Biphasic protective effects of macrophage migration inhibitory factor in ischemia/reperfusion-induced acute kidney

Yiwei Du1,2, Chunni Feng1, Lu Zhou1

  • 1Department of Nephrology, Tangdu Hospital, The Fourth Military Medical University, Xi'an, 710038, China.

PubMed

Insights

Macrophage migration inhibitory factor (MIF) protects against ferroptosis in acute kidney injury (AKI). MIF activates the AMPK pathway during ischemia and increases glutathione during reperfusion, offering a potential therapeutic strategy for AKI.

Area of Science:

  • Nephrology
  • Cellular Biology
  • Biochemistry

Background:

  • Ferroptosis, a form of regulated cell death, plays a role in renal ischemia/reperfusion (I/R) injury.
  • Macrophage migration inhibitory factor (MIF) is linked to kidney diseases, but its role in ferroptosis during acute kidney injury (AKI) is not fully understood.

Purpose of the Study:

  • To investigate the dynamic expression and function of MIF during both ischemic and reperfusion phases of AKI.
  • To elucidate the underlying mechanisms of MIF in regulating ferroptosis in AKI.

Main Methods:

  • Established hypoxia/reoxygenation (H/R) and I/R-induced AKI models.
  • Verified ferroptosis by assessing pro-ferroptotic markers.
  • Utilized siRNA and Adeno-Associated virus (AAV) to knockdown MIF expression.
  • Analyzed lipid reactive oxygen species (ROS), malondialdehyde (MDA), glutathione (GSH), and AMP-activated protein kinase (AMPK) phosphorylation.

Main Results:

  • Recombinant MIF treatment reduced lipid ROS and MDA levels, while increasing GSH and AMPK phosphorylation.
  • MIF deficiency impaired its protective effects on renal tubular epithelial cells.
  • MIF ameliorates ferroptosis injury by activating the AMPK pathway during ischemia and increasing GSH during reperfusion.

Conclusions:

  • MIF exhibits a nephroprotective role in inhibiting ferroptosis during AKI.
  • MIF's protective effects involve activating the AMPK pathway and modulating GSH levels.
  • Findings provide insights into potential therapeutic strategies for AKI prevention and treatment.

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