Department of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, NY, Box 1243, USA.
Division of Endocrinology, Diabetes and Bone Diseases, Icahn School of Medicine at Mount Sinai, Diabetes, Obesity and Metabolism Institute, One Gustave L. Levy Place, New York, NY, 10029, USA.
Adv Sci (Weinh). 2024 Aug;11(29):e2309642. doi: 10.1002/advs.202309642. Epub 2024 May 30.
Cholesterol 25-hydroxylase (CH25H), an enzyme involved in cholesterol metabolism, regulates inflammatory responses and lipid metabolism. However, its role in kidney disease is not known. The author found that CH25H transcript is expressed mostly in glomerular and peritubular endothelial cells and that its expression increased in human and mouse diabetic kidneys. Global deletion of Ch25h in Lepr mice aggravated diabetic kidney disease (DKD), which is associated with increased endothelial cell apoptosis. Treatment of 25-hydroxycholesterol (25-HC), the product of CH25H, alleviated kidney injury in Lepr mice. Mechanistically, 25-HC binds to GTP-binding protein ADP-ribosylation factor 4 (ARF4), an essential protein required for maintaining protein transport in the Golgi apparatus. Interestingly, ARF4's GTPase-activating protein ASAP1 is also predominantly expressed in endothelial cells and its expression increased in DKD. Suppression of ARF4 activity by deleting ARF4 or overexpressing ASAP1 results in endothelial cell death. These results indicate that 25-HC binds ARF4 to inhibit its interaction with ASAP1, and thereby resulting in enhanced ARF4 activity to confer renoprotection. Therefore, treatment of 25-HC improves kidney injury in DKD in part by restoring ARF4 activity to maintain endothelial cell survival. This study provides a novel mechanism and a potential new therapy for DKD.
胆固醇 25-羟化酶(CH25H)是一种参与胆固醇代谢的酶,调节炎症反应和脂质代谢。然而,其在肾脏疾病中的作用尚不清楚。作者发现 CH25H 转录本主要在肾小球和肾小管内皮细胞中表达,其在人和小鼠糖尿病肾脏中的表达增加。Lepr 小鼠中 Ch25h 的全局缺失加重了糖尿病肾病(DKD),这与内皮细胞凋亡增加有关。25-羟胆固醇(25-HC),即 CH25H 的产物,可减轻 Lepr 小鼠的肾脏损伤。在机制上,25-HC 与 G 蛋白结合蛋白 ADP-核糖基化因子 4(ARF4)结合,ARF4 是高尔基体中蛋白质运输所必需的一种重要蛋白。有趣的是,ARF4 的 GTP 酶激活蛋白 ASAP1 也主要在内皮细胞中表达,其在 DKD 中表达增加。通过删除 ARF4 或过表达 ASAP1 抑制 ARF4 活性会导致内皮细胞死亡。这些结果表明,25-HC 与 ARF4 结合抑制其与 ASAP1 的相互作用,从而增强 ARF4 活性以提供肾脏保护。因此,25-HC 的治疗部分通过恢复 ARF4 活性来维持内皮细胞存活从而改善 DKD 中的肾脏损伤。本研究为 DKD 提供了一种新的机制和潜在的新疗法。
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