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艾拉贝拉(ELABELA)及其一个片段可预防急性肾损伤。

ELABELA and an ELABELA Fragment Protect against AKI.

作者信息

Chen Hong, Wang Lin, Wang Wenjun, Cheng Cheng, Zhang Yu, Zhou Yu, Wang Congyi, Miao Xiaoping, Wang Jiao, Wang Chao, Li Jianshuang, Zheng Ling, Huang Kun

机构信息

Tongji School of Pharmacy.

Hubei Key Laboratory of Cell Homeostasis, College of Life Sciences, Wuhan University, Wuhan, China; and.

出版信息

J Am Soc Nephrol. 2017 Sep;28(9):2694-2707. doi: 10.1681/ASN.2016111210. Epub 2017 Jun 5.

Abstract

Renal ischemia-reperfusion (I/R) injury is the most common cause of AKI, which associates with high mortality and has no effective therapy. ELABELA (ELA) is a newly identified 32-residue hormone peptide highly expressed in adult kidney. To investigate whether ELA has protective effects on renal I/R injury, we administered the mature peptide (ELA32) or the 11-residue furin-cleaved fragment (ELA11) to hypoxia-reperfusion (H/R)-injured or adriamycin-treated renal tubular cells ELA32 and ELA11 significantly inhibited the elevation of the DNA damage response, apoptosis, and inflammation in H/R-injured renal tubular cells and suppressed adriamycin-induced DNA damage response. Similarly, overexpression of ELA32 or ELA11 significantly inhibited H/R-induced cell death, DNA damage response, and inflammation. Notably, treatment of mice with ELA32 or ELA11 but not an ELA11 mutant with a cysteine to alanine substitution at the N terminus (AE11C) inhibited I/R injury-induced renal fibrosis, inflammation, apoptosis, and the DNA damage response and markedly reduced the renal tubular lesions and renal dysfunction. Together, our results suggest that ELA32 and ELA11 may be therapeutic candidates for treating AKI.

摘要

肾缺血再灌注(I/R)损伤是急性肾损伤(AKI)最常见的病因,与高死亡率相关且尚无有效治疗方法。ELABELA(ELA)是一种新发现的由32个氨基酸组成的激素肽,在成年肾脏中高表达。为研究ELA对肾I/R损伤是否具有保护作用,我们将成熟肽(ELA32)或11个氨基酸的弗林蛋白酶切割片段(ELA11)给予缺氧再灌注(H/R)损伤或阿霉素处理的肾小管细胞。ELA32和ELA11显著抑制H/R损伤肾小管细胞中DNA损伤反应、细胞凋亡和炎症反应的升高,并抑制阿霉素诱导的DNA损伤反应。同样,ELA32或ELA11的过表达显著抑制H/R诱导的细胞死亡、DNA损伤反应和炎症。值得注意的是,用ELA32或ELA11而非N端半胱氨酸突变为丙氨酸的ELA11突变体(AE11C)处理小鼠,可抑制I/R损伤诱导的肾纤维化、炎症、细胞凋亡和DNA损伤反应,并显著减轻肾小管损伤和肾功能障碍。总之,我们的结果表明ELA32和ELA11可能是治疗AKI的候选药物。

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