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载脂蛋白样蛋白 7 缺乏导致足细胞内质网应激介导的细胞凋亡和蛋白尿。

Oxysterol-binding protein-like 7 deficiency leads to ER stress-mediated apoptosis in podocytes and proteinuria.

机构信息

Peggy and Harold Katz Family Drug Discovery Center, University of Miami Miller School of Medicine, Miami, Florida, United States.

Department of Pediatrics/Division of Neonatology, Batchelor Children's Research Institute, Holtz Children's Hospital, University of Miami Miller School of Medicine, Miami, Florida, United States.

出版信息

Am J Physiol Renal Physiol. 2024 Sep 1;327(3):F340-F350. doi: 10.1152/ajprenal.00319.2023. Epub 2024 Jul 4.

Abstract

Chronic kidney disease (CKD) is associated with renal lipid dysmetabolism among a variety of other pathways. We recently demonstrated that oxysterol-binding protein-like 7 (OSBPL7) modulates the expression and function of ATP-binding cassette subfamily A member 1 (ABCA1) in podocytes, a specialized type of cell essential for kidney filtration. Drugs that target OSBPL7 lead to improved renal outcomes in several experimental models of CKD. However, the role of OSBPL7 in podocyte injury remains unclear. Using mouse models and cellular assays, we investigated the influence of OSBPL7 deficiency on podocytes. We demonstrated that reduced renal OSBPL7 levels as observed in two different models of experimental CKD are linked to increased podocyte apoptosis, primarily mediated by heightened endoplasmic reticulum (ER) stress. Although as expected, the absence of OSBPL7 also resulted in lipid dysregulation (increased lipid droplets and triglycerides content), OSBPL7 deficiency-related lipid dysmetabolism did not contribute to podocyte injury. Similarly, we demonstrated that the decreased autophagic flux we observed in OSBPL7-deficient podocytes was not the mechanistic link between OSBPL7 deficiency and apoptosis. In a complementary zebrafish model, osbpl7 knockdown was sufficient to induce proteinuria and morphological damage to the glomerulus, underscoring its physiological relevance. Our study sheds new light on the mechanistic link between OSBPL7 deficiency and podocyte injury in glomerular diseases associated with CKD, and it strengthens the role of OSBPL7 as a novel therapeutic target. OSBPL7 and ER stress comprise a central mechanism in glomerular injury. This study highlights a crucial link between OSBPL7 deficiency and ER stress in CKD. OSBPL7 deficiency causes ER stress, leading to podocyte apoptosis. There is a selective effect on lipid homeostasis in that OSBPL7 deficiency affects lipid homeostasis, altering cellular triglyceride but not cholesterol content. The interaction of ER stress and apoptosis supports that ER stress, not reduced autophagy, is the main driver of apoptosis in OSBPL7-deficient podocytes.

摘要

慢性肾脏病(CKD)与多种其他途径的肾脏脂质代谢紊乱有关。我们最近证明,甾醇结合蛋白样 7(OSBPL7)调节足细胞中 ATP 结合盒亚家族 A 成员 1(ABCA1)的表达和功能,足细胞是一种对肾脏过滤至关重要的特化细胞。针对 OSBPL7 的药物可改善几种 CKD 实验模型的肾脏结局。然而,OSBPL7 在足细胞损伤中的作用尚不清楚。我们使用小鼠模型和细胞测定法研究了 OSBPL7 缺乏对足细胞的影响。我们证明,在两种不同的 CKD 实验模型中观察到的肾脏 OSBPL7 水平降低与足细胞凋亡增加有关,主要由内质网(ER)应激增加介导。虽然正如预期的那样,OSBPL7 的缺失也导致脂质失调(增加脂滴和甘油三酯含量),但与 OSBPL7 缺乏相关的脂质代谢紊乱不会导致足细胞损伤。同样,我们证明我们在 OSBPL7 缺陷足细胞中观察到的自噬通量降低不是 OSBPL7 缺乏和凋亡之间的机制联系。在互补的斑马鱼模型中,osbpl7 敲低足以诱导蛋白尿和肾小球形态损伤,突出了其生理相关性。我们的研究为与 CKD 相关的肾小球疾病中 OSBPL7 缺乏与足细胞损伤之间的机制联系提供了新的见解,并加强了 OSBPL7 作为一种新型治疗靶点的作用。OSBPL7 和 ER 应激构成了肾小球损伤的中心机制。这项研究强调了 CKD 中 OSBPL7 缺乏与 ER 应激之间的关键联系。OSBPL7 缺乏导致 ER 应激,导致足细胞凋亡。脂质稳态存在选择性影响,因为 OSBPL7 缺乏会影响脂质稳态,改变细胞内甘油三酯而不是胆固醇含量。ER 应激和细胞凋亡的相互作用支持 ER 应激而不是自噬减少是 OSBPL7 缺陷足细胞凋亡的主要驱动因素。

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