Ding Wei, Guo Honglei, Xu Chengyan, Wang Bin, Zhang Minmin, Ding Feng
Division of Nephrology, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Division of Nephrology, The Fifth People's Hospital of Shanghai, Fudan University, Shanghai, China.
Oncotarget. 2016 Apr 5;7(14):17479-91. doi: 10.18632/oncotarget.8243.
Aldosterone (Aldo) is an independent risk factor for chronic kidney disease (CKD), and although Aldo directly induces renal tubular cell injury, the underlying mechanisms remain unclear. NLRP3 inflammasome and mitochondrial reactive oxygen species (ROS) have recently been implicated in various kinds of CKD. The present study hypothesized that mitochondrial ROS and NLRP3 inflammasome mediated Aldo-induced tubular cell injury. The NLRP3 inflammasome is induced by Aldo in a dose- and time-dependent manner, as evidenced by increased NLRP3, ASC, caspase-1, and downstream cytokines, such as interleukin (IL)-1β and IL-18. The activation of the NLRP3 inflammasome was significantly prevented by the selective mineralocorticoid receptor (MR) antagonist eplerenone (EPL) (P < 0.01). Mice harboring genetic knock-out of NLRP3 (NLRP3(-/-)) showed decreased maturation of renal IL-1β and IL-18, reduced renal tubular apoptosis, and improved renal epithelial cell phenotypic alternation, and attenuated renal function in response to Aldo-infusion. In addition, mitochondrial ROS was also increased in Aldo-stimulated HK-2 cells, as assessed by MitoSOXTM red reagent. Mito-Tempo, the mitochondria-targeted antioxidant, significantly decreased HK-2 cell apoptosis, oxidative stress, and the activation of NLRP3 inflammasome. We conclude that Aldo induces renal tubular cell injury via MR dependent, mitochondrial ROS-mediated NLRP3 inflammasome activation.
醛固酮(Aldo)是慢性肾脏病(CKD)的独立危险因素,尽管醛固酮可直接诱导肾小管细胞损伤,但其潜在机制仍不清楚。NLRP3炎性小体和线粒体活性氧(ROS)最近被认为与各种慢性肾脏病有关。本研究假设线粒体ROS和NLRP3炎性小体介导醛固酮诱导的肾小管细胞损伤。醛固酮以剂量和时间依赖性方式诱导NLRP3炎性小体,NLRP3、凋亡相关斑点样蛋白(ASC)、半胱天冬酶-1以及下游细胞因子如白细胞介素(IL)-1β和IL-18的增加证明了这一点。选择性盐皮质激素受体(MR)拮抗剂依普利酮(EPL)可显著抑制NLRP3炎性小体的激活(P<0.01)。携带NLRP3基因敲除(NLRP3(-/-))的小鼠肾IL-1β和IL-18成熟减少,肾小管凋亡减少,肾上皮细胞表型改变改善,并且对醛固酮输注的肾功能衰减。此外,用MitoSOXTM红色试剂评估发现,醛固酮刺激的HK-2细胞中线粒体ROS也增加。线粒体靶向抗氧化剂Mito-Tempo显著降低HK-2细胞凋亡、氧化应激和NLRP3炎性小体的激活。我们得出结论,醛固酮通过MR依赖性、线粒体ROS介导的NLRP3炎性小体激活诱导肾小管细胞损伤。