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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Toxicol+Sci
2015 ; 145
(1
): 108-17
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Urinary ATP Synthase Subunit ? Is a Novel Biomarker of Renal Mitochondrial
Dysfunction in Acute Kidney Injury
#MMPMID25666834
Whitaker RM
; Korrapati MC
; Stallons LJ
; Jesinkey SR
; Arthur JM
; Beeson CC
; Zhong Z
; Schnellmann RG
Toxicol Sci
2015[May]; 145
(1
): 108-17
PMID25666834
show ga
Although the importance of mitochondrial dysfunction in acute kidney injury (AKI)
has been documented, noninvasive early biomarkers of mitochondrial damage are
needed. We examined urinary ATP synthase subunit ? (ATPS?) as a biomarker of
renal mitochondrial dysfunction during AKI. Mice underwent sham surgery or
varying degrees (5, 10, or 15?min ischemia) of ischemia/reperfusion (I/R)-induced
AKI. Serum creatinine, BUN, and neutrophil gelatinase-associated lipocalin were
elevated only in the 15?min I/R group at 24?h. Immunoblot analysis of urinary
ATPS? revealed two bands (full length ?52?kDa and cleaved ?25?kDa), both
confirmed as ATPS? by LC-MS/MS, that increased at 24?h in 10- and 15-min I/R
groups. These changes were associated with mitochondrial dysfunction evidenced by
reduced renal cortical expression of mitochondrial proteins, ATPS? and COX1,
proximal tubular oxygen consumption, and ATP. Furthermore, in the 15-min I/R
group, urinary ATPS? was elevated until 72?h before returning to baseline 144?h
after reperfusion with recovery of renal function. Evaluation of urinary ATPS? in
a nonalcoholic steatohepatitis model of liver injury only revealed cleaved ATPS?,
suggesting specificity of full-length ATPS? for renal injury. Immunoblot analyses
of patient urine samples collected 36?h after cardiac surgery revealed increased
urinary ATPS? levels in patients with postcardiac surgery-induced AKI. LC-MS/MS
urinalysis in human subjects with AKI confirmed increased ATPS?. These
translational studies provide evidence that ATPS? may be a novel and sensitive
urinary biomarker of renal mitochondrial dysfunction and could serve as valuable
tool for the testing of potential therapies for AKI and chemical-induced
nephrotoxicity.