Dou Haijing, Hao Huihui, Zhao Ruoyi, Li Hailun, Wei Fangshu, Xu Yong, Zheng Donghui, Xie Juan, Li Xiang
Department of Clinical Laboratory, The Affiliated Huai'an Hospital of Xuzhou Medical University and Huai'an Second People's Hospital, Huai'an, 223002, China.
Department of Pharmacology, Jiangsu College of Nursing, Huai'an, 223002, Jiangsu, China.
Eur J Med Res. 2025 Aug 13;30(1):746. doi: 10.1186/s40001-025-03010-7.
BACKGROUND: Mitochondrial dysfunction and abnormal energy metabolism are key determinants of the progression of acute kidney injury (AKI). α-Ketoglutarate (AKG) is an intermediate metabolite of the tricarboxylic acid cycle and plays a crucial role in energy metabolism and amino acid synthesis. However, the role of AKG in AKI therapy remains incompletely understood. METHODS: Cisplatin (CIS) was employed to establish acute kidney injury models in mice and cells, with DM-AKG administered as an intervention. Network pharmacology was utilized to predict the target genes and pathway enrichment of AKG in the treatment of AKI. Apoptosis was assessed using flow cytometry, and cell viability was determined via the CCK-8 assay. The levels of intracellular reactive oxygen species (ROS) and mitochondrial membrane potential (MMP) were assessed using optical microscopy. Renal function was evaluated using absorbance spectroscopy. Hematoxylin-eosin (H&E) staining was used to examine the pathological changes in renal tissues across different groups. The ultrastructure of mitochondria was examined using transmission electron microscopy. Protein expression levels of KIM-1, Caspase-3, DRP1, MFN1, PINK1, and Parkin were evaluated using Western blot analysis. The expression of PINK1 and Parkin was examined by immunohistochemistry. RESULTS: Herein, we demonstrate that dimethyl α-ketoglutarate (DM-AKG), an AKG derivative with favorable cell membrane permeability, effectively ameliorates cisplatin (CIS)-induced AKI. Further network pharmacological analyses revealed that AKG could treat AKI through 91 potential targets of action. Moreover, Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses showed significant enrichment of pathways related to mitochondria and energy metabolism. Furthermore, in a CIS-treated HK-2 cell model, we found that exogenous DM-AKG supplementation improved mitochondrial dynamics (increased expression of the mitochondrial fusion protein MFN1 and decreased expression of the mitochondrial fission protein DRP1), increased mitochondrial membrane potential, and decreased reactive oxygen species generation. Consistent with these findings, in the CIS-AKI mouse model, DM-AKG similarly improved mitochondrial morphology, structure, and dynamics, as well as increased mitophagy observed by electron microscopy. CONCLUSION: These results suggest that DM-AKG may exert a therapeutic effect on AKI by improving mitochondrial function. Regarding the molecular mechanism, we confirmed that DM-AKG could increase mitophagy and promote the clearance of damaged mitochondria by activating the PINK1/Parkin pathway, which could play a protective role in the kidney. In conclusion, our study provides a novel strategy for the effective treatment of AKI.
背景:线粒体功能障碍和能量代谢异常是急性肾损伤(AKI)进展的关键决定因素。α-酮戊二酸(AKG)是三羧酸循环的中间代谢产物,在能量代谢和氨基酸合成中起关键作用。然而,AKG在AKI治疗中的作用仍未完全明确。 方法:采用顺铂(CIS)建立小鼠和细胞急性肾损伤模型,给予二甲基α-酮戊二酸(DM-AKG)作为干预措施。利用网络药理学预测AKG治疗AKI的靶基因和通路富集情况。采用流式细胞术评估细胞凋亡,通过CCK-8法测定细胞活力。利用光学显微镜评估细胞内活性氧(ROS)水平和线粒体膜电位(MMP)。采用吸光光谱法评估肾功能。用苏木精-伊红(H&E)染色检查不同组肾组织的病理变化。利用透射电子显微镜检查线粒体的超微结构。采用蛋白质印迹分析评估肾损伤分子-1(KIM-1)、半胱天冬酶-3(Caspase-3)、动力相关蛋白1(DRP1)、线粒体融合蛋白1(MFN1)、PTEN诱导激酶1(PINK1)和帕金蛋白(Parkin)的蛋白表达水平。通过免疫组织化学检测PINK1和Parkin的表达。 结果:在此,我们证明二甲基α-酮戊二酸(DM-AKG),一种具有良好细胞膜通透性的AKG衍生物,可有效改善顺铂(CIS)诱导的AKI。进一步的网络药理学分析表明,AKG可通过91个潜在作用靶点治疗AKI。此外,基因本体论(GO)和京都基因与基因组百科全书(KEGG)通路分析显示,与线粒体和能量代谢相关的通路显著富集。此外,在CIS处理的人肾小管上皮细胞(HK-2)模型中,我们发现外源性补充DM-AKG可改善线粒体动力学(线粒体融合蛋白MFN1表达增加,线粒体分裂蛋白DRP1表达降低),增加线粒体膜电位,并减少活性氧生成。与这些发现一致,在CIS-AKI小鼠模型中,DM-AKG同样改善了线粒体形态、结构和动力学,以及电子显微镜观察到的线粒体自噬增加。 结论:这些结果表明,DM-AKG可能通过改善线粒体功能对AKI发挥治疗作用。关于分子机制,我们证实DM-AKG可通过激活PINK1/Parkin通路增加线粒体自噬并促进受损线粒体的清除,这可能对肾脏起到保护作用。总之,我们的研究为有效治疗AKI提供了一种新策略。
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