a Department of Nephrology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University , Guangzhou , PR China.
b Department of Nephrology, Ruijin Hospital, Shanghai Jiao Tong University, School of Medicine , Shanghai , PR China.
Free Radic Res. 2019 Jul;53(7):800-814. doi: 10.1080/10715762.2019.1635251. Epub 2019 Jul 8.
Acute kidney injury (AKI) is a major kidney disease associated with poor clinical outcomes. Oxidative stress is predominantly involved in the pathogenesis of AKI. Autophagy and the Keap1-Nrf2 signalling pathway are both involved in the oxidative-stress response. However, the cross talk between these two pathways in AKI remains unknown. Here, we found that autophagy is upregulated during cisplatin-induced AKI. In contrast with previous studies, we observed a marked increase in p62. We also found that p62 knockdown reduces autophagosome formation and the expression of LC3II. To explore the cross talk between p62 and the Keap1-Nrf2 signalling pathway, HK-2 cells were transfected with siRNA targeting Nrf2, and we found that Nrf2 knockdown significantly reduced cisplatin-induced p62 expression. Moreover, p62 knockdown significantly decreased the protein expression of Nrf2, as well as Heme Oxygenase-1 (HO-1) and NAD(P)H:quinone oxidoreductase l (NQO1), whereas the expression of kelch-like ECH-associated protein 1 (Keap1) was upregulated. These results indicate that p62 creates a positive feedback loop in the Keap1-Nrf2 signalling pathway. Finally, we examined the role of p62 in cell protection during cisplatin-induced oxidative stress, and we found that p62 silencing in HK-2 cells increases apoptosis and reactive oxygen species (ROS) levels, which further indicates the protective role of p62 under oxidative stress and suggests that the cytoprotection 62 mediated is in part by regulating autophagic activity or the Keap1-Nrf2 signalling pathway. Taken together, our results have demonstrated a reciprocal regulation of p62, autophagy and the Keap1-Nrf2 signalling pathway under oxidative stress, which may be a potential therapeutic target against AKI.
急性肾损伤(AKI)是一种与不良临床结局相关的主要肾脏疾病。氧化应激主要参与 AKI 的发病机制。自噬和 Keap1-Nrf2 信号通路都参与了氧化应激反应。然而,这两种途径在 AKI 中的相互作用尚不清楚。在这里,我们发现自噬在顺铂诱导的 AKI 中上调。与之前的研究不同,我们观察到 p62 明显增加。我们还发现 p62 敲低减少自噬体形成和 LC3II 的表达。为了探讨 p62 与 Keap1-Nrf2 信号通路之间的相互作用,我们用靶向 Nrf2 的 siRNA 转染 HK-2 细胞,发现 Nrf2 敲低显著降低了顺铂诱导的 p62 表达。此外,p62 敲低显著降低了 Nrf2 的蛋白表达,以及血红素加氧酶-1(HO-1)和 NAD(P)H:醌氧化还原酶 l(NQO1),而 kelch 样 ECH 相关蛋白 1(Keap1)的表达上调。这些结果表明,p62 在 Keap1-Nrf2 信号通路中产生了正反馈环。最后,我们研究了 p62 在顺铂诱导的氧化应激中对细胞保护的作用,发现 HK-2 细胞中 p62 的沉默增加了细胞凋亡和活性氧(ROS)水平,这进一步表明了 p62 在氧化应激下的保护作用,并表明 p62 介导的细胞保护作用部分是通过调节自噬活性或 Keap1-Nrf2 信号通路来实现的。总之,我们的研究结果表明,在氧化应激下,p62、自噬和 Keap1-Nrf2 信号通路之间存在相互调节,这可能是治疗 AKI 的潜在靶点。
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