Zhang Ya-Li, Zhang Jie, Cui Li-Yan, Yang Shuo
Department of Laboratory Medicine, Peking University Third Hospital, Beijing 100191, China.
Department of Laboratory Medicine, Peking University Third Hospital, Beijing 100191, China
Exp Biol Med (Maywood). 2015 Dec;240(12):1590-8. doi: 10.1177/1535370215581306. Epub 2015 Apr 21.
Ischemia-reperfusion (I/R) injury is a leading cause of acute kidney injury (AKI), which is a common clinical complication but lacks effective therapies. This study investigated the role of autophagy in renal I/R injury and explored potential mechanisms in an established rat renal I/R injury model. Forty male Wistar rats were randomly divided into four groups: Sham, I/R, I/R pretreated with 3-methyladenine (3-MA, autophagy inhibitor), or I/R pretreated with rapamycin (autophagy activator). All rats were subjected to clamping of the left renal pedicle for 45 min after right nephrectomy, followed by 24 h of reperfusion. The Sham group underwent the surgical procedure without ischemia. 3-MA and rapamycin were injected 15 min before ischemia. Renal function was indicated by blood urea nitrogen and serum creatinine. Tissue samples from the kidneys were scored histopathologically. Autophagy was indicated by light chain 3 (LC3), Beclin-1, and p62 levels and the number of autophagic vacuoles. Apoptosis was evaluated by the terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) method and expression of caspase-3. Autophagy was activated after renal I/R injury. Inhibition of autophagy by 3-MA before I/R aggravated renal injury, with worsened renal function, higher renal tissue injury scores, and more tubular apoptosis. In contrast, rapamycin pretreatment ameliorated renal injury, with improved renal function, lower renal tissue injury scores, and inhibited apoptosis based on fewer TUNEL-positive cells and lower caspase-3 expression. Our results demonstrate that autophagy could be activated during I/R injury and play a protective role in renal I/R injury. The mechanisms were involved in the regulation of several autophagy and apoptosis-related genes. Furthermore, autophagy activator may be a promising therapy for I/R injury and AKI in the future.
缺血再灌注(I/R)损伤是急性肾损伤(AKI)的主要原因,急性肾损伤是一种常见的临床并发症,但缺乏有效的治疗方法。本研究在已建立的大鼠肾I/R损伤模型中,研究了自噬在肾I/R损伤中的作用,并探讨了潜在机制。40只雄性Wistar大鼠随机分为四组:假手术组、I/R组、用3-甲基腺嘌呤(3-MA,自噬抑制剂)预处理的I/R组或用雷帕霉素(自噬激活剂)预处理的I/R组。所有大鼠在右肾切除术后夹闭左肾蒂45分钟,然后再灌注24小时。假手术组进行无缺血的手术操作。在缺血前15分钟注射3-MA和雷帕霉素。肾功能通过血尿素氮和血清肌酐来表示。对肾脏组织样本进行组织病理学评分。通过轻链3(LC3)、Beclin-1和p62水平以及自噬泡数量来表示自噬。通过末端脱氧核苷酸转移酶介导的dUTP缺口末端标记(TUNEL)法和半胱天冬酶-3的表达来评估细胞凋亡。肾I/R损伤后自噬被激活。I/R前用3-MA抑制自噬会加重肾损伤,表现为肾功能恶化、肾组织损伤评分更高以及肾小管凋亡增多。相比之下,雷帕霉素预处理可改善肾损伤,表现为肾功能改善、肾组织损伤评分更低,并基于TUNEL阳性细胞更少和半胱天冬酶-3表达更低而抑制细胞凋亡。我们的结果表明,自噬可在I/R损伤期间被激活,并在肾I/R损伤中发挥保护作用。其机制涉及多个自噬和凋亡相关基因的调节。此外,自噬激活剂未来可能是治疗I/R损伤和AKI的一种有前景的疗法。