Hyndman Kelly A, Kasztan Malgorzata, Mendoza Luciano D, Monteiro-Pai Sureena
Cardio-Renal Physiology and Medicine, Division of Nephrology, Department of Medicine, University of Alabama at Birmingham , Birmingham, Alabama.
Am J Physiol Renal Physiol. 2019 May 1;316(5):F875-F888. doi: 10.1152/ajprenal.00499.2018. Epub 2019 Feb 27.
Deranged histone deacetylase (HDAC) activity causes uncontrolled proliferation, inflammation, fibrosis, and organ damage. It is unclear whether deranged HDAC activity results in acute kidney injury in the renal hypoperfusion model of bilateral ischemia-reperfusion injury (IRI) and whether in vivo inhibition is an appropriate therapeutic approach to limit injury. Male mice were implanted with intraperitoneal osmotic minipumps containing vehicle, the class I HDAC inhibitor, MS275, or the pan-HDAC inhibitor, trichostatin A (TSA), 3 days before sham/bilateral IRI surgery. Kidney cortical samples were analyzed using histological, immunohistochemical, and Western blotting techniques. HDAC-dependent proliferation rate was measured in immortalized rat epithelial cells and primary mouse or human proximal tubule (PT) cells. There were dynamic changes in cortical HDAC localization and abundance following IRI including a fourfold increase in HDAC4 in the PT. HDAC inhibition resulted in a significantly higher plasma creatinine, increased kidney damage, but reduced interstitial fibrosis compared with vehicle-treated IRI mice. HDAC-inhibited mice had reduced interstitial α-smooth muscle actin, fibronectin expression, and Sirius red-positive area, suggesting that IRI activates HDAC-mediated fibrotic pathways. In vivo proliferation of the kidney epithelium was significantly reduced in TSA-treated, but not MS275-treated, IRI mice, suggesting class II HDACs mediate proliferation. Furthermore, HDAC4 activation increased proliferation of human and mouse PTs. Kidney HDACs are activated during IRI with isoform-specific expression patterns. Our data point to mechanisms whereby IRI activates HDACs resulting in fibrotic pathways but also activation of PT proliferation and repair pathways. This study demonstrates the need to develop isoform-selective HDAC inhibitors for the treatment of renal hypoperfusion-induced injury.
组蛋白脱乙酰酶(HDAC)活性紊乱会导致不受控制的增殖、炎症、纤维化和器官损伤。目前尚不清楚在双侧缺血再灌注损伤(IRI)的肾灌注不足模型中,HDAC活性紊乱是否会导致急性肾损伤,以及体内抑制是否是限制损伤的合适治疗方法。在假手术/双侧IRI手术前3天,给雄性小鼠植入含有载体、I类HDAC抑制剂MS275或泛HDAC抑制剂曲古抑菌素A(TSA)的腹腔渗透微型泵。使用组织学、免疫组织化学和蛋白质印迹技术分析肾皮质样本。在永生化大鼠上皮细胞以及原代小鼠或人近端小管(PT)细胞中测量HDAC依赖性增殖率。IRI后皮质HDAC的定位和丰度发生动态变化,包括PT中HDAC4增加四倍。与载体处理的IRI小鼠相比,HDAC抑制导致血浆肌酐显著升高、肾损伤增加,但间质纤维化减少。HDAC抑制的小鼠间质α平滑肌肌动蛋白、纤连蛋白表达和天狼星红阳性面积减少,表明IRI激活了HDAC介导的纤维化途径。在TSA处理而非MS275处理的IRI小鼠中,肾上皮细胞的体内增殖显著减少,表明II类HDAC介导增殖。此外,HDAC4激活增加了人和小鼠PT的增殖。肾脏HDAC在IRI期间被激活,具有亚型特异性表达模式。我们的数据指出了IRI激活HDAC导致纤维化途径以及PT增殖和修复途径激活的机制。这项研究表明需要开发亚型选择性HDAC抑制剂来治疗肾灌注不足引起的损伤。