依达拉奉通过抑制自噬介导的铁死亡减轻草酸钙诱导的肾小管上皮细胞损伤。

Edaravone mitigates calcium oxalate-induced renal tubular epithelial cell injury by inhibiting autophagy-mediated ferroptosis.

作者信息

Chen Wei, Cao Zipei, Wang Shunping

机构信息

Department of Urology, Ningbo Urology and Nephrology Hospital, No.998 Qianhe North Road, Ningbo, 315100, Zhejiang, China.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2025 May;398(5):5569-5578. doi: 10.1007/s00210-024-03630-6. Epub 2024 Nov 22.

Abstract

Edaravone (EDA) has been found to exert protective effects on kidney injury. Nevertheless, the functions of EDA in kidney stones as well as the potential mechanism are vague. Calcium oxalate (CaOx) was used to induce kidney stones cell model with human renal tubular epithelial cell line HK-2. CCK-8 assay was employed to detect cell viability injury. Oxidative stress was measured by DCFH-DA staining and detection of MDA, SOD, and GSH. Staining of FerroOrange and western blot were applied for ferroptosis. In addition, autophagy was elucidated by western blot and immunofluorescence staining. The data showed that CaOx treatment aggravated HK-2 cell viability injury, increased the levels of ROS, MDA, and Fe in HK-2 cells, and reduced the contents of SOD and GSH. Additionally, CaOx enhanced the expression of KIM1, TFR1, LC3II/LC31, and BECLIN1 in HK-2 cells, while resulting in a decrease in the expression of GPX4, SLC7A11, and P62. Pretreatment of EDA mitigated CaOx-induced oxidative stress and ferroptosis, as well as autophagy in renal tubular epithelial cells. However, autophagy inducer rapamycin (Rap) reversed the protective role of EDA on renal tubular epithelial cell injury, oxidative stress, and ferroptosis. In conclusion, EDA contributes to suppressing oxidative stress and ferroptosis in CaOx-induced HT22 cells by restraining autophagy, which may be a potential candidate for the treatment of kidney stones caused by renal tubular epithelial cell damage.

摘要

依达拉奉(EDA)已被发现对肾损伤具有保护作用。然而,EDA在肾结石中的作用及其潜在机制尚不清楚。采用草酸钙(CaOx)诱导人肾小管上皮细胞系HK-2建立肾结石细胞模型。采用CCK-8法检测细胞活力损伤。通过DCFH-DA染色以及检测丙二醛(MDA)、超氧化物歧化酶(SOD)和谷胱甘肽(GSH)来测定氧化应激。应用铁橙染色和蛋白质印迹法检测铁死亡。此外,通过蛋白质印迹法和免疫荧光染色阐明自噬情况。数据显示,CaOx处理加重了HK-2细胞活力损伤,增加了HK-2细胞中活性氧(ROS)、MDA和铁的水平,并降低了SOD和GSH的含量。此外,CaOx增强了HK-2细胞中肾损伤分子1(KIM1)、转铁蛋白受体1(TFR1)、微管相关蛋白1轻链3II/微管相关蛋白1轻链3I(LC3II/LC3I)和Beclin1的表达,同时导致谷胱甘肽过氧化物酶4(GPX4)、溶质载体家族7成员11(SLC7A11)和P62的表达下降。EDA预处理减轻了CaOx诱导的氧化应激、铁死亡以及肾小管上皮细胞中的自噬。然而,自噬诱导剂雷帕霉素(Rap)逆转了EDA对肾小管上皮细胞损伤、氧化应激和铁死亡的保护作用。总之,EDA通过抑制自噬有助于抑制CaOx诱导的HT22细胞中的氧化应激和铁死亡,这可能是治疗由肾小管上皮细胞损伤引起的肾结石的潜在候选药物。

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