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Absence of ULK1 decreases AMPK activity in the kidney, leading to chronic kidney disease progression
Tomoki Yanagi1, Hiroaki Kikuchi1,2, Koichiro Susa1
1Department of Nephrology, Tokyo Medical and Dental University, Tokyo, Japan.
Abstract:
AMP-activated protein kinase (AMPK) inactivation in chronic kidney disease (CKD) leads to energy status deterioration in the kidney, constituting the vicious cycle of CKD exacerbation. Unc-51-like kinase 1 (ULK1) is considered a downstream molecule of AMPK; however, it was recently reported that the activity of AMPK could be regulated by ULK1 conversely. We demonstrated that AMPK and ULK1 activities were decreased in the kidneys of CKD mice. However, whether and how ULK1 is involved in the underlying mechanism of CKD exacerbation remains unknown. In this study, we investigated the ULK1 involvement in CKD, using ULK1 knockout mice. The CKD model of Ulk1-/- mice exhibited significantly exacerbated renal function and worsening renal fibrosis. In the kidneys of the CKD model of Ulk1-/- mice, reduced AMPK and its downstream β-oxidation could be observed, leading to an energy deficit of increased AMP/ATP ratio. In addition, AMPK signaling in the kidney was reduced in control Ulk1-/- mice with normal renal function compared to control wild-type mice, suggesting that ULK1 deficiency suppressed AMPK activity in the kidney. This study is the first to present ULK1 as a novel therapeutic target for CKD treatment, which regulates AMPK activity in the kidney.
Insights
Unc-51-like kinase 1 (ULK1) deficiency worsens chronic kidney disease (CKD) by impairing kidney energy status and AMP-activated protein kinase (AMPK) activity. ULK1 is a novel therapeutic target for CKD.
Area of Science:
- Nephrology
- Molecular Biology
- Biochemistry
Background:
- AMP-activated protein kinase (AMPK) inactivation in chronic kidney disease (CKD) deteriorates kidney energy status, creating a cycle of disease exacerbation.
- Unc-51-like kinase 1 (ULK1) is a downstream target of AMPK, but recent findings suggest ULK1 may also regulate AMPK activity.
Purpose of the Study:
- To investigate the role of ULK1 in the mechanisms underlying chronic kidney disease (CKD) exacerbation.
- To determine if ULK1 deficiency exacerbates kidney dysfunction and fibrosis in a CKD model.
Main Methods:
- Utilized ULK1 knockout (Ulk1-/-) mice to establish a chronic kidney disease (CKD) model.
- Assessed renal function, renal fibrosis, AMPK activity, and cellular energy status (AMP/ATP ratio) in control and CKD mice with and without ULK1.
Main Results:
- CKD models lacking ULK1 (Ulk1-/-) showed significantly worsened renal function and fibrosis compared to controls.
- ULK1 deficiency led to reduced AMPK activity and impaired β-oxidation in the kidneys, resulting in an energy deficit (increased AMP/ATP ratio).
- Even in non-CKD conditions, ULK1 deficiency suppressed kidney AMPK activity.
Conclusions:
- ULK1 plays a crucial role in maintaining kidney energy status and AMPK activity.
- ULK1 deficiency exacerbates kidney injury and fibrosis in CKD.
- ULK1 represents a novel therapeutic target for managing chronic kidney disease by regulating kidney AMPK activity.
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