Calponin 2 regulates ketogenesis to mitigate acute kidney injury

Yuan Gui1, Zachary Palanza1, Priya Gupta1

  • 1Division of Nephrology, Department of Medicine, University of Connecticut School of Medicine, Farmington, Connecticut, USA.

JCI Insight
|September 26, 2023
PubMed

Insights

Calponin 2 (CNN2) plays a key role in acute kidney injury (AKI). Reducing CNN2 levels protected kidney function and promoted self-renewal by enhancing ketogenesis and ATP production.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Biochemistry

Background:

  • Calponin 2 (CNN2) stabilizes actin and influences fatty acid oxidation (FAO) via estrogen receptor 2 (ESR2), impacting kidney fibrosis.
  • The role of CNN2 in acute kidney injury (AKI) has not been previously established.

Purpose of the Study:

  • To investigate the role of CNN2 in the development and progression of AKI.
  • To elucidate the underlying molecular mechanisms of CNN2's involvement in AKI.

Main Methods:

  • Analysis of CNN2 expression in human and animal AKI models.
  • Gene knockdown experiments to assess CNN2's functional impact on kidney injury.
  • Proteomic analysis to identify key molecular pathways affected by CNN2.
  • Investigation of protein-protein interactions and posttranslational modifications.

Main Results:

  • CNN2 expression was upregulated in kidneys following AKI.
  • Knockdown of CNN2 ameliorated kidney dysfunction, reduced tubular cell death and inflammation, and enhanced cell proliferation.
  • CNN2-knockdown kidneys showed increased 3-hydroxymethylglutaryl-CoA synthase 2 (Hmgcs2) expression, leading to elevated ketone body and ATP production.
  • CNN2 was found to interact with ESR2, negatively regulating mitochondrial sirtuin 5 activity, which in turn desuccinylates Hmgcs2.

Conclusions:

  • CNN2 is actively involved in AKI pathogenesis.
  • Targeting CNN2 may offer a therapeutic strategy for mitigating AKI by modulating ketogenesis and cellular energy metabolism.
  • Understanding CNN2's regulation of protein posttranslational modifications is crucial for optimizing kidney recovery after AKI.

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