Department of Nephrology, The Hainan Academician Team Innovation Center, Hainan Hospital of Chinese PLA General Hospital, Sanya, China.
Senior Department of Nephrology, The First Medical Center of Chinese PLA General Hospital, Chinese PLA Institute of Nephrology, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing Key Laboratory of Kidney Diseases Research, Beijing, China.
Aging Cell. 2024 Jun;23(6):e14130. doi: 10.1111/acel.14130. Epub 2024 Feb 28.
Aging-associated renal dysfunction promotes the pathogenesis of chronic kidney disease. Mitochondrial dysfunction in renal tubular epithelial cells is a hallmark of senescence and leads to accelerated progression of renal disorders. Dysregulated calcium profiles in mitochondria contribute to aging-associated disorders, but the detailed mechanism of this process is not clear. In this study, modulation of the sirtuin 1/angiotensin II type 1 receptor (Sirt1/AT1R) pathway partially attenuated renal glomerular sclerosis, tubular atrophy, and interstitial fibrosis in D-galactose (D-gal)-induced accelerated aging mice. Moreover, modulation of the Sirt1/AT1R pathway improved mitochondrial dysfunction induced by D-gal treatment. Transient receptor potential channel, subtype C, member 3 (TRPC3) upregulation mediated dysregulated cellular and mitochondrial calcium homeostasis during aging. Furthermore, knockdown or knockout (KO) of Trpc3 in mice ameliorated D-gal-induced mitochondrial reactive oxygen species production, membrane potential deterioration, and energy metabolism disorder. Mechanistically, activation of the AT1R/PKA pathway promoted CREB phosphorylation and nucleation of CRE2 binding to the Trpc3 promoter (-1659 to -1648 bp) to enhance transcription. Trpc3 KO significantly improved the renal disorder and cell senescence in D-gal-induced mice. Taken together, these results indicate that TRPC3 upregulation mediates age-related renal disorder and is associated with mitochondrial calcium overload and dysfunction. TRPC3 is a promising therapeutic target for aging-associated renal disorders.
衰老相关的肾功能障碍促进慢性肾脏病的发病机制。肾小管上皮细胞中线粒体功能障碍是衰老的标志,并导致肾脏疾病的加速进展。线粒体中钙谱的失调与衰老相关的疾病有关,但这一过程的详细机制尚不清楚。在这项研究中,沉默信息调节因子 1/血管紧张素 II 型 1 型受体(Sirt1/AT1R)通路的调节部分减轻了 D-半乳糖(D-gal)诱导的加速衰老小鼠的肾小球硬化、肾小管萎缩和间质纤维化。此外,Sirt1/AT1R 通路的调节改善了 D-gal 处理引起的线粒体功能障碍。瞬时受体电位通道,亚型 C,成员 3(TRPC3)的上调介导了衰老过程中细胞和线粒体钙稳态的失调。此外,在小鼠中敲低或敲除(KO)Trpc3 可改善 D-gal 诱导的线粒体活性氧产生、膜电位恶化和能量代谢障碍。在机制上,AT1R/PKA 通路的激活促进了 CREB 的磷酸化和 CRE2 与 Trpc3 启动子(-1659 至-1648bp)的结合,从而增强转录。Trpc3 KO 显著改善了 D-gal 诱导的小鼠的肾脏疾病和细胞衰老。总之,这些结果表明,TRPC3 的上调介导了与年龄相关的肾脏疾病,并与线粒体钙超载和功能障碍有关。TRPC3 是治疗与衰老相关的肾脏疾病的有希望的靶点。