Van Why S K, Mann A S, Thulin G, Zhu X H, Kashgarian M, Siegel N J
Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut 06510.
J Clin Invest. 1994 Oct;94(4):1518-23. doi: 10.1172/JCI117492.
Renal ischemia results in both a profound fall in cellular ATP and a rapid induction of the 70 kD heat-shock protein family, HSP-70. The present studies examined the relationship between cellular ATP and induction of the stress response in renal cortex. Cellular ATP, continuously monitored by in vivo 31P-NMR spectroscopy, was reduced and maintained at specific, stable levels in renal cortex by partial aortic occlusion for 45 min. Activation of heat-shock transcription factor (HSF) was detected by gel retardation assay and transcription was confirmed by Northern analysis. Activation of HSF was not present, and HSP-70 mRNA induction did not occur when ATP levels were maintained above 60% preocclusion (control) levels. Reduction in cortical ATP levels to 35-50% preocclusion values resulted in HSF activation and low-level expression of inducible HSP-70 mRNA. Cellular ATP of 20-25% control values resulted in a greater level of HSF activation and subsequent HSP-70 mRNA elaboration. HSF was activated at the end of 15 min of total occlusion. The studies indicate that a 50% reduction in cellular ATP in the renal cortex must occur before the stress response is detectable, that reduction of ATP below 25% control levels produces a more vigorous response, and that reperfusion is not required for initiation of a heat-shock response in the kidney. Cellular ATP, or the metabolic consequences associated with ATP depletion, may be a threshold factor for initiation of a stress response in the kidney.
肾缺血会导致细胞内三磷酸腺苷(ATP)显著下降,并迅速诱导70kD热休克蛋白家族HSP - 70的产生。本研究探讨了肾皮质中细胞ATP与应激反应诱导之间的关系。通过体内31P - NMR光谱法持续监测细胞ATP,经部分主动脉阻断45分钟后,肾皮质中的ATP降低并维持在特定的稳定水平。通过凝胶阻滞试验检测热休克转录因子(HSF)的激活,并通过Northern分析确认转录情况。当ATP水平维持在高于阻断前(对照)水平的60%时,未检测到HSF的激活,也未发生HSP - 70 mRNA的诱导。肾皮质ATP水平降至阻断前值的35 - 50%时,导致HSF激活和诱导型HSP - 70 mRNA的低水平表达。细胞ATP为对照值的20 - 25%时,导致更高水平的HSF激活及随后HSP - 70 mRNA的大量合成。在完全阻断15分钟结束时HSF被激活。这些研究表明,在可检测到应激反应之前,肾皮质中的细胞ATP必须降低50%,ATP降至对照水平的25%以下会产生更强烈的反应,并且在肾脏中启动热休克反应不需要再灌注。细胞ATP或与ATP耗竭相关的代谢后果可能是肾脏中启动应激反应的阈值因素。