Endoplasmic reticulum stress eIF2α-ATF4 pathway-mediated cyclooxygenase-2 induction regulates cadmium-induced

B Luo1, Y Lin1, S Jiang1

  • 1State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China.

Insights

Cadmium exposure causes kidney damage by inducing autophagy. This study reveals that endoplasmic reticulum stress activates the eIF2α-ATF4 pathway, leading to cyclooxygenase-2 (COX-2) overexpression, which drives cadmium-induced kidney autophagy and injury.

Area of Science:

  • Toxicology
  • Cell Biology
  • Molecular Biology

Background:

  • Cadmium (Cd) is a nephrotoxic heavy metal.
  • Autophagy is implicated in cadmium-induced kidney injury, but mechanisms remain unclear.

Purpose of the Study:

  • To elucidate the molecular mechanisms underlying cadmium-induced kidney injury and autophagy.
  • To investigate the role of cyclooxygenase-2 (COX-2) and endoplasmic reticulum (ER) stress in this process.

Main Methods:

  • In vivo and in vitro studies using kidney tissues and cultured cells.
  • Induction of ER stress and measurement of autophagy markers.
  • Inhibition of COX-2 and ER stress pathways using celecoxib, 4-phenylbutyrate, and RNA interference (RNAi).
  • Assessment of ATF4 activation and nuclear translocation.

Main Results:

  • Cadmium induced kidney damage, dysfunction, and autophagy.
  • Cadmium activated the ER stress eIF2α-ATF4 pathway, leading to COX-2 overexpression.
  • Inhibition of COX-2 or ER stress attenuated cadmium-induced autophagy.
  • ATF4 activation was necessary for COX-2 overexpression.

Conclusions:

  • A novel mechanism links ER stress, the eIF2α-ATF4 pathway, and COX-2 overexpression to cadmium-induced kidney autophagy and injury.
  • COX-2 represents a potential therapeutic target for mitigating cadmium nephrotoxicity.

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