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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
2016 ; 27
(7
): 2069-81
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gab.com Text
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Renal 2 ,3 -Cyclic Nucleotide 3 -Phosphodiesterase Is an Important Determinant of
AKI Severity after Ischemia-Reperfusion
#MMPMID26574047
Jackson EK
; Menshikova EV
; Mi Z
; Verrier JD
; Bansal R
; Janesko-Feldman K
; Jackson TC
; Kochanek PM
J Am Soc Nephrol
2016[Jul]; 27
(7
): 2069-81
PMID26574047
show ga
A positional isomer of 3',5'-cAMP, 2',3'-cAMP, is produced by kidneys in response
to energy depletion, and renal 2',3'-cyclic nucleotide 3'-phosphodiesterase
(CNPase) metabolizes 2',3'-cAMP to 2'-AMP; 2',3'-cAMP is a potent opener of
mitochondrial permeability transition pores (mPTPs), which can stimulate
autophagy. Because autophagy protects against AKI, it is conceivable that
inhibition of CNPase protects against ischemia-reperfusion (IR) -induced AKI.
Therefore, we investigated renal outcomes, mitochondrial function, number, area,
and autophagy in CNPase-knockout (CNPase(-/-)) versus wild-type (WT) mice using a
unique two-kidney, hanging-weight model of renal bilateral IR (20 minutes of
ischemia followed by 48 hours of reperfusion). Analysis of urinary purines showed
attenuated metabolism of 2',3'-cAMP to 2'-AMP in CNPase(-/-) mice. Neither
genotype nor IR affected BP, heart rate, urine volume, or albumin excretion. In
WT mice, renal IR reduced (14)C-inulin clearance (index of GFR) and increased
renal vascular resistance (measured by transit time nanoprobes) and urinary
excretion of kidney injury molecule-1 and neutrophil gelatinase-associated
lipocalin. IR did not affect these parameters in CNPase(-/-) mice. Histologic
analysis revealed that IR induced severe damage in kidneys from WT mice, whereas
histologic changes were minimal after IR in CNPase(-/-) mice. Measurements of
renal cardiolipin levels, citrate synthase activity, rotenone-sensitive NADH
oxidase activity, and proximal tubular mitochondrial and autophagosome area and
number (by transmission electron microscopy) indicted accelerated
autophagy/mitophagy in injured CNPase(-/-) mice. We conclude that CNPase deletion
attenuates IR-induced AKI, in part by accelerating autophagy with targeted
removal of damaged mitochondria.