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MBD2 Mediates Septic AKI through Activation of PKCη/p38MAPK and the ERK1/2 Axis
Yuxin Xie1,2, Bohao Liu1,2, Jian Pan1,2
1Department of Emergency Medicine, Second Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Abstract:
Our previous study demonstrated that the methyl-CpG-binding domain protein 2 (MBD2) mediates vancomycin (VAN)-induced acute kidney injury (AKI). However, the role and regulation of MBD2 in septic AKI are unknown. Herein, MBD2 was induced by lipopolysaccharide (LPS) in Boston University mouse proximal tubules (BUMPTs) and mice. For both in vitro and in vivo experiments, we showed that inhibition of MBD2 by MBD2 small interfering RNA (siRNA) and MBD2-knockout (KO) substantially improved the survival rate and attenuated both LPS and cecal ligation and puncture (CLP)-induced AKI, renal cell apoptosis, and inflammatory factor production. Global genetic expression analyses and in vitro experiments suggest that the expression of protein kinase C eta (PKCη), caused by LPS, is markedly suppressed in MBD2-KO mice and MBD2 siRNA, respectively. Mechanistically, chromatin immunoprecipitation (ChIP) analysis indicates that MBD2 directly binds to promoter region CpG islands of PKCη via suppression of promoter methylation. Furthermore, PKCη siRNA improves the survival rate and attenuates LPS-induced BUMPT cell apoptosis and inflammatory factor production via inactivation of p38 mitogen-activated protein kinase (MAPK) and extracellular signal-regulated kinase (ERK)1/2, which were further verified by PKCη siRNA treatment in CLP-induced AKI. Finally, MBD2-KO mice exhibited CLP-induced renal cell apoptosis and inflammatory factor production by inactivation of PKCη/p38MAPK and ERK1/2 signaling. Taken together, the data indicate that MBD2 mediates septic-induced AKI through the activation of PKCη/p38MAPK and the ERK1/2 axis. MBD2 represents a potential target for treatment of septic AKI.
Insights
Methyl-CpG-binding domain protein 2 (MBD2) drives septic acute kidney injury (AKI) by activating protein kinase C eta (PKCη) and downstream signaling pathways. Inhibiting MBD2 shows promise for treating septic AKI.
Area of Science:
- Nephrology
- Molecular Biology
- Immunology
Background:
- Methyl-CpG-binding domain protein 2 (MBD2) is implicated in vancomycin-induced acute kidney injury (AKI).
- The role of MBD2 in septic AKI remains unclear.
- Septic AKI is a critical condition with high mortality.
Purpose of the Study:
- To investigate the role and regulation of MBD2 in septic AKI.
- To elucidate the molecular mechanisms by which MBD2 contributes to septic AKI.
- To evaluate MBD2 as a potential therapeutic target for septic AKI.
Main Methods:
- In vitro studies using Boston University mouse proximal tubules (BUMPTs) and in vivo experiments in mice.
- Utilized MBD2 small interfering RNA (siRNA) and MBD2-knockout (KO) models.
- Assessed survival rates, AKI markers, apoptosis, inflammatory factors, gene expression, chromatin immunoprecipitation (ChIP), and Western blotting.
Main Results:
- MBD2 inhibition (siRNA and KO) significantly improved survival and attenuated LPS and cecal ligation and puncture (CLP)-induced AKI, apoptosis, and inflammation.
- MBD2 deficiency suppressed lipopolysaccharide (LPS)-induced protein kinase C eta (PKCη) expression.
- MBD2 directly binds to the PKCη promoter, regulating its methylation and expression.
- PKCη inactivation ameliorated LPS-induced BUMPT cell apoptosis and inflammation via the p38 mitogen-activated protein kinase (MAPK) and extracellular signal-regulated kinase (ERK)1/2 pathways.
- MBD2-KO mice showed reduced septic AKI via inactivation of the PKCη/p38MAPK/ERK1/2 axis.
Conclusions:
- MBD2 mediates septic AKI by activating the PKCη/p38MAPK/ERK1/2 signaling pathway.
- MBD2 inhibition represents a potential therapeutic strategy for septic AKI.
- Understanding MBD2's regulatory role in septic AKI provides new insights into kidney injury mechanisms.
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