Axl-inhibitor bemcentinib alleviates mitochondrial dysfunction in the unilateral ureter obstruction murine model

August Hoel1, Tarig Osman1, Fredrik Hoel2

  • 1Department of Clinical Medicine, University of Bergen, Bergen, Norway.

Insights

Bemcentinib, an Axl inhibitor, partially reverses mitochondrial dysfunction and gene expression changes caused by kidney obstruction in a mouse model of renal fibrosis.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Biochemistry

Background:

  • Renal fibrosis, a hallmark of chronic kidney disease (CKD), is linked to mitochondrial dysfunction.
  • Previous studies demonstrated that Bemcentinib, an Axl receptor tyrosine kinase inhibitor, mitigates fibrosis development.
  • This study investigates Bemcentinib's impact on mitochondrial dysfunction in the context of renal fibrosis.

Purpose of the Study:

  • To analyze the effects of Bemcentinib on mitochondrial dysfunction in a unilateral ureter obstruction (UUO) mouse model.
  • To investigate the molecular mechanisms underlying Bemcentinib's therapeutic potential in renal fibrosis.
  • To assess the impact of Bemcentinib on gene expression and metabolic pathways related to mitochondrial function.

Main Methods:

  • Genome-wide transcriptomics analysis of kidney tissue from UUO and SHAM-operated mice treated with or without Bemcentinib.
  • Analysis of key mitochondrial pathways including oxidative phosphorylation (OXPHOS), fatty acid oxidation (FAO), and the citric acid cycle (TCA).
  • Serum metabolomics to evaluate amino acid profiles and functional assessment of mitochondrial biomass.

Main Results:

  • Unilateral ureter obstruction (UUO) significantly dysregulated mitochondria-related pathways, reducing expression of OXPHOS, FAO, TCA, reactive oxygen species response, and amino acid metabolism genes.
  • Bemcentinib treatment partially reversed these gene expression changes, increasing the expression of downregulated pathways.
  • UUO increased AKT/PI3K signaling, which was inhibited by Bemcentinib. Mitochondrial biomass was reduced by UUO but restored by Bemcentinib.
  • Serum metabolomics revealed a normalizing amino acid profile in UUO mice treated with Bemcentinib.

Conclusions:

  • Unilateral ureter obstruction (UUO) surgery profoundly impacts mitochondrial function and related gene expression in the kidney.
  • Bemcentinib, an Axl inhibitor, demonstrates a partial reversal of UUO-induced mitochondrial dysfunction and metabolic alterations.
  • These findings highlight the role of Axl signaling in renal fibrosis and suggest Bemcentinib as a potential therapeutic agent for CKD.

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