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DUSP2 介导的肾小管上皮细胞焦亡抑制在急性肾损伤中具有肾脏保护作用。

DUSP2-mediated inhibition of tubular epithelial cell pyroptosis confers nephroprotection in acute kidney injury.

机构信息

Department of Nephrology, the Key Laboratory for the Prevention and Treatment of Chronic Kidney Disease of Chongqing, Chongqing Clinical Research Center of Kidney and Urology Diseases, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, P.R. China.

出版信息

Theranostics. 2022 Jul 4;12(11):5069-5085. doi: 10.7150/thno.72291. eCollection 2022.

Abstract

Acute kidney injury (AKI) is pathologically characterized by renal tubular epithelial cell (RTEC) death and interstitial inflammation, while their pathogenesis remains incompletely understood. Dual-specificity phosphatase 2 (DUSP2) recently emerges as a crucial regulator of cell death and inflammation in a wide range of diseases, but its roles in renal pathophysiology are largely unknown. The expression of DUSP2 in the kidney was characterized by histological analysis in renal tissues from patients and mice with AKI. The role and mechanism of DUSP2-mediated inhibition of tubular epithelial cell pyroptosis in AKI were evaluated both and , and confirmed in RTEC-specific deletion of DUSP2 mice. Here, we show that DUSP2 is enriched in RTECs in the renal tissue of both human and mouse and mainly positions in the nucleus. Further, we reveal that loss-of-DUSP2 in RTECs not only is a common feature of human and murine AKI but also positively contributes to AKI pathogenesis. Especially, RTEC-specific deletion of DUSP2 sensitizes mice to AKI by promoting RTEC pyroptosis and the resultant interstitial inflammation. Mechanistic studies show that gasdermin D (GSDMD), which mediates RTEC pyroptosis, is identified as a transcriptional target of activated STAT1 during AKI, whereas DUSP2 as a nuclear phosphatase deactivates STAT1 to restrict GSDMD-mediated RTEC pyroptosis. Importantly, DUSP2 overexpression in RTECs via adeno-associated virus-mediated gene transfer significantly ameliorates AKI. Our findings demonstrate a hitherto unrecognized role of DUSP2-STAT1 axis in regulating RTEC pyroptosis in AKI, highlighting that DUSP2-STAT1 axis is an attractive therapeutic target for AKI.

摘要

急性肾损伤 (AKI) 的病理特征为肾小管上皮细胞 (RTEC) 死亡和间质炎症,但其发病机制尚不完全清楚。双特异性磷酸酶 2 (DUSP2) 最近成为多种疾病中细胞死亡和炎症的关键调节因子,但它在肾脏生理学中的作用在很大程度上尚不清楚。通过对 AKI 患者和小鼠的肾组织进行组织学分析,研究了 DUSP2 在肾脏中的表达。评估了 DUSP2 介导的抑制 AKI 中肾小管上皮细胞细胞焦亡的作用和机制,并在 RTEC 特异性缺失 DUSP2 的小鼠中得到了证实。在此,我们发现 DUSP2 在人类和小鼠的肾组织 RTEC 中富集,主要位于细胞核内。此外,我们揭示了 RTEC 中 DUSP2 的缺失不仅是人类和鼠 AKI 的共同特征,而且还积极促进 AKI 的发病机制。特别是,RTEC 特异性缺失 DUSP2 通过促进 RTEC 细胞焦亡和由此产生的间质炎症,使小鼠对 AKI 更为敏感。机制研究表明,在 AKI 期间,介导 RTEC 细胞焦亡的 gasdermin D (GSDMD) 被鉴定为激活的 STAT1 的转录靶标,而 DUSP2 作为核磷酸酶可使 STAT1 失活,从而限制 GSDMD 介导的 RTEC 细胞焦亡。重要的是,通过腺相关病毒介导的基因转移在 RTEC 中过表达 DUSP2 可显著改善 AKI。我们的研究结果表明,DUSP2-STAT1 轴在调节 AKI 中 RTEC 细胞焦亡方面发挥了迄今为止尚未被认识到的作用,突出了 DUSP2-STAT1 轴是 AKI 有吸引力的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5b/9274747/815ce0c0cfeb/thnov12p5069g001.jpg

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