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Updated: Jun 12, 2026

Modeling Hypoxia/Reoxygenation Injury in Proximal Tubular Epithelial Cells
Published on: November 21, 2025
Hypertonicity-induced mitochondrial membrane permeability in renal medullary interstitial cells: protective role of
Li Zhang1, Dong Chen, Zhonghai Chen
1Renal Pathology and Electron Microscopy Laboratory, Department of Pathology, Yale University School of Medicine, New Haven, CT 06520-8023, USA.
Background:
Hyperosmotic stress causes cell death through activation of apoptotic pathways if the protective osmolyte response is impaired. In this study we attempt to elucidate the molecular mechanisms of hypertonicity-induced apoptosis and the effect of major organic osmolytes upon those.
Methods:
Hypertonicity-induced changes in Bcl2-family protein abundance and the presence of cytochrome c and apoptosis inducing factor (AIF) in the cytoplasm, were measured using western blot and immunofluorescence labeling. To determine dissipation of mitochondrial membrane potential (Delta Psi) though the permeability transition pore (PTP), the lipophilic cationic carbocyanine fluorescence probe JC-1 and TMRM fluorescence probes were used.
Results:
Hypertonic culture conditions increase the abundance of proapoptotic Bax and the concentration of cytochrome c and apoptosis inducing factor (AIF) in the cytoplasm. These changes are associated with a dissipation of Delta Psi and increased permeability of the PTP. We further show that organic osmolytes stabilize the Delta Psi and decrease the concentration of cytochrome c and AIF in the cytoplasm.
Conclusion:
Our study shows that organic osmolytes prevent hypertonicity-induced apoptosis by preventing dissipation of Delta Psi through stabilization of the PTP. These findings further support the important role of organic osmolytes in preventing hypertonicity-mediated cell death in medullary kidney cells.
Insights
Organic osmolytes protect kidney cells from hyperosmotic stress by stabilizing mitochondrial membrane potential (Delta Psi) and preventing apoptosis. This highlights their crucial role in preventing cell death under high-salt conditions.
Area of Science:
- Cell Biology
- Molecular Biology
- Physiology
Background:
- Hyperosmotic stress can trigger cell death via apoptosis when protective osmolyte responses fail.
- Understanding hypertonicity-induced apoptosis mechanisms is crucial for cellular protection.
Purpose of the Study:
- To investigate the molecular mechanisms of hypertonicity-induced apoptosis.
- To determine the protective effects of major organic osmolytes on these pathways.
Main Methods:
- Western blot and immunofluorescence to assess Bcl2-family proteins, cytochrome c, and apoptosis-inducing factor (AIF).
- JC-1 and TMRM probes to measure mitochondrial membrane potential (Delta Psi) and permeability transition pore (PTP) opening.
Main Results:
- Hypertonic conditions increased proapoptotic Bax, cytoplasmic cytochrome c and AIF, and dissipated Delta Psi.
- Organic osmolytes stabilized Delta Psi and reduced cytoplasmic cytochrome c and AIF levels.
Conclusions:
- Organic osmolytes prevent hypertonicity-induced apoptosis by stabilizing Delta Psi via PTP stabilization.
- These findings underscore the vital role of organic osmolytes in protecting medullary kidney cells from hypertonicity-mediated death.
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