Overexpression of sirtuin 1 attenuates calcium oxalate-induced kidney injury by promoting macrophage polarization

Bao-Feng Song1, Bo-Jun Li1, Jin-Zhuo Ning1

  • 1Department of Urology, Renmin Hospital of Wuhan University, Wuhan, China.

Insights

Sirtuin 1 (SIRT1) protein helps macrophages fight kidney stones by promoting anti-inflammatory responses. This reduces kidney cell injury and crystal deposition, suggesting SIRT1 as a potential therapeutic target for kidney stones.

Area of Science:

  • Nephrology
  • Immunology
  • Cell Biology

Background:

  • Kidney stones involve inflammation and macrophage infiltration.
  • The roles of Sirtuin 1 (SIRT1) and NOTCH signaling in kidney stone-related injury are unclear.
  • Understanding SIRT1's mechanism in calcium oxalate (CaOx) deposition is crucial.

Purpose of the Study:

  • To investigate SIRT1's role in macrophage polarization during CaOx deposition.
  • To explore the relationship between SIRT1 and NOTCH signaling in kidney injury.
  • To determine if SIRT1 can inhibit CaOx crystal deposition and renal cell damage.

Main Methods:

  • Analysis of public single-cell sequencing data.
  • Reverse transcription-quantitative polymerase chain reaction (RT-qPCR).
  • Immunostaining and Western blotting techniques.

Main Results:

  • SIRT1 expression decreased in macrophages exposed to CaOx or kidney stones.
  • Overexpression of SIRT1 promoted anti-inflammatory M2 macrophage polarization, reducing kidney injury in hyperoxuria models.
  • Reduced SIRT1 activated NOTCH signaling, leading to pro-inflammatory M1 polarization.

Conclusions:

  • SIRT1 promotes M2 macrophage polarization by inhibiting NOTCH signaling.
  • This mechanism reduces CaOx deposition, apoptosis, and kidney damage.
  • SIRT1 is a potential therapeutic target for kidney stone disease progression.

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