REDD1 Ablation Attenuates the Development of Renal Complications in Diabetic Mice

Siddharth Sunilkumar1, Esma I Yerlikaya1, Allyson L Toro1

  • 1Department of Cellular and Molecular Physiology, Penn State College of Medicine, Hershey, PA.

Diabetes
|August 19, 2022
PubMed

Insights

Regulated in development and DNA damage response 1 (REDD1) protein exacerbates diabetic kidney disease by increasing oxidative stress. Deleting REDD1 in mice and human podocytes protects against hyperglycemia-induced renal injury and cell death.

Area of Science:

  • Nephrology
  • Endocrinology
  • Molecular Biology

Background:

  • Diabetic kidney disease (DKD) is a major complication of diabetes, characterized by glomerular injury.
  • Chronic hyperglycemia is a key driver of DKD pathogenesis.
  • The role of stress response proteins in DKD remains incompletely understood.

Purpose of the Study:

  • To investigate the role of the stress response protein regulated in development and DNA damage response 1 (REDD1) in DKD.
  • To determine if REDD1 mediates hyperglycemia-induced oxidative stress and renal injury.

Main Methods:

  • Streptozotocin-induced diabetes model in wild-type (WT) and REDD1 knockout (KO) mice.
  • Assessment of renal physiology, including albuminuria and hypertrophy.
  • Histopathologic examination of kidney tissue.
  • In vitro studies using cultured human podocytes exposed to hyperglycemic conditions.
  • Measurement of reactive oxygen species (ROS) and cell death.

Main Results:

  • Diabetic WT mice exhibited increased renal REDD1 expression, albuminuria, and glomerular damage.
  • Diabetic REDD1 KO mice showed protection against renal dysfunction and histopathologic damage.
  • Hyperglycemia increased REDD1 expression, ROS levels, and cell death in cultured podocytes.
  • REDD1 deletion in vivo and in vitro reduced ROS and prevented podocyte loss.
  • Pharmacological suppression of GSK3β mimicked the protective effects of REDD1 deletion.

Conclusions:

  • REDD1 plays a significant role in mediating hyperglycemia-induced oxidative stress and renal injury in DKD.
  • Targeting REDD1 may offer a therapeutic strategy for managing diabetic kidney disease.
  • REDD1-dependent GSK3β activation is implicated in the pathogenesis of DKD.