THE AUTOPHAGY ENHANCER MSL-7 PREVENTS RENAL FIBROSIS BY ACTIVATING AUTOPHAGY-LYSOSOMAL PATHWAY AND IMPROVING LYSOSOMAL STRESS IN A MOUSE MODEL OF CKD

 

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https://storage.unitedwebnetwork.com/files/1099/89a7017e789dfb2019e499899d2239af.pdf
THE AUTOPHAGY ENHANCER MSL-7 PREVENTS RENAL FIBROSIS BY ACTIVATING AUTOPHAGY-LYSOSOMAL PATHWAY AND IMPROVING LYSOSOMAL STRESS IN A MOUSE MODEL OF CKD

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Jina
Lee
Jina Lee dlwlsdk0000@naver.com Graduate School of Soonchunhyang University Departments of Medicine and Biomedical Science Cheonan Korea (Republic of) *
Seong Woo Lee lju600@naver.com Graduate School of Soonchunhyang University Departments of Medicine and Biomedical Science Cheonan Korea (Republic of) -
Se Hun Park shpark311@naver.com Graduate School of Soonchunhyang University Departments of Medicine and Biomedical Science Cheonan Korea (Republic of) -
Su Bin Lee tnqls4696-@naver.com Graduate School of Soonchunhyang University Departments of Medicine and Biomedical Science Cheonan Korea (Republic of) -
Myung-Shik Lee mslee0923@sch.ac.kr Soonchunhyang University Cheonan Hospital Department of Internal Medicine Cheonan Korea (Republic of) -
Ji-Hye Lee whui01@schmc.ac.kr Soonchunhyang University Cheonan Hospital Department of Pathology Cheonan Korea (Republic of) -
Eun Young Lee eylee@schmc.ac.kr Graduate School of Soonchunhyang University Departments of Medicine and Biomedical Science Cheonan Korea (Republic of) - Soonchunhyang University Cheonan Hospital Department of Internal Medicine Cheonan Korea (Republic of)
 
 
 
 
 
 
 
 

Autophagy is a fundamental mechanism that maintains cellular homeostasis by degrading and recycling damaged organelles and cellular components. However, in chronic kidney disease (CKD), the autophagy-lysosomal pathway is suppressed or functionally impaired, leading to the accumulation of damaged mitochondria and proteins within cells, which induces oxidative stress and inflammatory responses, ultimately accelerating tubular injury and renal dysfunction. Transcription Factor EB (TFEB), a key regulator of autophagy and lysosomal biogenesis, is dysregulated in CKD, contributing to impaired autophagic flux and disease progression. This study evaluated whether the autophagy enhancer could restore autophagy-lysosomal pathway, reduce lysosomal stress, and exert renoprotective effects in a CKD model.

CKD was induced in C57BL/6 mice by feeding adenine. The mice were divided into four groups: control, control+MSL-7, CKD, and CKD+MSL-7 (n = 7–8 per group). We used MSL-7 (25 mg/kg/day IP, LysoTech, Korea) which activates TFEB, thereby promoting autophagy and restoring autophagy-lysosomal function. Renal function was assessed using serum BUN and cystatin C levels. Kidney tissues were analyzed for tubular injury and fibrosis using Periodic Acid-Schiff staining, Masson’s Trichrome staining and alpha-SMA immunohistochemistry. TFEB expression and nuclear translocation, along with expression levels of p62, LC3 and LAMP1, were examined using qPCR, Western blot and immunostaining. Statistical significance was determined by one-way ANOVA followed by Tukey’s post hoc test.

CKD mice exhibited significantly elevated BUN and cystatin C levels compared to controls (< 0.001), which were reduced after MSL-7 treatment, indicating improved renal function (p < 0.05). In CKD kidneys, marked tubular dilatation, increased fibrosis, and elevated α-SMA were observed compared to the control (p < 0.001), they were reduced after MSL-7 treatment (p < 0.05). Reduced TFEB expression in CKD evaluated by qPCR, Western blot and IF was recovered by MSL-7. IF analysis revealed an accumulation of both p62 and LC3 in CKD compared to controls, indicating the accumulation of autophagosomes. Following MSL-7 treatment, the accumulation of p62 and LC3 was significantly reduced (p < 0.01), suggesting restoration of autophagic flux. Western blot analysis showed that compared to controls, CKD exhibited increased p62 levels and a decreased LC3-II/LC3-I ratio, indicating increased autophagosome accumulation and impaired autophagosome degradation, resulting in overall suppression of autophagic flux. These alterations were reversed by MSL-7 treatment, confirming recovery of autophagic function (p < 0.05). Decreased LAMP1 expression in CKD compared to control was restored by MSL-7 which was confirmed by qPCR, Western blot, and IF (p < 0.05).

This study shows that MSL-7 activates TFEB to restore the autophagy-lysosomal pathway and alleviates lysosomal stress, inflammation and fibrosis in a CKD model, suggesting that autophagy enhancer is a promising therapeutic strategy for CKD.

Kewords