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药理学和遗传学抑制脂肪酸结合蛋白 4 可减轻顺铂诱导的急性肾损伤。

Pharmacological and genetic inhibition of fatty acid-binding protein 4 alleviated cisplatin-induced acute kidney injury.

机构信息

National Clinical Research Center for Geriatrics and Division of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.

Division of Nephrology, ZunYi Medical University Affiliated Hospital, ZunYi, China.

出版信息

J Cell Mol Med. 2019 Sep;23(9):6260-6270. doi: 10.1111/jcmm.14512. Epub 2019 Jul 8.


DOI:10.1111/jcmm.14512
PMID:31286669
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6714212/
Abstract

Fatty acid-binding protein 4 (FABP4) has been confirmed to be involved in the pathogenesis of ischaemia/reperfusion- and rhabdomyolysis-induced acute kidney injury (AKI), and targeting inhibition of FABP4 might be a potential strategy for AKI. Cisplatin as a commonly used cancer chemotherapeutic drug possessed a dose-limited side effect of nephrotoxicity. However, whether FABP4 inhibition exerted a favourable renoprotection against cisplatin-induced AKI and the involved mechanisms remained unknown. In the study, cisplatin-injected mice developed severe AKI symptom as indicated by renal dysfunction and pathological changes, companied by the high expression of FABP4 in tubular epithelial cells. Selective inhibition of FABP4 by BMS309403 at 40 mg/kg/d for 3 days and genetic knockout of FABP4 significantly attenuated the serum creatinine, blood urea nitrogen level and renal tubular damage. Mechanistically, cisplatin injection induced the increased apoptosis and regulated the corresponding protein expression of BCL-2, BCL-XL, BAX, cleaved caspase 3 and caspase 12 in the injured kidney tissues. Cisplatin also triggered multiple signal mediators of endoplasmic reticulum (ER) stress including double-stranded RNA-activated protein kinase-like ER kinase, activating transcription factor-6 and inositol-requiring enzyme-1 pathway, as well as CHOP, GRP78 and p-JNK proteins in the kidneys. Oral administration of BMS309403 significantly reduced the number of renal TUNEL-positive apoptotic cells. Knockout of FABP4 and BMS309403 notably improved ER stress-related apoptotic responses. In summary, pharmacological and genetic inhibition of FABP4 modulated apoptosis via the inactivation of ER stress in the tubular epithelial cells of cisplatin-induced AKI.

摘要

脂肪酸结合蛋白 4(FABP4)已被证实参与缺血/再灌注和横纹肌溶解引起的急性肾损伤(AKI)的发病机制,靶向抑制 FABP4 可能是 AKI 的一种潜在策略。顺铂作为一种常用的癌症化疗药物,具有剂量限制的肾毒性副作用。然而,FABP4 抑制是否对顺铂引起的 AKI 发挥有利的肾保护作用及其相关机制尚不清楚。在这项研究中,顺铂注射小鼠表现出严重的 AKI 症状,表现为肾功能障碍和病理变化,同时肾小管上皮细胞中 FABP4 表达升高。选择性抑制 FABP4 用 BMS309403 每天 40mg/kg/d 连续 3 天,以及 FABP4 的基因敲除,显著减轻血清肌酐、血尿素氮水平和肾小管损伤。从机制上讲,顺铂注射诱导细胞凋亡增加,并调节损伤肾脏组织中 BCL-2、BCL-XL、BAX、cleaved caspase 3 和 caspase 12 的相应蛋白表达。顺铂还触发内质网(ER)应激的多种信号介质,包括双链 RNA 激活蛋白激酶样 ER 激酶、激活转录因子-6 和肌醇需求酶-1 途径,以及肾脏中的 CHOP、GRP78 和 p-JNK 蛋白。BMS309403 的口服给药显著减少了肾脏 TUNEL 阳性凋亡细胞的数量。FABP4 的基因敲除和 BMS309403 的显著改善 ER 应激相关的凋亡反应。总之,FABP4 的药理学和基因抑制通过内质网应激在顺铂诱导的 AKI 的肾小管上皮细胞中失活来调节细胞凋亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/bfa24b503572/JCMM-23-6260-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/639646707806/JCMM-23-6260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/78990fc558db/JCMM-23-6260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/0ae33f0b3ced/JCMM-23-6260-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/c4b0f163bf38/JCMM-23-6260-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/fbbee68c8338/JCMM-23-6260-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/bfa24b503572/JCMM-23-6260-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/639646707806/JCMM-23-6260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/78990fc558db/JCMM-23-6260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/0ae33f0b3ced/JCMM-23-6260-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/c4b0f163bf38/JCMM-23-6260-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/fbbee68c8338/JCMM-23-6260-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3508/6714212/bfa24b503572/JCMM-23-6260-g006.jpg

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本文引用的文献

[1]
Pharmacological inhibition of fatty acid-binding protein 4 (FABP4) protects against renal ischemia-reperfusion injury.

RSC Adv. 2018-4-23

[2]
Endoplasmic reticulum stress is activated in post-ischemic kidneys to promote chronic kidney disease.

EBioMedicine. 2018-10-9

[3]
Role of Fatty Acid Binding Protein 4 (FABP4) in Kidney Disease.

Curr Med Chem. 2020

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Fatty-Acid Binding Protein 4 (FABP4) as a Potential Preclinical Biomarker of Drug-Induced Kidney Injury.

Toxicol Sci. 2018-12-1

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Pharmacological Inhibition of Fatty Acid-Binding Protein 4 (FABP4) Protects Against Rhabdomyolysis-Induced Acute Kidney Injury.

Front Pharmacol. 2018-8-8

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Nat Rev Nephrol. 2018-10

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Ann Med. 2018-7-11

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Blockade of histone deacetylase 6 protects against cisplatin-induced acute kidney injury.

Clin Sci (Lond). 2018-2-2

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Endoplasmic reticulum stress, the unfolded protein response and autophagy in kidney diseases.

Nat Rev Nephrol. 2017-10-3

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