Mesenchymal stromal cells reduce ferroptosis of podocytes by activating the Nrf2/HO-1/GPX4 pathway in lupus nephritis

  • 0Nanjing Drum Tower Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Graduate School of Peking Union Medical College, Nanjing, China.

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Summary

This summary is machine-generated.

Mesenchymal stromal cells (MSCs) inhibit ferroptosis in lupus nephritis (LN) by modulating the Nrf2/HO-1/GPX4 pathway, offering a potential therapeutic strategy for kidney disease.

Area Of Science

  • Nephrology
  • Immunology
  • Cell Biology

Background

  • Ferroptosis, a regulated cell death pathway, is implicated in kidney diseases, including lupus nephritis (LN).
  • Podocyte injury and renal dysfunction in LN are linked to ferroptosis.
  • Mesenchymal stromal cells (MSCs) show promise for repairing podocyte injury in LN.

Purpose Of The Study

  • To investigate whether MSCs regulate ferroptosis in podocytes within the context of LN.
  • To elucidate the underlying molecular mechanisms of MSC-mediated podocyte protection in LN.

Main Methods

  • MSCs were administered to MRL/lpr mice with LN.
  • Ferroptosis biomarkers, podocyte markers (WT-1, synaptopodin), and the Nrf2/HO-1 pathway were assessed in vivo.
  • In vitro studies used mouse podocyte cell line MPC-5 treated with puromycin aminonucleoside (PAN) and MSCs.

Main Results

  • MSC transplantation improved LN symptoms and podocyte markers in MRL/lpr mice.
  • MSC treatment upregulated ferroptosis regulators (GPX4, ACSL4) and activated the Nrf2/HO-1 pathway in podocytes.
  • In vitro, MSCs protected podocytes from PAN-induced ferroptosis by stabilizing actin fibers and promoting Nrf2 nuclear translocation, effects reversed by a ferroptosis inhibitor.

Conclusions

  • Ferroptosis activation is a key factor in LN pathogenesis.
  • MSCs mitigate podocyte injury in LN by inhibiting ferroptosis via the Nrf2/HO-1/GPX4 pathway.
  • Targeting the Nrf2/HO-1/GPX4 pathway presents a novel therapeutic avenue for LN.

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