Biochem Biophys Res Commun. 2021;534:1040-1046.
Klotho ameliorates diabetic nephropathy via LKB1-AMPK-PGC1α-mediated renal mitochondrial protection.
제1저자 이진호 · 교신저자 오국환
소속 (6)
- Center of Medical Innovation, Seoul National University Hospital, Seoul, South Korea.
- Korea Institute of Radiological Medical Sciences, Seoul, South Korea.
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea.
- Department of Pediatrics, Seoul National University College of Medicine, Seoul, 03080, South Korea; Department of Pediatrics, Seoul National University Children's Hospital, Seoul, 03080, South Korea.
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea; Transplantation Research Institute, Seoul National University Hospital, Seoul, South Korea.
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea. Electronic address: khoh@snu.ac.kr.
Abstract
Diabetic nephropathy (DN) is associated with renal mitochondrial injury and decreased renal klotho expression. Klotho is known as an aging suppressor, and mitochondrial dysfunction is the hallmark of aging. Peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC1α) is a master regulator of mitochondrial biogenesis, and adenosine monophosphate-activated protein kinase (AMPK) is known as a guardian of mitochondria. Here, we report that recombinant soluble klotho protein (rKL) protects against DN in db/db mice via PGC1α-AMPK-mediated mitochondrial recovery in the kidney. We injected rKL into db/db and db/m mice for 8 weeks and collected the serum and kidney tissue. We treated murine renal tubular cells with rKL in vitro, with and without exposure to 30 mM high glucose (HG). rKL treatment ameliorated major disorders from diabetes, such as obesity, hyperglycemia, and intrarenal reactive oxygen species (ROS) generation, in db/db mice. rKL also diminished albuminuria, recovered renal proximal tubular mitochondria, increased renal p-AMPK and PGC1α, and down-regulated mTOR/TGF-β in db/db mice. In S1 mouse proximal tubular cells, rKL treatment ameliorated HG-mediated cellular and mitochondrial damage and enhanced oxidative phosphorylation, with an increase in PGC1α-AMPK-induced mitochondrial recovery. Our data suggest that klotho exerts a mitochondrial protective effect in diabetic kidney disease by inducing AMPK-PGC1α expression.
Copyright © 2020 Elsevier Inc. All rights reserved.
Keywords
AMPK-PGC1αDiabetic nephropathyMitochondrial healthαKlotho
Conflict of interest statement
Declaration of competing interest The authors have nothing to disclose.
그 밖의 정보
- 출판 형태
- Journal Article, Research Support, Non-U.S. Gov't
- 저널
- Biochemical and biophysical research communications · eISSN 1090-2104
- 전자 출판
- 2020-10-26
- MeSH
- AMP-Activated Protein Kinases / metabolism · Animals · Cells, Cultured · Diabetic Nephropathies / drug therapy / metabolism / pathology · Glucuronidase / therapeutic use · Klotho Proteins · Male · Mice · Mice, Inbred C57BL · Mitochondria / drug effects / metabolism / pathology · Oxidative Stress / drug effects · Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha / metabolism · Protein Serine-Threonine Kinases / metabolism · Recombinant Proteins / therapeutic use · Signal Transduction / drug effects
- Substances
- Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha · Recombinant Proteins · Protein Serine-Threonine Kinases · Stk11 protein, mouse · AMP-Activated Protein Kinases · Glucuronidase · Klotho Proteins