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Published on: August 23, 2024
Dysfunction of the PGC-1α-mitochondria axis confers adriamycin-induced podocyte injury
Chunhua Zhu1, Xiaoyan Xuan1, Ruochen Che2
1Department of Nephrology, Nanjing Children's Hospital, Nanjing Medical University, Nanjing, China; and Institute of Pediatrics, Nanjing Medical University, Nanjing, China.
Abstract:
Adriamycin (ADR)-induced nephropathy in animals is an experimental analog of human focal segmental glomerulosclerosis, which presents as severe podocyte injury and massive proteinuria and has a poorly understood mechanism. The present study was designed to test the hypothesis that the peroxisome proliferator-activated receptor-γ coactivator (PGC)-1α-mitochondria axis is involved in ADR-induced podocyte injury. Using MPC5 immortalized mouse podocytes, ADR dose dependently induced downregulation of nephrin and podocin, cell apoptosis, and mitochondrial dysfunction based on the increase in mitochondrial ROS production, decrease in mitochondrial DNA copy number, and reduction of mitochondrial membrane potential and ATP content. Moreover, ADR treatment also remarkably reduced the expression of PGC-1α, an important regulator of mitochondrial biogenesis and function, in podocytes. Strikingly, PGC-1α overexpression markedly attenuated mitochondrial dysfunction, the reduction of nephrin and podocin, and the apoptotic response in podocytes after ADR treatment. Moreover, downregulation of PGC-1α and mitochondria disruption in podocytes were also observed in rat kidneys with ADR administration, suggesting that the PGC-1α-mitochondria axis is relevant to in vivo ADR-induced podocyte damage. Taken together, these novel findings suggest that dysfunction of the PGC-1α-mitochondria axis is highly involved in ADR-induced podocyte injury. Targeting PGC-1α may be a novel strategy for the treatment of ADR nephropathy and human focal segmental glomerulosclerosis.
Insights
Adriamycin (ADR) causes kidney damage by injuring podocytes and disrupting the PGC-1α-mitochondria axis. Restoring PGC-1α function may treat ADR nephropathy and focal segmental glomerulosclerosis.
Area of Science:
- Nephrology
- Mitochondrial Biology
- Molecular Medicine
Background:
- Adriamycin (ADR)-induced nephropathy models human focal segmental glomerulosclerosis.
- The mechanism of podocyte injury in ADR nephropathy is poorly understood.
- The role of the peroxisome proliferator-activated receptor-γ coactivator (PGC)-1α-mitochondria axis in this process requires investigation.
Purpose of the Study:
- To test the hypothesis that the PGC-1α-mitochondria axis is involved in ADR-induced podocyte injury.
- To investigate the impact of ADR on PGC-1α expression and mitochondrial function in podocytes.
- To evaluate the therapeutic potential of targeting the PGC-1α-mitochondria axis.
Main Methods:
- Utilized MPC5 immortalized mouse podocytes and in vivo rat models.
- Administered Adriamycin (ADR) to induce nephropathy.
- Assessed podocyte injury markers (nephrin, podocin), apoptosis, and mitochondrial function (ROS, mtDNA copy number, membrane potential, ATP).
- Manipulated PGC-1α expression (overexpression and observed downregulation).
Main Results:
- ADR induced podocyte apoptosis, reduced nephrin and podocin expression, and impaired mitochondrial function.
- ADR treatment downregulated PGC-1α expression in podocytes.
- Overexpression of PGC-1α attenuated ADR-induced podocyte injury and mitochondrial dysfunction.
- Downregulation of PGC-1α and mitochondrial disruption were observed in rat kidneys after ADR administration.
Conclusions:
- Dysfunction of the PGC-1α-mitochondria axis is critically involved in Adriamycin (ADR)-induced podocyte injury.
- Targeting PGC-1α represents a potential therapeutic strategy for ADR nephropathy.
- This study highlights the PGC-1α-mitochondria axis as a novel target for treating focal segmental glomerulosclerosis.
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