Huang Ying-Zhi, Luan Zhi-Lin, Liu Shu-Jing, Zhang Cong, Ming Wen-Hua, Ren Bao-Yin, Guan You-Fei, Zhang Xiao-Yan
Health Science Center, East China Normal University, Shanghai 200241, China.
Advanced Institute for Medical Sciences, Dalian Medical University, Dalian 116044, China.
Sheng Li Xue Bao. 2024 Dec 25;76(6):927-936.
Acute kidney injury (AKI) is a clinical syndrome characterized by a rapid decline in renal function. Renal ischemia-reperfusion injury (RIRI) is one of the main causes of AKI with the underlying mechanism incompletely clarified. The liver X receptors (LXRs), including LXRα and LXRβ, are members of the nuclear receptor superfamily. It has been shown that LXRs play an important role in regulating glucose and lipid metabolism, cholesterol efflux, and inflammation. The purpose of this study was to explore the role and mechanism of LXRs in RIRI. We determined the effects of LXR activation on renal function and histological changes in a mouse RIRI model and a cellular model of hypoxia/reoxygenation (H/R). results showed that LXRs agonist GW3965 significantly inhibited the increase of serum creatinine and urea nitrogen levels induced by RIRI. Both HE and PAS staining of kidney tissues revealed that GW3965 alleviated the morphological damages caused by RIRI. Immunohistochemical staining showed that GW3965 mitigated 4-HNE and GRP78 levels induced by RIRI. Furthermore, TUNEL assay indicated that GW3965 reduced RIRI-induced renal cell apoptosis. Quantitative real-time PCR (qPCR) analysis revealed that GW3965 attenuated RIRI-induced IL-6 and IL-1β mRNA expression. Compared with wild-type group, LXRα gene deficiency had little effect on RIRI-associated renal functional decline and morphological damages. Additionally, study demonstrated that GW3965 alleviated H/R-induced decrease of HK-2 human renal proximal tubule cell viability and restored the activity of superoxide dismutase (SOD) after H/R. Western blot results showed that GW3965 mitigated the increase of 4-HNE and GRP78 protein expression levels after H/R; However, knockdown of LXRβ using the small interfering RNA (siRNA) technique reduced cell viability compared to GW3965-treated group. Taken together, the LXRs agonist GW3965 significantly alleviates RIRI in mice possibly by reducing apoptosis, oxidative stress, endoplasmic reticulum stress and inflammation. These results also preliminarily confirm that the renal protective effects of LXRs agonists are dependent on LXRβ.
急性肾损伤(AKI)是一种以肾功能迅速下降为特征的临床综合征。肾缺血再灌注损伤(RIRI)是AKI的主要原因之一,其潜在机制尚未完全阐明。肝脏X受体(LXRs),包括LXRα和LXRβ,是核受体超家族的成员。研究表明,LXRs在调节葡萄糖和脂质代谢、胆固醇外流及炎症中发挥重要作用。本研究旨在探讨LXRs在RIRI中的作用及机制。我们在小鼠RIRI模型和缺氧/复氧(H/R)细胞模型中确定了LXR激活对肾功能和组织学变化的影响。结果显示,LXRs激动剂GW3965显著抑制了RIRI诱导的血清肌酐和尿素氮水平的升高。肾脏组织的HE和PAS染色均显示,GW3965减轻了RIRI造成的形态学损伤。免疫组织化学染色表明,GW3965减轻了RIRI诱导的4-羟基壬烯醛(4-HNE)和葡萄糖调节蛋白78(GRP78)水平。此外,TUNEL检测表明,GW3965减少了RIRI诱导的肾细胞凋亡。定量实时PCR(qPCR)分析显示,GW3965减弱了RIRI诱导的白细胞介素-6(IL-6)和白细胞介素-1β(IL-1β)mRNA表达。与野生型组相比,LXRα基因缺陷对RIRI相关的肾功能下降和形态学损伤影响不大。此外,研究表明,GW3965减轻了H/R诱导的人近端肾小管上皮细胞系HK-2细胞活力下降,并恢复了H/R后超氧化物歧化酶(SOD)的活性。蛋白质免疫印迹结果显示,GW3965减轻了H/R后4-HNE和GRP78蛋白表达水平的升高;然而,与GW3965处理组相比,使用小干扰RNA(siRNA)技术敲低LXRβ降低了细胞活力。综上所述,LXRs激动剂GW3965可能通过减少细胞凋亡、氧化应激、内质网应激和炎症显著减轻小鼠的RIRI。这些结果也初步证实了LXRs激动剂的肾保护作用依赖于LXRβ。