4-PBA rescues hyperoxaluria induced nephrolithiasis by modulating urinary glycoproteins: Cross talk between

Rishi Bhardwaj1, Ankita Bhardwaj1, Devinder K Dhawan1

  • 1Department of Biophysics, Panjab University, Chandigarh, India.

Life Sciences
|July 9, 2022
PubMed
Abstract

Insights

The study shows that 4-PBA treatment improved kidney function in hyperoxaluric rats by reducing Endoplasmic Reticulum (ER) stress and restoring urinary glycoproteins and calcium homeostasis.

Area of Science:

  • Nephrology
  • Biochemistry
  • Cell Biology

Background:

  • Urinary glycoproteins like Tamm Horsfall Protein (THP) and Osteopontin (OPN) are key in kidney stone formation.
  • Endoplasmic Reticulum (ER) stress and mitochondria play crucial roles in nephrolithiasis.
  • The interplay between ER stress, urinary glycoproteins, and calcium homeostasis in hyperoxaluric conditions requires further elucidation.

Purpose of the Study:

  • To investigate the effect of 4-PBA, an ER stress mitigator, on urinary glycoproteins and calnexin (chaperone) in hyperoxaluric rats.
  • To explore the influence of 4-PBA on calcium homeostasis and ER-mitochondrial linkage in the context of nephrolithiasis.
  • To establish a connection between ER stress, urinary glycoprotein levels, and calcium balance in hyperoxaluric kidney disease.

Main Methods:

  • Hyperoxaluric rats were treated with 4-PBA for 9 days.
  • Renal tissues were analyzed for urinary glycoproteins (THP, OPN), calnexin, calcium homeostasis markers (SERCA activity, intracellular calcium), ER stress markers, protein folding/aggregation/degradation pathways (Congo Red assay), and mitochondrial linkage proteins (VDAC1, GRP75).
  • Redox status and ER environment were also assessed.

Main Results:

  • 4-PBA treatment normalized altered levels of THP, OPN, and calnexin.
  • Disrupted calcium homeostasis, evidenced by altered SERCA activity and intracellular calcium, was significantly improved.
  • 4-PBA intervention ameliorated ER stress markers, improved protein folding/aggregation/degradation, and restored redox status, establishing a link between ER stress and mitochondria (VDAC1, GRP75).

Conclusions:

  • 4-PBA treatment effectively mitigated ER-mitochondrial distress in hyperoxaluric rats, restoring protein homeostasis and calcium balance.
  • The findings highlight the critical role of ER stress and glycoproteins in hyperoxaluria.
  • A holistic approach focusing on glycoproteins and the ER environment is recommended for managing hyperoxaluria.

Related Concept Videos

Urinary Tract Calculi IV: Nutrition Therapy and Prevention01:27

Urinary Tract Calculi IV: Nutrition Therapy and Prevention

Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
26
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
23
Renal Drug Excretion: Tubular Secretion01:28

Renal Drug Excretion: Tubular Secretion

Active tubular secretion is a robust, energy-demanding process that utilizes carrier systems to transport drugs into renal tubules. The active renal secretion systems include the organic anion transporter (OAT) for weak acids and the organic cation transporter (OCT) for weak bases. Structurally similar drugs can compete for the same transporter, potentially leading to drug accumulation and toxicity. However, this principle can be exploited therapeutically. One example is probenecid (Probalan),...
313
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
36
Renal Regulation of Acid-Base Balance01:29

Renal Regulation of Acid-Base Balance

Metabolic reactions in the body produce nonvolatile acids, such as sulfuric acid, which generate an acid load of approximately 1 mEq of H+ per kilogram of body weight daily. Excreting H+ in the urine is essential to balance this acid load.
In the kidneys, cells within the proximal convoluted tubules (PCT) and the collecting ducts secrete hydrogen ions (H+) into the tubular fluid. Specifically, in the PCT, Na+/H+ antiporters secrete H+ while reabsorbing Na+.
However, the intercalated cells in...
676
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
25