Department of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.
Shanghai Key Laboratory of Organ Transplantation, Shanghai, China.
Nat Commun. 2023 Mar 1;14(1):1161. doi: 10.1038/s41467-023-36747-y.
Ischemia reperfusion injury (IRI) is a common cause of acute kidney injury (AKI). The role of Nmethyladenosine (m6A) modification in AKI remains unclear. Here, we characterize the role of AlkB homolog 5 (ALKBH5) and m6A modification in an I/R-induced renal injury model in male mice. Alkbh5-knockout mice exhibit milder pathological damage and better renal function than wild-type mice post-IRI, whereas Alkbh5-knockin mice show contrary results. Also conditional knockout of Alkbh5 in the tubular epithelial cells alleviates I/R-induced AKI and fibrosis. CCL28 is identified as a target of ALKBH5. Furthermore, Ccl28 mRNA stability increases with Alkbh5 deficiency, mediating by the binding of insulin-like growth factor 2 binding protein 2. Treg recruitment is upregulated and inflammatory cells are inhibited by the increased CCL28 level in IRI-Alkbh5Ksp mice. The ALKBH5 inhibitor IOX1 exhibits protective effects against I/R-induced AKI. In summary, inhibition of ALKBH5 promotes the m6A modifications of Ccl28 mRNA, enhancing its stability, and regulating the Treg/inflammatory cell axis. ALKBH5 and this axis is a potential AKI treatment target.
缺血再灌注损伤(IRI)是急性肾损伤(AKI)的常见原因。N6-甲基腺苷(m6A)修饰在 AKI 中的作用尚不清楚。在这里,我们描述了 AlkB 同源物 5(ALKBH5)和 m6A 修饰在雄性小鼠 I/R 诱导的肾损伤模型中的作用。Alkbh5 基因敲除小鼠在 IRI 后表现出较轻的病理损伤和更好的肾功能,而 Alkbh5 基因敲入小鼠则表现出相反的结果。此外,在肾小管上皮细胞中条件性敲除 Alkbh5 可减轻 I/R 诱导的 AKI 和纤维化。CCL28 被鉴定为 ALKBH5 的靶标。此外,CCL28 mRNA 稳定性随着 Alkbh5 的缺乏而增加,由胰岛素样生长因子 2 结合蛋白 2 的结合介导。在 IRI-Alkbh5Ksp 小鼠中,CCL28 水平的增加上调了 Treg 募集并抑制了炎症细胞。ALKBH5 抑制剂 IOX1 对 I/R 诱导的 AKI 具有保护作用。总之,抑制 ALKBH5 可促进 Ccl28 mRNA 的 m6A 修饰,增强其稳定性,并调节 Treg/炎症细胞轴。ALKBH5 和该轴是潜在的 AKI 治疗靶点。