
Autophagy is induced in renal tubular cells during acute kidney injury; however, whether this is protective or injurious remains controversial. We address this question by pharmacologic and genetic blockade of autophagy using mouse models of cisplatin- and ischemia-reperfusion-induced acute kidney injury. Chloroquine, a pharmacological inhibitor of autophagy, blocked autophagic flux and enhanced acute kidney injury in both models. Rapamycin, however, activated autophagy and protected against cisplatin-induced acute kidney injury. We also established a renal proximal tubule-specific autophagy-related gene 7-knockout mouse model shown to be defective in both basal and cisplatin-induced autophagy in kidneys. Compared with wild-type littermates, these knockout mice were markedly more sensitive to cisplatin-induced acute kidney injury as indicated by renal functional loss, tissue damage, and apoptosis. Mechanistically, these knockout mice had heightened activation of p53 and c-Jun N terminal kinase, the signaling pathways contributing to cisplatin acute kidney injury. Proximal tubular cells isolated from the knockout mice were more sensitive to cisplatin-induced apoptosis than cells from wild-type mice. In addition, the knockout mice were more sensitive to renal ischemia-reperfusion injury than their wild-type littermates. Thus, our results establish a renoprotective role of tubular cell autophagy in acute kidney injury where it may interfere with cell killing mechanisms.
autophagy, cisplatin, Apoptosis, ischemia–reperfusion, Autophagy-Related Protein 7, Article, Blood Urea Nitrogen, Kidney Tubules, Proximal, Mice, Autophagy, Animals, Cells, Cultured, Mice, Knockout, JNK Mitogen-Activated Protein Kinases, Chloroquine, Acute Kidney Injury, Enzyme Activation, Mice, Inbred C57BL, Disease Models, Animal, acute kidney injury, Nephrology, Cytoprotection, Creatinine, Cisplatin, Atg7, Microtubule-Associated Proteins, Biomarkers
autophagy, cisplatin, Apoptosis, ischemia–reperfusion, Autophagy-Related Protein 7, Article, Blood Urea Nitrogen, Kidney Tubules, Proximal, Mice, Autophagy, Animals, Cells, Cultured, Mice, Knockout, JNK Mitogen-Activated Protein Kinases, Chloroquine, Acute Kidney Injury, Enzyme Activation, Mice, Inbred C57BL, Disease Models, Animal, acute kidney injury, Nephrology, Cytoprotection, Creatinine, Cisplatin, Atg7, Microtubule-Associated Proteins, Biomarkers
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 438 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 0.1% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 1% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 1% |
