Metabolic signatures of proximal tubular injury induced by APOL1-G1 variant

 

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https://storage.unitedwebnetwork.com/files/1099/1fc95f128c16e628d433bb78ca56a1d1.pdf
Metabolic signatures of proximal tubular injury induced by APOL1-G1 variant

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Tetsushi
Miyoshi
Tetsushi Miyoshi tmiyoshi6@g.ecc.u-tokyo.ac.jp The University of Tokyo Faculty of Medicine, School of Medicine Tokyo Japan *
Teruhiko Yoshida yoshidateruhiko@g.ecc.u-tokyo.ac.jp The University of Tokyo Department of Clinical Laboratory Medicine, Graduate School of Medicine Tokyo Japan - The University of Tokyo Hospital Department of Clinical Laboratory Tokyo Japan National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health Kidney Disease Section, Kidney Diseases Branch Bethesda, Maryland United States
Kirsten Overdahl kirsten.overdahl@nih.gov National Institute of Environmental Health Sciences, National Institutes of Health NIH Metabolomics Consortium Bethesda, Maryland United States -
Alan Jarmusch alan.jarmusch@nih.gov National Institute of Environmental Health Sciences, National Institutes of Health NIH Metabolomics Consortium Bethesda, Maryland United States -
Jeffrey Kopp jeffreyk@intra.niddk.nih.gov National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health Kidney Disease Section, Kidney Diseases Branch Bethesda, Maryland United States -
Makoto Kurano kurano-tky@g.ecc.u-tokyo.ac.jp The University of Tokyo Department of Clinical Laboratory Medicine, Graduate School of Medicine Tokyo Japan - The University of Tokyo Hospital Department of Clinical Laboratory Tokyo Japan
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Apolipoprotein L1 (APOL1) was identified as a component of trypanosome lytic factors present in human plasma. With regard to kidney disease, APOL1 has one low-risk variant, termed APOL1-G0, and two high-risk variants, termed APOL1-G1 and -G2. Human populations with high-risk variants have a higher risk of developing progressive kidney disease, termed APOL1 nephropathy. Although glomerular damage is the main pathologic finding, progressive tubular injury is also common. The underlying mechanism of tubular injury in APOL1 nephropathy remains poorly understood.

Using BAC/APOL1 transgenic mice, we established an IV interferon-g model which activates expression of human APOL1 gene. We previously reported that BAC/APOL1-G1 mice develop more albuminuria than APOL1-G0 mice at 24 hours after the administration of interferon-g IV. Here we performed multi-omics analysis of kidneys and urine, including metabolomics analysis, and also bulk RNA-seq analysis of BAC/APOL1-G0 and -G1 mice 24 hours after the intravenous administration of interferon-g. In order to evaluate the effect of a candidate metabolite found in the multi-omics analysis.  Human renal proximal tubular epithelial cells (HK-2 cells) were used to evaluate the effect in vitro. We reanalyzed the single-cell RNA-seq data sets publicly available at KPMP.org to confirm these findings.

Metabolomics analysis showed that glyceric acid levels were higher in kidneys and urine of BAC/APOL1-G1 mice after the administration of interferon-g, compared with APOL1-G0 mice. Bulk RNA sequencing revealed that the gene GLYCTK, encoding glycerate kinase, which catabolizes glyceric acid, was downregulated in BAC/APOL1-G1 mouse kidneys. The knock-down of GLYCTK lowered the viability of HK-2 cells, accompanied by a decrease of downstream metabolites. Further, supplementing glyceric acid accelerated the damage of HK-2 cells with GLYCTK knockdown, whereas glyceric acid did not change viability of HK-2 cells without GLYCTK knockdown. Single-cell RNA-seq dataset from KPMP showed that GLYCTK expression in the proximal tubule cells, but not in glomerular endothelial cells or in podocytes, were downregulated both in acute kidney injury samples and in chronic kidney disease samples, compared with healthy control samples.

These in vivo and in vitro experiments demonstrate upregulated glyceric acid and reduced expression of GLYCTK, suggesting metabolic alterations in proximal tubules in the setting of APOL1 nephropathy. Ongoing experiments will determine the diagnostic potential of this pathway in APOL1 nephropathy and whether it might be a therapeutic target.

Kewords