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Siddharth Sunilkumar1, Esma I Yerlikaya1, Allyson L Toro1
1Department of Cellular and Molecular Physiology, Penn State College of Medicine, Hershey, PA.
Abstract:
Chronic hyperglycemia contributes to development of diabetic kidney disease by promoting glomerular injury. In this study, we evaluated the hypothesis that hyperglycemic conditions promote expression of the stress response protein regulated in development and DNA damage response 1 (REDD1) in the kidney in a manner that contributes to the development of oxidative stress and renal injury. After 16 weeks of streptozotocin-induced diabetes, albuminuria and renal hypertrophy were observed in wild-type (WT) mice coincident with increased renal REDD1 expression. In contrast, diabetic REDD1 knockout (KO) mice did not exhibit impaired renal physiology. Histopathologic examination revealed that glomerular damage including mesangial expansion, matrix deposition, and podocytopenia in the kidneys of diabetic WT mice was reduced or absent in diabetic REDD1 KO mice. In cultured human podocytes, exposure to hyperglycemic conditions enhanced REDD1 expression, increased reactive oxygen species (ROS) levels, and promoted cell death. In both the kidney of diabetic mice and in podocyte cultures exposed to hyperglycemic conditions, REDD1 deletion reduced ROS and prevented podocyte loss. Benefits of REDD1 deletion were recapitulated by pharmacological GSK3β suppression, supporting a role for REDD1-dependent GSK3β activation in diabetes-induced oxidative stress and renal defects. The results support a role for REDD1 in diabetes-induced renal complications.
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.
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