Chen Hao, Hu Qianchao, Lu Zhongshan, Zhao Jie, Liu Anxiong, Liu Zhongzhong, Luo Jun, Ye Qifa, Zhong Zibiao
Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Engineering Research Center of Natural Polymer-based Medical Materials in Hubei Province, Wuhan 430071, China.
Department of Liver Surgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, 160 Pujian Road, Pudong New Area,Shanghai 200127, China.
Transl Res. 2025 Mar;277:1-12. doi: 10.1016/j.trsl.2024.12.007. Epub 2024 Dec 31.
Renal ischemia-reperfusion injury (IRI) is a prevalent clinical syndrome, yet its underlying pathogenesis remains largely unknown. Aldehyde dehydrogenase 2 (ALDH2), an enzyme responsible for detoxifying lipid aldehydes, has been suggested to play a protective role against IRI. In our study, we observed that Aldh2 knock-out C57BL/6 mice experienced more severe renal functional impairment following IRI. This was characterized by elevated levels of creatinine and blood urea nitrogen, as well as increased apoptosis. Proteomic analysis further revealed that ALDH2 deficiency significantly disrupted lipid metabolism, resulting in higher levels of the proinflammatory protein CYP4A and its metabolic byproduct, 20-HETE. This metabolic disruption exacerbated renal inflammation and triggered endoplasmic reticulum stress. However, we found that administration of the CYP4A inhibitor, HET0016, could ameliorate these effects. Mechanistically, we discovered that after IRI, ALDH2 translocates to the nucleus and interacts with nuclear receptor corepressor 1 (NCOR1) to repress Cyp4a transcription. ALDH2 specifically interacts with the N-terminal domain of NCOR1, which is responsible for its interaction with its E3 ligase SIAH2. This interaction inhibits the proteasome degradation of NCOR1, ultimately stabilizing the NCOR1 transcriptional repression complex. In summary, our research uncovers the role of ALDH2 in mitigating renal IRI by inhibiting 20-HETE synthesis through the transcriptional repression of Cyp4a.
肾缺血再灌注损伤(IRI)是一种常见的临床综合征,但其潜在的发病机制仍 largely 未知。醛脱氢酶 2(ALDH2)是一种负责解毒脂质醛的酶,已被认为对 IRI 具有保护作用。在我们的研究中,我们观察到 Aldh2 基因敲除的 C57BL/6 小鼠在 IRI 后经历了更严重的肾功能损害。这表现为肌酐和血尿素氮水平升高以及细胞凋亡增加。蛋白质组学分析进一步表明,ALDH2 缺乏显著扰乱脂质代谢,导致促炎蛋白 CYP4A 及其代谢副产物 20-HETE 的水平升高。这种代谢紊乱加剧了肾脏炎症并引发内质网应激。然而,我们发现给予 CYP4A 抑制剂 HET0016 可以改善这些影响。从机制上讲,我们发现 IRI 后,ALDH2 易位至细胞核并与核受体共抑制因子 1(NCOR1)相互作用以抑制 Cyp4a 转录。ALDH2 特异性地与 NCOR1 的 N 末端结构域相互作用,该结构域负责其与 E3 连接酶 SIAH2 的相互作用。这种相互作用抑制了 NCOR1 的蛋白酶体降解,最终稳定了 NCOR1 转录抑制复合物。总之,我们的研究揭示了 ALDH2 通过转录抑制 Cyp4a 来抑制 20-HETE 合成从而减轻肾脏 IRI 的作用。