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Updated: Apr 27, 2026

Modeling Hypoxia/Reoxygenation Injury in Proximal Tubular Epithelial Cells
Published on: November 21, 2025
mTORC1 maintains renal tubular homeostasis and is essential in response to ischemic stress
Florian Grahammer1, Nora Haenisch2, Frederic Steinhardt1
1Renal Division, University Medical Center Freiburg, 79106 Freiburg, Germany;
Abstract:
Mammalian target of rapamycin complex 1 (mTORC1) is a key regulator of cell metabolism and autophagy. Despite widespread clinical use of mTORC1 inhibitors, the role of mTORC1 in renal tubular function and kidney homeostasis remains elusive. By using constitutive and inducible deletion of conditional Raptor alleles in renal tubular epithelial cells, we discovered that mTORC1 deficiency caused a marked concentrating defect, loss of tubular cells, and slowly progressive renal fibrosis. Transcriptional profiling revealed that mTORC1 maintains renal tubular homeostasis by controlling mitochondrial metabolism and biogenesis as well as transcellular transport processes involved in countercurrent multiplication and urine concentration. Although mTORC2 partially compensated for the loss of mTORC1, exposure to ischemia and reperfusion injury exaggerated the tubular damage in mTORC1-deficient mice and caused pronounced apoptosis, diminished proliferation rates, and delayed recovery. These findings identify mTORC1 as an important regulator of tubular energy metabolism and as a crucial component of ischemic stress responses.
Insights
Mammalian target of rapamycin complex 1 (mTORC1) deficiency impairs kidney function, causing concentrating defects and fibrosis. mTORC1 is crucial for tubular homeostasis and kidney response to injury.
Area of Science:
- Nephrology
- Cell Biology
- Molecular Biology
Background:
- Mammalian target of rapamycin complex 1 (mTORC1) regulates cell metabolism and autophagy.
- The specific role of mTORC1 in renal tubular function and kidney homeostasis is not well understood.
- mTORC1 inhibitors are clinically used, highlighting the importance of understanding mTORC1 pathways.
Purpose of the Study:
- To investigate the role of mTORC1 in renal tubular epithelial cells.
- To determine the impact of mTORC1 deficiency on kidney homeostasis and response to injury.
- To elucidate the molecular mechanisms by which mTORC1 influences renal tubular function.
Main Methods:
- Used constitutive and inducible deletion of conditional Raptor alleles in renal tubular epithelial cells.
- Performed transcriptional profiling to analyze gene expression changes.
- Exposed mTORC1-deficient mice to ischemia and reperfusion injury.
Main Results:
- mTORC1 deficiency led to impaired urine concentrating ability, tubular cell loss, and progressive renal fibrosis.
- Transcriptional analysis indicated mTORC1 controls mitochondrial metabolism, biogenesis, and transcellular transport in tubules.
- mTORC1-deficient mice showed exacerbated tubular damage, increased apoptosis, and reduced proliferation after ischemic injury.
- mTORC2 partially compensated for mTORC1 loss, but did not prevent severe injury outcomes.
Conclusions:
- mTORC1 is essential for maintaining renal tubular homeostasis and function.
- mTORC1 plays a critical role in regulating tubular energy metabolism and mitochondrial function.
- mTORC1 is a key component of the kidney's response to ischemic stress, influencing repair and recovery.
- Targeting mTORC1 pathways may have implications for treating kidney diseases involving metabolic dysfunction or injury.
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