Autophagy-deficient macrophages exacerbate cisplatin-induced mitochondrial dysfunction and kidney injury via

Yujia Yuan1, Longhui Yuan1, Jingchao Yang1

  • 1National Health Commission (NHC) Key Laboratory of Transplant Engineering and Immunology, West China Hospital, Sichuan University, Chengdu, China.

PubMed

Insights

Macrophages autophagy influences kidney injury. Impaired macrophage autophagy, via exosomal miR-195a-5p, damages tubular cells and worsens acute kidney injury (AKI). Activating autophagy may protect kidneys.

Area of Science:

  • Cell Biology
  • Renal Physiology
  • Immunology

Background:

  • Macrophage (Mφ) autophagy is crucial in inflammatory diseases.
  • The specific role of Mφ autophagy in acute kidney injury (AKI) pathogenesis remains unclear.

Purpose of the Study:

  • To elucidate the mechanistic role of Mφ autophagy in AKI progression.
  • To investigate the crosstalk between Mφ and tubular epithelial cells (TECs) in AKI.

Main Methods:

  • Utilized cisplatin-induced AKI mouse models with Mφ-specific ATG7 depletion (Atg7Δmye).
  • Analyzed Mφ-derived exosomes and their impact on TECs in vitro and in vivo.
  • Investigated the role of miR-195a-5p and SIRT3 in the Mφ-TEC communication axis.
  • Administered trehalose to modulate Mφ autophagy in AKI models.

Main Results:

  • Mφ autophagy was activated then inhibited in cisplatin-induced AKI.
  • Mφ-specific ATG7 deletion aggravated kidney injury and tubulointerstitial inflammation.
  • Exosomes from Atg7Δmye Mφ impaired TEC mitochondrial function via miR-195a-5p enrichment and SIRT3 interaction.
  • miR-195a-5p inhibition or SIRT3 overexpression improved mitochondrial bioenergetics and renal function.
  • Trehalose treatment alleviated AKI when Mφ autophagy was activated.

Conclusions:

  • Exosomal miR-195a-5p mediates communication between autophagy-deficient Mφ and TECs in AKI.
  • The miR-195a-5p-SIRT3 axis impairs TEC mitochondrial biogenesis, exacerbating kidney injury.
  • Modulating Mφ autophagy presents a potential therapeutic strategy for AKI.

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