RENOPROTECTIVE EFFECTS OF 2-MERCAPTOETHANOL IN MODELS OF ISCHEMIA-REPERFUSION INJURY AND UNILATERAL URETERAL OBSTRUCTION

 

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https://storage.unitedwebnetwork.com/files/1099/dfa7e6c9aca6a9d7a115708e9400f867.pdf
RENOPROTECTIVE EFFECTS OF 2-MERCAPTOETHANOL IN MODELS OF ISCHEMIA-REPERFUSION INJURY AND UNILATERAL URETERAL OBSTRUCTION

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Daeun
Moon
Daeun Moon qjxms9312@jejunu.ac.kr Jeju National University College of Medicine Department of Anatomy Jeju Korea (Republic of) *
Jinu Kim jinu.kim@jejunu.ac.kr Jeju National University College of Medicine Department of Anatomy Jeju Korea (Republic of) - Jeju National University Interdisciplinary Graduate Program in Advanced Convergence Technology & Science Jeju Korea (Republic of)
 
 
 
 
 
 
 
 
 
 
 
 
 

Oxidative stress–induced cell death, including DNA damage and ferroptosis, plays a critical role in both acute and chronic kidney injury.  In particular, ischemia-reperfusion injury (IRI) and unilateral ureteral obstruction (UUO) are key models in which these mechanisms contribute to tubular cell death and renal fibrosis.  2-Mercaptoethanol (2-ME), an antioxidant and modulator of cysteine metabolism, protects against DNA double-strand breaks in bovine embryos and inhibits ferroptosis by promoting SLC7A11-dependent cysteine uptake in vitro. These findings suggest its potential to target multiple pathways involved in kidney injury.  We investigated the protective effects and mechanisms of 2-ME in murine models of IRI and UUO.

The study involved inducing kidney IRI or performing a sham operation on mice.  The mice were then treated with 2-ME and/or Ras-selective lethal 3 (RSL3), a potent inhibitor of glutathione peroxidase 4 (GPX4).  Additionally, UUO or a sham operation was performed on the left kidneys of female mice, which were treated with 2-ME or vehicle control.

In the IRI model, 2-ME treatment significantly reduced kidney dysfunction, tubular injury, and DNA double-strand breaks.  2-ME enhanced the phosphorylation of ataxia telangiectasia mutated (ATM) and its downstream effectors, indicating activation of the ATM-mediated DNA damage response (DDR) pathway.  Additionally, 2-ME markedly upregulated GPX4 expression.  Inhibition of GPX4 exacerbated IRI-induced kidney dysfunction, tubular injury, and DNA double-strand breaks, while also impairing the activation of the ATM-mediated DDR signaling pathway in 2-ME-treated kidneys.  In the UUO model, which induces ferroptosis and inflammation leading to fibrosis, pre-treatment with 2-ME restored the expression of antioxidant enzymes, reduced markers of ferroptosis, and suppressed inflammatory cytokines.  However, 2-ME did not prevent the upregulation of fibrosis markers such as α-smooth muscle actin (α-SMA) and collagen genes.  Therapeutic treatment with 2-ME showed no significant effect on ferroptosis regulation, oxidative stress, inflammation, or fibrosis compared to vehicle treatment.

Collectively, our findings demonstrate that pre-treatment with 2-ME protects against kidney injury through distinct mechanisms: by activating DDR signaling and antioxidant defenses in IRI, and by inhibiting ferroptosis and inflammation in UUO.  These results highlight the therapeutic potential of 2-ME in modulating multiple injury pathways in the kidney.

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