Suppressed autophagic response underlies augmentation of renal ischemia/reperfusion injury by type 2 diabetes

Abstract Diabetes mellitus is a major risk factor for acute kidney injury (AKI). Here, we hypothesized that suppression of autophagic response underlies aggravation of renal ischemia/reperfusion (I/R) injury by type 2 diabetes mellitus (T2DM). In OLETF, a rat model of T2DM, and its non-diabetic cont...

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Autores principales: Shingo Muratsubaki, Atsushi Kuno, Masaya Tanno, Takayuki Miki, Toshiyuki Yano, Hirohito Sugawara, Satoru Shibata, Koki Abe, Satoko Ishikawa, Kouhei Ohno, Yukishige Kimura, Yuki Tatekoshi, Kei Nakata, Wataru Ohwada, Masashi Mizuno, Tetsuji Miura
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Publicado: Nature Portfolio 2017
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spelling oai:doaj.org-article:63a54ac622c841ca87fa8f2d60c4ecd42021-12-02T12:32:45ZSuppressed autophagic response underlies augmentation of renal ischemia/reperfusion injury by type 2 diabetes10.1038/s41598-017-05667-52045-2322https://doaj.org/article/63a54ac622c841ca87fa8f2d60c4ecd42017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-05667-5https://doaj.org/toc/2045-2322Abstract Diabetes mellitus is a major risk factor for acute kidney injury (AKI). Here, we hypothesized that suppression of autophagic response underlies aggravation of renal ischemia/reperfusion (I/R) injury by type 2 diabetes mellitus (T2DM). In OLETF, a rat model of T2DM, and its non-diabetic control, LETO, AKI was induced by unilateral nephrectomy and 30-min occlusion and 24-h reperfusion of the renal artery in the contralateral kidney. Levels of serum creatinine and blood urea nitrogen and tubular injury score after I/R were significantly higher in OLETF than in LETO. Administration of chloroquine, a widely used autophagy inhibitor, aggravated I/R-induced renal injury in LETO, but not in OLETF. In contrast to LETO, OLETF exhibited no increase in autophagosomes in the proximal tubules after I/R. Immunoblotting showed that I/R activated the AMPK/ULK1 pathway in LETO but not in OLETF, and mTORC1 activation after I/R was enhanced in OLETF. Treatment of OLETF with rapamycin, an mTORC1 inhibitor, partially restored autophagic activation in response to I/R and significantly attenuated I/R-induced renal injury. Collectively, these findings indicate that suppressed autophagic activation in proximal tubules by impaired AMPK/ULK1 signaling and upregulated mTORC1 activation underlies T2DM-induced worsening of renal I/R injury.Shingo MuratsubakiAtsushi KunoMasaya TannoTakayuki MikiToshiyuki YanoHirohito SugawaraSatoru ShibataKoki AbeSatoko IshikawaKouhei OhnoYukishige KimuraYuki TatekoshiKei NakataWataru OhwadaMasashi MizunoTetsuji MiuraNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-13 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Shingo Muratsubaki
Atsushi Kuno
Masaya Tanno
Takayuki Miki
Toshiyuki Yano
Hirohito Sugawara
Satoru Shibata
Koki Abe
Satoko Ishikawa
Kouhei Ohno
Yukishige Kimura
Yuki Tatekoshi
Kei Nakata
Wataru Ohwada
Masashi Mizuno
Tetsuji Miura
Suppressed autophagic response underlies augmentation of renal ischemia/reperfusion injury by type 2 diabetes
description Abstract Diabetes mellitus is a major risk factor for acute kidney injury (AKI). Here, we hypothesized that suppression of autophagic response underlies aggravation of renal ischemia/reperfusion (I/R) injury by type 2 diabetes mellitus (T2DM). In OLETF, a rat model of T2DM, and its non-diabetic control, LETO, AKI was induced by unilateral nephrectomy and 30-min occlusion and 24-h reperfusion of the renal artery in the contralateral kidney. Levels of serum creatinine and blood urea nitrogen and tubular injury score after I/R were significantly higher in OLETF than in LETO. Administration of chloroquine, a widely used autophagy inhibitor, aggravated I/R-induced renal injury in LETO, but not in OLETF. In contrast to LETO, OLETF exhibited no increase in autophagosomes in the proximal tubules after I/R. Immunoblotting showed that I/R activated the AMPK/ULK1 pathway in LETO but not in OLETF, and mTORC1 activation after I/R was enhanced in OLETF. Treatment of OLETF with rapamycin, an mTORC1 inhibitor, partially restored autophagic activation in response to I/R and significantly attenuated I/R-induced renal injury. Collectively, these findings indicate that suppressed autophagic activation in proximal tubules by impaired AMPK/ULK1 signaling and upregulated mTORC1 activation underlies T2DM-induced worsening of renal I/R injury.
format article
author Shingo Muratsubaki
Atsushi Kuno
Masaya Tanno
Takayuki Miki
Toshiyuki Yano
Hirohito Sugawara
Satoru Shibata
Koki Abe
Satoko Ishikawa
Kouhei Ohno
Yukishige Kimura
Yuki Tatekoshi
Kei Nakata
Wataru Ohwada
Masashi Mizuno
Tetsuji Miura
author_facet Shingo Muratsubaki
Atsushi Kuno
Masaya Tanno
Takayuki Miki
Toshiyuki Yano
Hirohito Sugawara
Satoru Shibata
Koki Abe
Satoko Ishikawa
Kouhei Ohno
Yukishige Kimura
Yuki Tatekoshi
Kei Nakata
Wataru Ohwada
Masashi Mizuno
Tetsuji Miura
author_sort Shingo Muratsubaki
title Suppressed autophagic response underlies augmentation of renal ischemia/reperfusion injury by type 2 diabetes
title_short Suppressed autophagic response underlies augmentation of renal ischemia/reperfusion injury by type 2 diabetes
title_full Suppressed autophagic response underlies augmentation of renal ischemia/reperfusion injury by type 2 diabetes
title_fullStr Suppressed autophagic response underlies augmentation of renal ischemia/reperfusion injury by type 2 diabetes
title_full_unstemmed Suppressed autophagic response underlies augmentation of renal ischemia/reperfusion injury by type 2 diabetes
title_sort suppressed autophagic response underlies augmentation of renal ischemia/reperfusion injury by type 2 diabetes
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/63a54ac622c841ca87fa8f2d60c4ecd4
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