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Updated: Apr 28, 2026

Modeling Hypoxia/Reoxygenation Injury in Proximal Tubular Epithelial Cells
Published on: November 21, 2025
Oxidized high-density lipoprotein impairs the function of human renal proximal tubule epithelial cells through CD36
Xiang Gao1, Jianxiang Wu2, Yixin Qian1
1Kidney Institute of PLA, Department of Medicine, Changzheng Hospital, Second Military Medical University, Shanghai 200003, P.R. China.
Insights
Oxidized high-density lipoprotein (HDL) damages kidney cells by increasing inflammation and cell death. This damage is primarily mediated by the scavenger receptor CD36 and associated signaling pathways.
Area of Science:
- Nephrology
- Cell Biology
- Biochemistry
Background:
- Native high-density lipoprotein (HDL) is protective, but oxidized HDL (oxHDL) has detrimental effects in diseases like chronic kidney disease (CKD).
- The precise mechanisms by which oxHDL contributes to CKD progression, particularly in renal tubular cells, are not fully understood.
Purpose of the Study:
- To investigate the effects of oxHDL on human renal proximal tubule epithelial cells (HK-2).
- To elucidate the role of the scavenger receptor CD36 and key signaling pathways (Src, MAPK, NF-κB) in mediating oxHDL-induced renal cell damage.
Main Methods:
- Human renal proximal tubule epithelial cells (HK-2) were treated with varying concentrations of oxHDL.
- CD36 expression was inhibited using small interfering RNA (siRNA) prior to oxHDL stimulation.
- Cellular responses including reactive oxygen species (ROS) production, pro-inflammatory factor expression, apoptosis, migration, and signaling pathway activation (Src, MAPK, NF-κB) were assessed.
Main Results:
- Oxidized HDL dose-dependently increased ROS production, pro-inflammatory factor expression, and apoptosis in HK-2 cells.
- Oxidized HDL reduced the migration ability of HK-2 cells in a dose-dependent manner.
- Activation of Src family kinase, MAPK, and NF-κB pathways was observed following oxHDL stimulation.
- CD36 siRNA significantly attenuated all the adverse effects induced by oxHDL on HK-2 cells.
Conclusions:
- Oxidized HDL promotes inflammation and impairs the function of renal tubular cells.
- The scavenger receptor CD36 plays a critical role in mediating the detrimental effects of oxHDL on kidney cells.
- The Src, MAPK, and NF-κB signaling pathways are key mediators of oxHDL-induced renal cell injury.
Abstract:
Unlike native high-density lipoprotein (HDL), oxidized HDL exerts adverse effects in a number of diseases, including chronic kidney disease (CKD); however, the mechanisms involved in this process remain unclear. In the present study, we investigated the effects of oxidized HDL on renal tubular cells, which play an important role in the progression of CKD. Human renal proximal tubule epithelial cells (HK-2) were cultured and stimulated with various concentrations of oxidized HDL in the absence or presence of CD36 siRNA. The results revealed that oxidized HDL enhanced the production of reactive oxygen species (ROS) and upregulated the expression of pro-inflammatory factors in the HK-2 cells in a dose-dependent manner. Incubation with oxidized HDL also increased the apoptosis of the HK-2 cells and reduced their migration ability in a dose‑dependent manner. Src family kinase, mitogen-activated protein kinase (MAPK) and nuclear factor-κB (NF-κB) were activated following stimulation with oxidized HDL. All these effects mediated by oxidized HDL on HK-2 cells were markedly attenuated by transfection with with CD36 siRNA pior to stimulation with oxidized HDL. These findings suggest that oxidized HDL enhances the pro-inflammatory properties and impairs the function of HK-2 cells, mainly through the scavenger receptor, CD36, as well as through the Src, MAPK and NF-κB pathways.
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