 也产生了类似的效果。在冷缺血移植模型中也观察到纤维化形成的保护作用(p<0.008),并且 TSA 治疗小鼠的冷缺血存活率有改善趋势。这些作用没有伴随典型的缺血耐受途径的诱导或热休克蛋白表达的启动。事实上,热休克蛋白 70 的缺失或过表达并没有改变肾缺血耐受。已知在体外存活的肾小管细胞中增强的 micro-RNA 21,在用 HDACi 处理时增强,指出了可能的机制。