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Updated: Mar 20, 2026

Measurements of Physiological Stress Responses in C. Elegans
Published on: May 21, 2020
Endoplasmic reticulum stress eIF2α-ATF4 pathway-mediated cyclooxygenase-2 induction regulates cadmium-induced
1State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China.
Abstract:
The heavy metal cadmium (Cd) is nephrotoxic. Recent studies show that autophagy plays an essential role in Cd-induced kidney injury. However, the mechanisms of Cd-induced kidney injury accompanied by autophagy are still obscure. In the present study, we first confirmed that Cd induced kidney damage and dysfunction, along with autophagy, both in vivo and in vitro. Then, we observed that cyclooxygenase-2 (COX-2) and the eIF2α-ATF4 pathway of endoplasmic reticulum (ER) stress were induced by Cd in both kidney tissues and cultured cells. Further studies showed that inhibition of COX-2 with celecoxib or RNA interference (RNAi) inhibited the Cd-induced autophagy in kidney cells. In addition, blocking ER stress with 4-phenylbutyrate or RNAi partially counteracted COX-2 overexpression and autophagy induced by Cd, which suggested that ER stress was required for Cd-induced kidney autophagy. Significantly, our results showed that Cd activated ATF4 and induced its translocation to the nucleus. Knockdown of ATF4 inhibited Cd-induced COX-2 overexpression. While COX-2 overexpression is involved in renal dysfunction, there is no prior report on the role of COX-2 in autophagy regulation. The results of the current study suggest a novel molecular mechanism that the ER stress eIF2α-ATF4 pathway-mediated COX-2 overexpression contributes to Cd-induced kidney autophagy and injury. The present study implies that COX-2 may be a potential target for therapy against Cd-induced nephrotoxicity.
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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