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Updated: Jul 7, 2026

Renal Ischaemia Reperfusion Injury: A Mouse Model of Injury and Regeneration
Published on: June 7, 2014
ATF3 protects against renal ischemia-reperfusion injury
Takumi Yoshida1, Hidekazu Sugiura, Michihiro Mitobe
1Department of Internal Medicine IV, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-city, Tokyo, Japan 162-8666. tyoshida@kc.twmu.ac.jp
Abstract:
Oxidative stress-induced cell death plays a major role in the progression of ischemic acute renal failure. Using microarrays, we sought to identify a stress-induced gene that may be a therapeutic candidate. Human proximal tubule (HK2) cells were treated with hydrogen peroxide (H2O2) and RNA was applied to an Affymetrix gene chip. Five genes were markedly induced in a parallel time-dependent manner by cluster analysis, including activating transcription factor 3 (ATF3), p21(WAF1/CiP1) (p21), CHOP/GADD153, dual-specificity protein phosphatase, and heme oxygenase-1. H2O2 rapidly induced ATF3 approximately 12-fold in HK2 cells and approximately 6.5-fold in a mouse model of renal ischemia-reperfusion injury. Adenovirus-mediated expression of ATF3 protected HK2 cells against H2O2-induced cell death, and this was associated with a decrease of p53 mRNA and an increase of p21 mRNA. Moreover, when ATF3 was overexpressed in mice via adenovirus-mediated gene transfer, ischemia-reperfusion injury was reduced. In conclusion, ATF3 plays a protective role in renal ischemia-reperfusion injury and the mechanism of the protection may involve suppression of p53 and induction of p21.
Insights
Activating transcription factor 3 (ATF3) protects against kidney injury caused by oxidative stress. Overexpressing ATF3 reduced cell death in kidney cells and decreased injury in a mouse model, offering a potential therapeutic target.
Area of Science:
- Nephrology
- Molecular Biology
- Cell Biology
Background:
- Oxidative stress contributes significantly to the progression of ischemic acute renal failure.
- Identifying novel therapeutic targets is crucial for treating kidney injury.
Purpose of the Study:
- To identify stress-induced genes as potential therapeutic candidates for ischemic acute renal failure.
- To investigate the role of activating transcription factor 3 (ATF3) in oxidative stress-induced kidney injury.
Main Methods:
- Microarray analysis of hydrogen peroxide (H2O2)-treated human proximal tubule (HK2) cells.
- Adenovirus-mediated gene transfer to overexpress ATF3 in HK2 cells and a mouse model of renal ischemia-reperfusion injury.
Main Results:
- Five genes, including ATF3, were significantly induced by H2O2 in HK2 cells.
- ATF3 expression was upregulated by H2O2 and in a mouse model of renal ischemia-reperfusion injury.
- Overexpression of ATF3 protected HK2 cells from H2O2-induced death and reduced injury in mice, associated with altered p53 and p21 mRNA levels.
Conclusions:
- ATF3 plays a protective role in mitigating renal ischemia-reperfusion injury.
- The protective mechanism of ATF3 may involve the suppression of p53 and induction of p21.
- ATF3 represents a promising therapeutic candidate for acute kidney injury.
Related Concept Videos
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Acute Kidney Injury II: Pathophysiology

