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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 J+Am+Soc+Nephrol
2015 ; 26
(6
): 1304-21
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Disruption of renal tubular mitochondrial quality control by Myo-inositol
oxygenase in diabetic kidney disease
#MMPMID25270067
Zhan M
; Usman IM
; Sun L
; Kanwar YS
J Am Soc Nephrol
2015[Jun]; 26
(6
): 1304-21
PMID25270067
show ga
Diabetic kidney disease (DKD) is associated with oxidative stress and
mitochondrial injury. Myo-inositol oxygenase (MIOX), a tubular-specific enzyme,
modulates redox imbalance and apoptosis in tubular cells in diabetes, but these
mechanisms remain unclear. We investigated the role of MIOX in perturbation of
mitochondrial quality control, including mitochondrial dynamics and
autophagy/mitophagy, under high-glucose (HG) ambience or a diabetic state. HK-2
or LLC-PK1 cells subjected to HG exhibited an upregulation of MIOX accompanied by
mitochondrial fragmentation and depolarization, inhibition of
autophagy/mitophagy, and altered expression of mitochondrial dynamic and
mitophagic proteins. Furthermore, dysfunctional mitochondria accumulated in the
cytoplasm, which coincided with increased reactive oxygen species generation, Bax
activation, cytochrome C release, and apoptosis. Overexpression of MIOX in
LLC-PK1 cells enhanced the effects of HG, whereas MIOX siRNA or d-glucarate, an
inhibitor of MIOX, partially reversed these perturbations. Moreover, decreasing
the expression of MIOX under HG ambience increased PTEN-induced putative kinase 1
expression and the dependent mitofusin-2-Parkin interaction. In tubules of
diabetic mice, increased MIOX expression and mitochondrial fragmentation and
defective autophagy were observed. Dietary supplementation of d-glucarate in
diabetic mice decreased MIOX expression, attenuated tubular damage, and improved
renal functions. Notably, d-glucarate administration also partially attenuated
mitochondrial fragmentation, oxidative stress, and apoptosis and restored
autophagy/mitophagy in the tubular cells of these mice. These results suggest a
novel mechanism linking MIOX to impaired mitochondrial quality control during
tubular injury in the pathogenesis of DKD and suggest d-glucarate as a potential
therapeutic agent for the amelioration of DKD.