SAV1 DEFICIENCY IN KIDNEY PROXIMAL TUBULES PROMOTES MALADAPTIVE REPAIR THROUGH THE AKT PATHWAY FOLLOWING ISCHEMIA-REPERFUSION INJURY

 

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SAV1 DEFICIENCY IN KIDNEY PROXIMAL TUBULES PROMOTES MALADAPTIVE REPAIR THROUGH THE AKT PATHWAY FOLLOWING ISCHEMIA-REPERFUSION INJURY

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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)
 
 
 
 
 
 
 
 
 
 
 
 
 

Salvador family WW domain-containing protein 1 (SAV1) is an important component of the Hippo signaling pathway, which plays a key role in organ development and tissue homeostasis.  Disruption of this pathway has been associated with various diseases, including those related to aging.  Kidney ischemia-reperfusion injury (IRI) is a major cause of acute kidney injury (AKI) and often progresses to chronic kidney disease (CKD), particularly in older individuals.  This study investigated whether protein kinase B (AKT) is involved in the kidney restoration process regulated by SAV1 following IRI.

A proximal tubule-specific SAV1 knockout in the kidneys (SAV1ptKO) was generated, and both wild-type (WT) and SAV1ptKO mice underwent kidney IRI or sham operation.  The mice were then treated with MK-2206, an AKT inhibitor, or vehicle control.  Kidney function was evaluated by measuring plasma creatinine and blood urea nitrogen levels.  Tubular injury and cell proliferation were assessed using histological techniques, including periodic acid-Schiff stating and immunohistochemistry.  Additionally, western blot analysis was performed to examine proteins associated with cell proliferation.

Forty-eight hours after IRI, SAV1ptKO mice exhibited impaired kidney function, whereas WT mice showed significant recovery.  Consistent with the functional data, tubular histological damage in the cortex by kidney IRI was significantly reduced 48 hours after IRI in WT mice, but remained severe in SAV1ptKO mice.  Similarly, 48 hours after IRI, the number of Ki67-positive cells in the cortex was higher in WT mice than SAV1ptKO mice.  AKT activation was markedly increased in SAV1ptKO mice compared to WT mice 48 hours after IRI.  Pharmacological inhibition of AKT improved kidney function and reduced tubular histological damage induced by IRI in SAV1ptKO mice.

These findings indicate that SAV1 deficiency in proximal tubules delays kidney restoration after IRI by promoting AKT activation.

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