ApoM knockout exacerbated proximal tubular injury in cisplatin-induced nephropathy

 

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https://storage.unitedwebnetwork.com/files/1099/626bbc0a32207d456772b9459106dc17.pdf
ApoM knockout exacerbated proximal tubular injury in cisplatin-induced nephropathy

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Hidehiko
Nakano
Hidehiko Nakano be.rann1988jp@gmail.com Graduate School of Medicine, The University of Tokyo Department of Emergency and Critical Care Medicine Tokyo Japan *
Teruhiko Yoshida yoshidateruhiko@g.ecc.u-tokyo.ac.jp Graduate School of Medicine, The University of Tokyo Department of Clinical Laboratory Medicine Tokyo Japan -
Kent Doi kentdoi@m.u-tokyo.ac.jp Graduate School of Medicine, The University of Tokyo Department of Emergency and Critical Care Medicine Tokyo Japan -
Yutaka Yatomi yatoyuta@iuhw.ac.jp Graduate School of Medicine, The University of Tokyo Department of Clinical Laboratory Medicine Tokyo Japan -
Makoto Kurano kurano-tky@g.ecc.u-tokyo.ac.jp Graduate School of Medicine, The University of Tokyo Department of Clinical Laboratory Medicine Tokyo Japan -
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Apolipoprotein M (ApoM) is a carrier of sphingosine-1-phosphate (S1P) and ApoM-S1P exerts potent physiological effects mainly through S1P1 receptor. We previously reported protective effects of ApoM in a multiple organ failure in sepsis mouse model, IgA nephropathy mouse model, and diabetic nephropathy mouse model and its potential as a therapeutic target. Here, we investigated the roles of ApoM in cisplatin-induced nephropathy using a mouse model and potential novel downstream mechanisms modulated by ApoM.

ApoM-knockout mice (KO) and wild-type (WT) mice on a C57BL/6 background received a single intraperitoneal injection of cisplatin (15 or 30 mg/kg). Blood samples were collected, and the mice were euthanized at 96 hours after infection, and their kidneys were harvested for analysis. Plasma creatinine (Cr) was measured. Renal histology was assessed by Periodic acid–Schiff (PAS) staining, and tubular injury area was quantified. Expression of apoptosis-related proteins (Bax, Bcl-2, Bcl-xl, cleaved caspase-3), survival signaling molecules (Akt, SIRT1), mitochondolial biogenesis markers (PGC-1α, and TFAM, ND-1) were analyzed by Western blot. HK-2 cells were used for mechanistic insight, and siRNA mediated knockdown of ApoM was performed.

Cr was elevated in KO mice at both doses: 1.60 mg/dL vs. 2.87 mg/dL (p < 0.01) at 15 mg/kg, and 1.64 mg/dL vs. 5.67 mg/dL (p < 0.01) at 30 mg/kg. Renal histology showed no difference in tubular injury area between WT and KO mice at a dose of 15 mg/kg (13.5% [KO] vs 7.8% [WT], p = 0.23), but KO mice showed severe damage at 30mg/kg (78.2% [KO] vs 9.1% [WT], p = 0.02). Western blot revealed increased cleaved caspase-3 and Bax/Bcl-2 ratios with reduced Akt phosphorylation and SIRT1 expression in KO mice, suggesting enhanced apoptosis. Mitochondrial regulators (PGC-1α, TFAM) were also down-regulated in KO mice, indicating decreased mitochondrial function and metabolic downregulation in injured tubular cells. In HK-2 cells, knockdown of ApoM recapitulated the increased susceptibility to cisplatin.

ApoM knockout mice exhibited worsened renal function in blood tests and histology, along with progressive mitochondrial dysfunction and apoptosis. These findings highlighted ApoM as a critical modulator of renal protection against cisplatin injury and suggested the therapeutic potential of targeting the ApoM/S1P axis in acute kidney injury induced by cisplatin as well as chronic kidney diseases.

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