Rotenone remarkably attenuates oxidative stress, inflammation, and fibrosis in chronic obstructive uropathy

Ying Sun1, Yue Zhang2, Daqiang Zhao3

  • 1Nanjing Key Laboratory of Pediatrics, Nanjing Children's Hospital, Nanjing Medical University, Nanjing 210008, China ; Department of Nephrology, Nanjing Children's Hospital, Nanjing Medical University, Nanjing 210008, China ; Institute of Pediatrics, Nanjing Medical University, Nanjing, China ; Division of Nephrology, Department of Medicine, New York University Langone Medical Center, New York, NY 10016, USA.

Insights

Mitochondrial dysfunction contributes to chronic kidney disease (CKD). Rotenone, a mitochondrial complex I inhibitor, protected kidneys against obstructive injury by reducing oxidative stress, inflammation, and fibrosis.

Area of Science:

  • Nephrology
  • Mitochondrial Biology
  • Pathophysiology

Background:

  • Mitochondrial abnormalities are implicated in kidney disease pathogenesis, but their precise role in chronic kidney diseases (CKDs) remains unclear.
  • Understanding the contribution of mitochondrial dysfunction is crucial for developing targeted therapies for obstructive kidney injury.

Purpose of the Study:

  • To investigate the role of mitochondrial complex I inhibition using rotenone in a mouse model of obstructive kidney disease.
  • To evaluate the effects of rotenone on tubular injury, fibrosis, oxidative stress, and inflammation in the context of unilateral ureteral obstruction (UUO).

Main Methods:

  • Mice underwent unilateral ureteral obstruction (UUO) and were treated with rotenone for 7 days.
  • Kidney injury was assessed using PAS staining, and fibrotic markers (FN, PAI-1, collagen I, III, α-SMA, TGF-β1) were quantified.
  • Oxidative stress (TBARS, HO-1) and inflammatory markers (TNF-α, IL-1β, ICAM-1) were measured.
  • Mitochondrial integrity was evaluated by assessing mitochondrial DNA copy number and mtND1 expression.

Main Results:

  • Rotenone treatment significantly attenuated tubular injury and reduced fibrotic responses in UUO kidneys.
  • Rotenone administration markedly decreased markers of oxidative stress and inflammation.
  • Mice treated with rotenone showed restoration of mitochondrial DNA copy number and mtND1 expression, indicating amelioration of mitochondrial injury.

Conclusions:

  • Mitochondrial complex I inhibition with rotenone confers protection against obstructive kidney injury.
  • Rotenone mitigates kidney damage by inhibiting mitochondrial oxidative stress, inflammation, and fibrosis.
  • These findings highlight the critical role of mitochondrial dysfunction in obstructive kidney disease pathogenesis and suggest potential therapeutic strategies.

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