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AST-120 alleviates renal ischemia-reperfusion injury by inhibiting HK2-mediated glycolysis.
Zhou, Jinmeng; Zhang, Jinbao; Xu, Feng; Gao, Haijin; Wang, Lei; Zhao, Yutong; Li, Ke.
Afiliación
  • Zhou J; Department of Critical Care Medicine, the First Hospital of Shanxi Medical University, 85 Jiefang South Road, Yingze District, Taiyuan, 030001, Shanxi, China.
  • Zhang J; Department of Critical Care Medicine, the First Hospital of Shanxi Medical University, 85 Jiefang South Road, Yingze District, Taiyuan, 030001, Shanxi, China.
  • Xu F; Department of Critical Care Medicine, the First Hospital of Shanxi Medical University, 85 Jiefang South Road, Yingze District, Taiyuan, 030001, Shanxi, China.
  • Gao H; Department of Critical Care Medicine, the First Hospital of Shanxi Medical University, 85 Jiefang South Road, Yingze District, Taiyuan, 030001, Shanxi, China.
  • Wang L; Department of Critical Care Medicine, the First Hospital of Shanxi Medical University, 85 Jiefang South Road, Yingze District, Taiyuan, 030001, Shanxi, China.
  • Zhao Y; Department of Critical Care Medicine, the First Hospital of Shanxi Medical University, 85 Jiefang South Road, Yingze District, Taiyuan, 030001, Shanxi, China.
  • Li K; Department of Critical Care Medicine, the First Hospital of Shanxi Medical University, 85 Jiefang South Road, Yingze District, Taiyuan, 030001, Shanxi, China. like1680@163.com.
Mol Med ; 30(1): 133, 2024 Aug 31.
Article en En | MEDLINE | ID: mdl-39217289
ABSTRACT

OBJECTIVE:

Renal ischemia/reperfusion injury (IRI) is a major cause of acute kidney injury (AKI), which is associated with high incidence and mortality. AST-120 is an oral carbonaceous adsorbent that can alleviate kidney damage. This study aimed to explore the effects of AST-120 on renal IRI and the molecular mechanism.

METHODS:

A renal IRI mouse model was established and administrated AST-120, and differentially expressed genes were screened using RNA sequencing. Renal function and pathology were analyzed in mice. Hypoxia/reoxygenation (H/R) cell model was generated, and glycolysis was evaluated by detecting lactate levels and Seahorse analysis. Histone lactylation was analyzed by western blotting, and its relationship with hexokinase 2 (HK2) was assessed using chromatin immunoprecipitation.

RESULTS:

The results showed that HK2 expression was increased after IRI, and AST-120 decreased HK2 expression. Knockout of HK2 attenuated renal IRI and inhibits glycolysis. AST-120 inhibited renal IRI in the presence of HK2 rather than HK2 absence. In proximal tubular cells, knockdown of HK2 suppressed glycolysis and H3K18 lactylation caused by H/R. H3K18 lactylation was enriched in HK2 promoter and upregulated HK2 levels. Rescue experiments revealed that lactate reversed IRI that suppressed by HK2 knockdown.

CONCLUSIONS:

In conclusion, AST-120 alleviates renal IRI via suppressing HK2-mediated glycolysis, which suppresses H3K18 lactylation and further reduces HK2 levels. This study proposes a novel mechanism by which AST-120 alleviates IRI.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Óxidos / Carbono / Daño por Reperfusión / Modelos Animales de Enfermedad / Glucólisis / Hexoquinasa Límite: Animals / Humans / Male Idioma: En Revista: Mol Med Asunto de la revista: BIOLOGIA MOLECULAR Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Óxidos / Carbono / Daño por Reperfusión / Modelos Animales de Enfermedad / Glucólisis / Hexoquinasa Límite: Animals / Humans / Male Idioma: En Revista: Mol Med Asunto de la revista: BIOLOGIA MOLECULAR Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido