Department of Nephrology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; NHC Key Laboratory of Clinical Nephrology (Sun Yat-sen University) and Guangdong Provincial Key Laboratory of Nephrology, Guangzhou, China.
NHC Key Laboratory of Clinical Nephrology (Sun Yat-sen University) and Guangdong Provincial Key Laboratory of Nephrology, Guangzhou, China; Department of Pathology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Kidney Int. 2024 Aug;106(2):226-240. doi: 10.1016/j.kint.2024.04.016. Epub 2024 May 22.
Persistently elevated glycolysis in kidney has been demonstrated to promote chronic kidney disease (CKD). However, the underlying mechanism remains largely unclear. Here, we observed that 6-phosphofructo-2-kinase/fructose-2,6-biphosphatase 3 (PFKFB3), a key glycolytic enzyme, was remarkably induced in kidney proximal tubular cells (PTCs) following ischemia-reperfusion injury (IRI) in mice, as well as in multiple etiologies of patients with CKD. PFKFB3 expression was positively correlated with the severity of kidney fibrosis. Moreover, patients with CKD and mice exhibited increased urinary lactate/creatine levels and kidney lactate, respectively. PTC-specific deletion of PFKFB3 significantly reduced kidney lactate levels, mitigated inflammation and fibrosis, and preserved kidney function in the IRI mouse model. Similar protective effects were observed in mice with heterozygous deficiency of PFKFB3 or those treated with a PFKFB3 inhibitor. Mechanistically, lactate derived from PFKFB3-mediated tubular glycolytic reprogramming markedly enhanced histone lactylation, particularly H4K12la, which was enriched at the promoter of NF-κB signaling genes like Ikbkb, Rela, and Relb, activating their transcription and facilitating the inflammatory response. Further, PTC-specific deletion of PFKFB3 inhibited the activation of IKKβ, I κ B α, and p65 in the IRI kidneys. Moreover, increased H4K12la levels were positively correlated with kidney inflammation and fibrosis in patients with CKD. These findings suggest that tubular PFKFB3 may play a dual role in enhancing NF-κB signaling by promoting both H4K12la-mediated gene transcription and its activation. Thus, targeting the PFKFB3-mediated NF-κB signaling pathway in kidney tubular cells could be a novel strategy for CKD therapy.
肾内持续升高的糖酵解已被证实可促进慢性肾脏病(CKD)。然而,其潜在机制在很大程度上仍不清楚。在这里,我们观察到,在小鼠缺血再灌注损伤(IRI)以及多种 CKD 患者病因中,糖酵解关键酶 6-磷酸果糖-2-激酶/果糖-2,6-二磷酸酶 3(PFKFB3)在肾近端小管细胞(PTC)中显著诱导。PFKFB3 的表达与肾纤维化的严重程度呈正相关。此外,CKD 患者和小鼠的尿乳酸/肌酐水平和肾脏乳酸水平分别升高。PFKFB3 特异性缺失可显著降低肾脏乳酸水平,减轻炎症和纤维化,并在 IRI 小鼠模型中保留肾功能。在 PFKFB3 杂合缺失或使用 PFKFB3 抑制剂的小鼠中也观察到类似的保护作用。在机制上,PFKFB3 介导的管状糖酵解重编程产生的乳酸显著增强组蛋白乳酰化,特别是 H4K12la,其在 NF-κB 信号基因如 Ikbkb、Rela 和 Relb 的启动子处富集,激活它们的转录并促进炎症反应。此外,在 IRI 肾脏中,PTC 特异性缺失 PFKFB3 可抑制 IKKβ、IκBα 和 p65 的激活。此外,在 CKD 患者中,H4K12la 水平的升高与肾脏炎症和纤维化呈正相关。这些发现表明,管状 PFKFB3 可能通过促进 H4K12la 介导的基因转录及其激活,在增强 NF-κB 信号传导中发挥双重作用。因此,靶向肾小管细胞中 PFKFB3 介导的 NF-κB 信号通路可能是 CKD 治疗的新策略。
Free Radic Biol Med. 2023-11-1
Am J Physiol Renal Physiol. 2024-10-1
Front Cell Dev Biol. 2025-8-13
Biomedicines. 2025-8-11
Clin Epigenetics. 2025-8-6
Drug Des Devel Ther. 2025-7-29
Int J Mol Med. 2025-10