Gao Songyan, Chao Yufan, Li Na, Li Henghui, Zhao Hongxia, Liu Xinru, Chen Wei, Dong Xin
Institute of Translational Medicine, Shanghai University, Shanghai, China.
School of Medicine, Shanghai University, Shanghai, China.
Front Med (Lausanne). 2022 Mar 3;9:805356. doi: 10.3389/fmed.2022.805356. eCollection 2022.
Renal fibrosis is the pathological repair reaction of the kidney to chronic injury, which is an important process of chronic kidney disease (CKD) progressing to end-stage renal failure. Nephrolithiasis is one of the most common renal diseases, with waist and abdomen pain, hematuria, urinary tract infection, and other clinical symptoms, which can increase the risk of renal fibrosis. Oxalate crystal-induced kidney injury is an early stage of nephrolithiasis; it is of great significance to explore the mechanism for the prevention and treatment of nephrolithiasis. A rodent model of calcium oxalate (CaOx) crystal-induced kidney injury was used in the present study, and a network analysis method combining proteomics and metabolomics was conducted to reveal the mechanism of crystal kidney injury and to provide potential targets for the intervention of nephrolithiasis. Using the metabolomics method based on the UHPLC-Q/TOF-MS platform and the iTRAQ quantitative proteomics method, we screened a total of 244 metabolites and 886 proteins from the kidney tissues that had significant changes in the Crystal group compared with that in the Control group. Then, the ingenuity pathway analysis (IPA) was applied to construct a protein-to-metabolic regulatory network by correlating and integrating differential metabolites and proteins. The results showed that CaOx crystals could induce inflammatory reactions and oxidative stress through Akt, ERK1/2, and P38 MAPK pathways and affect amino acid metabolism and fatty acid β-oxidation to result in kidney injury, thus providing an important direction for the early prevention and treatment of nephrolithiasis.
肾纤维化是肾脏对慢性损伤的病理修复反应,是慢性肾脏病(CKD)进展至终末期肾衰竭的重要过程。肾结石是最常见的肾脏疾病之一,伴有腰腹痛、血尿、尿路感染等临床症状,可增加肾纤维化风险。草酸钙晶体诱导的肾损伤是肾结石的早期阶段;探索其机制对肾结石的防治具有重要意义。本研究采用草酸钙(CaOx)晶体诱导的肾损伤啮齿动物模型,运用蛋白质组学和代谢组学相结合的网络分析方法,揭示晶体肾损伤机制,为肾结石干预提供潜在靶点。基于UHPLC-Q/TOF-MS平台的代谢组学方法和iTRAQ定量蛋白质组学方法,我们从晶体组与对照组相比有显著变化的肾组织中总共筛选出244种代谢物和886种蛋白质。然后,通过关联和整合差异代谢物和蛋白质,应用 Ingenuity 通路分析(IPA)构建蛋白质-代谢调控网络。结果表明,CaOx晶体可通过Akt、ERK1/2和P38 MAPK通路诱导炎症反应和氧化应激,影响氨基酸代谢和脂肪酸β氧化导致肾损伤,从而为肾结石的早期防治提供重要方向。