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磷酸甘油酸脱氢酶通过调节足细胞中YB1/SLC7A11介导的铁死亡来减轻糖尿病肾病。

PHGDH alleviates DKD by regulating YB1/SLC7A11-mediated ferroptosis in podocytes.

作者信息

Wang Yinghui, Zhang Qingqing, Lv Shasha, Wang Xueling, Liu Qingzhen, Liu Xiangchun, Zhang Yaping, Liu Gang

机构信息

Department of Nephrology, Multidisciplinary Innovation Center for Nephrology, The Second Hospital of Shandong University, Jinan, Shandong 250033, China.

Department of Nephrology, Multidisciplinary Innovation Center for Nephrology, The Second Hospital of Shandong University, Jinan, Shandong 250033, China; Nephrology Research Institute of Shandong University, Jinan, Shandong 250033, China; Key laboratory of Reproductive Endocrinology of Ministry of Education, Shandong University, Jinan, Shandong 250012, China.

出版信息

Transl Res. 2025 Aug;282:1-13. doi: 10.1016/j.trsl.2025.06.001. Epub 2025 Jun 19.

Abstract

Diabetic kidney disease (DKD) is a main cause of end-stage renal disorder, yet its pathogenesis is still incompletely understood. Ferroptosis has been implicated in DKD progression; however, its regulatory mechanisms remain unclear. Phosphoglycerate dehydrogenase (PHGDH), a key enzyme in serine biosynthesis, has been minimally studied in DKD development. To elucidate the roles of PHGDH in ferroptosis and its underlying mechanism in podocytes and DKD, we conducted this study. Our findings demonstrate that PHGDH deficiency exacerbates podocyte injury, characterized by cytoskeletal disorganization, and promotes ferroptosis in both podocytes and DKD renal tissues. Conversely, PHGDH overexpression alleviates podocyte injury, reduces ferroptosis, and improves renal function in DKD mice. Mechanistically, we identified that PHGDH mediates ferroptosis by regulating SLC7A11 expression, a key ferroptosis-related protein. Specifically, PHGDH stabilizes Y-box binding protein 1 (YB1) by inhibiting its K48-linked ubiquitination and degradation, thereby enhancing SLC7A11 mRNA stability and expression. In conclusion, our study reveals a novel PHGDH-YB1-SLC7A11 regulatory axis that is responsible for suppressing ferroptosis and protecting against podocyte and renal injury in DKD. Our findings shed new light into the molecular mechanism underlying ferroptosis in DKD and highlight PHGDH as a therapeutic target for mitigating ferroptosis-mediated renal damage.

摘要

糖尿病肾病(DKD)是终末期肾病的主要病因,但其发病机制仍未完全明确。铁死亡与DKD的进展有关;然而,其调控机制尚不清楚。磷酸甘油酸脱氢酶(PHGDH)是丝氨酸生物合成中的关键酶,在DKD发展过程中的研究极少。为了阐明PHGDH在铁死亡中的作用及其在足细胞和DKD中的潜在机制,我们开展了本研究。我们的研究结果表明,PHGDH缺乏会加剧足细胞损伤,表现为细胞骨架紊乱,并促进足细胞和DKD肾组织中的铁死亡。相反,PHGDH过表达可减轻足细胞损伤,减少铁死亡,并改善DKD小鼠的肾功能。机制上,我们发现PHGDH通过调节关键的铁死亡相关蛋白SLC7A11的表达来介导铁死亡。具体而言,PHGDH通过抑制Y盒结合蛋白1(YB1)的K48连接的泛素化和降解来稳定YB1,从而增强SLC7A11 mRNA的稳定性和表达。总之,我们的研究揭示了一种新的PHGDH-YB1-SLC7A11调控轴,该轴负责抑制铁死亡并保护足细胞和肾脏免受DKD损伤。我们的研究结果为DKD中铁死亡的分子机制提供了新的见解,并突出了PHGDH作为减轻铁死亡介导的肾损伤的治疗靶点。

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