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Kidney International
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Kidney International
Article . 2012
License: Elsevier Non-Commercial
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Kidney International
Article . 2012 . Peer-reviewed
License: Elsevier Non-Commercial
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Autophagy in proximal tubules protects against acute kidney injury

Authors: Jiang, Man; Wei, Qingqing; Dong, Guie; Komatsu, Masaaki; Su, Yunchao; Dong, Zheng;

Autophagy in proximal tubules protects against acute kidney injury

Abstract

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.

Keywords

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

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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).
BIP!Citations provided by BIP!
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.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
438
Top 0.1%
Top 1%
Top 1%
Green
hybrid