动力相关蛋白 1 缺乏促进急性肾损伤的恢复。

Dynamin-Related Protein 1 Deficiency Promotes Recovery from AKI.

机构信息

Department of Medicine, Division of Nephrology and Center for Immunity, Inflammation, and Regenerative Medicine.

Department of Medicine, Division of Cardiovascular Medicine and Center for Skeletal Muscle Research at the Robert M. Berne Cardiovascular Research Center, and.

出版信息

J Am Soc Nephrol. 2018 Jan;29(1):194-206. doi: 10.1681/ASN.2017060659. Epub 2017 Oct 30.

Abstract

The proximal tubule epithelium relies on mitochondrial function for energy, rendering the kidney highly susceptible to ischemic AKI. Dynamin-related protein 1 (DRP1), a mediator of mitochondrial fission, regulates mitochondrial function; however, the cell-specific and temporal role of DRP1 in AKI is unknown. Using genetic murine models, we found that proximal tubule-specific deletion of prevented the renal ischemia-reperfusion-induced kidney injury, inflammation, and programmed cell death observed in wild-type mice and promoted epithelial recovery, which associated with activation of the renoprotective -hydroxybutyrate signaling pathway. Loss of DRP1 preserved mitochondrial structure and reduced oxidative stress in injured kidneys. Lastly, proximal tubule deletion of DRP1 after ischemia-reperfusion injury attenuated progressive kidney injury and fibrosis. These results implicate DRP1 and mitochondrial dynamics as an important mediator of AKI and progression to fibrosis and suggest that DRP1 may serve as a therapeutic target for AKI.

摘要

近端肾小管上皮细胞依赖线粒体功能提供能量,这使得肾脏极易受到缺血性急性肾损伤(AKI)的影响。动力相关蛋白 1(DRP1)是一种介导线粒体分裂的物质,可调节线粒体功能;然而,DRP1 在 AKI 中的细胞特异性和时间作用尚不清楚。我们使用遗传小鼠模型发现,近端肾小管特异性敲除 可预防野生型小鼠中观察到的肾缺血再灌注引起的肾损伤、炎症和程序性细胞死亡,并促进上皮细胞恢复,这与肾保护 -羟丁酸信号通路的激活有关。DRP1 的缺失可保持线粒体结构并减少损伤肾脏中的氧化应激。最后,缺血再灌注损伤后近端肾小管中 DRP1 的缺失可减轻进行性肾损伤和纤维化。这些结果表明 DRP1 和线粒体动力学是 AKI 及进展为纤维化的重要介导物,并提示 DRP1 可能成为 AKI 的治疗靶点。

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