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生物活性肽 apelin 通过保护肾小管线粒体的功能来挽救急性肾损伤。

Bioactive peptide apelin rescues acute kidney injury by protecting the function of renal tubular mitochondria.

机构信息

Department of Nephrology, Beijing Friendship Hospital, Capital Medical University, 95 Yong An Road, Xi Cheng District, Beijing, 100050, China.

Department of Biochemistry and Molecular Biology, Capital Medical University, Beijing, 100069, China.

出版信息

Amino Acids. 2021 Aug;53(8):1229-1240. doi: 10.1007/s00726-021-03028-1. Epub 2021 Jul 12.

Abstract

Mitochondrial dysfunction in proximal tubular epithelial cells is a key event in acute kidney injury (AKI), which is a risk factor for the development of chronic kidney disease (CKD). Apelin is a bioactive peptide that protects against AKI by alleviating inflammation, inhibiting apoptosis, and preventing lipid oxidation, but its role in protecting against mitochondrial damage remains unknown. Herein, we examined the protective effects of apelin on mitochondria in cisplatin-stimulated human renal proximal tubular epithelial cells and evaluated its therapeutic efficacy in cisplatin-induced AKI mice. In vitro, apelin inhibited the cisplatin-induced mitochondrial fission factor (MFF) upregulation and the fusion-promoting protein optic atrophy 1 (OPA1) downregulation. Apelin co-treatment reversed the decreased levels of the deacetylase, Sirt3, and the increased levels of protein acetylation in mitochondria of cisplatin-stimulated cells. Overall, apelin improved the mitochondrial morphology and membrane potential in vitro. In the AKI model, apelin administration significantly attenuated mitochondrial damage, as evidenced by longer mitochondrial profiles and increased ATP levels in the renal cortex. Suppression of MFF expression, and maintenance of Sirt3 and OPA1 expression in apelin-treated AKI mice was also observed. Finally, exogenous administration of apelin normalized the serum level of creatinine and urea nitrogen and the urine levels of NGAL and Kim-1. We also confirmed a regulatory pathway that drives mitochondrial homeostasis including PGC-1α, ERRα and Sirt3. In conclusion, we demonstrated that apelin ameliorates renal functions by protecting tubular mitochondria through Sirt3 upregulation, which is a novel protective mechanism of apelin in AKI. These results suggest that apelin has potential renoprotective effects and may be an effective agent for AKI treatment to significantly retard CKD progression.

摘要

线粒体功能障碍在近端肾小管上皮细胞是急性肾损伤 (AKI) 的关键事件,这是慢性肾脏病 (CKD) 的发展的危险因素。Apelin 是一种生物活性肽,通过减轻炎症、抑制细胞凋亡和防止脂质氧化来保护免受 AKI 的影响,但它在保护线粒体损伤方面的作用尚不清楚。在此,我们研究了 Apelin 对顺铂刺激的人肾近端肾小管上皮细胞中线粒体的保护作用,并评估了其在顺铂诱导的 AKI 小鼠中的治疗效果。在体外,Apelin 抑制顺铂诱导的线粒体裂变因子 (MFF) 上调和融合促进蛋白视神经萎缩 1 (OPA1) 下调。Apelin 共同处理逆转了顺铂刺激细胞中线粒体中去乙酰化酶 Sirt3 水平降低和蛋白乙酰化水平升高。总的来说,Apelin 改善了体外的线粒体形态和膜电位。在 AKI 模型中,Apelin 给药显著减轻了线粒体损伤,这表现为肾皮质中更长的线粒体形态和增加的 ATP 水平。在 Apelin 治疗的 AKI 小鼠中也观察到 MFF 表达的抑制以及 Sirt3 和 OPA1 表达的维持。最后,外源性给予 Apelin 可使血清肌酐和尿素氮水平以及尿中性粒细胞明胶酶相关脂质运载蛋白 (NGAL) 和肾损伤分子 1 (Kim-1) 水平正常化。我们还证实了一条调节通路,通过 Sirt3 的上调来驱动线粒体的动态平衡,包括 PGC-1α、ERRα 和 Sirt3。总之,我们证明了 Apelin 通过上调 Sirt3 来改善肾功能,从而保护管状线粒体,这是 Apelin 在 AKI 中的一种新的保护机制。这些结果表明,Apelin 具有潜在的肾脏保护作用,可能是 AKI 治疗的有效药物,可显著延缓 CKD 的进展。

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