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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+Nephrol
2016 ; 29
(5
): 637-44
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Endothelial autophagy and Endothelial-to-Mesenchymal Transition (EndoMT) in eEPC
treatment of ischemic AKI
#MMPMID26289253
Patschan D
; Schwarze K
; Henze E
; Patschan S
; Müller GA
J Nephrol
2016[Oct]; 29
(5
): 637-44
PMID26289253
show ga
BACKGROUND: Autophagy enables cells to digest endogenous/exogenous waste
products, thus potentially prolonging the cellular lifespan. Early endothelial
progenitor cells (eEPCs) protect mice from ischemic acute kidney injury (AKI).
The mid-term prognosis in AKI critically depends on vascular rarefication and
interstitial fibrosis with the latter partly being induced by mesenchymal
transdifferentiation of endothelial cells (EndoMT). This study aimed to determine
the impact of eEPC preconditioning with different autophagy inducing agents
[suberoylanilide hydroxamic acid (SAHA)/temsirolimus] in ischemic AKI. METHODS:
Male C57/Bl6 N mice were subjected to bilateral renal ischemia (40 min). Animals
were injected with either untreated, or SAHA- or temsirolimus-pretreated
syngeneic murine eEPCs at the time of reperfusion. Mice were analyzed 48 h and
4 weeks later. In addition, cultured eEPCs were treated with transforming growth
factor (TGF)-? ± SAHA, autophagy (perinuclear LC3-II), and stress-induced
premature senescence (SIPS-senescence-associated ?-galactosidase, SA-?-Gal), and
were evaluated 96 h later. RESULTS: Cultured eEPCs showed reduced perinuclear
density of LC3-II + vesicles and elevated levels of SA-?-Gal after treatment with
TGF-? alone, indicating impaired autophagy and aggravated SIPS. These effects
were completely abrogated by SAHA. Systemic administration of either SAHA or tems
pretreated eEPCs resulted in elevated intrarenal endothelial p62 at 48 h and
4 weeks, indicating stimulated endothelial autophagy. This effect was most
pronounced after injection of SAHA-treated eEPCs. At 4 weeks endothelial
expression of mesenchymal alpha-smooth muscle actin (?SMA) was reduced in animals
receiving untreated and SAHA-pretreated cells. In addition, SAHA-treated cells
reduced fibrosis at week 4. Tems in contrast aggravated EndoMT. Postischemic
renal function declined after renal ischemia and remained unaffected in all
experimental cell treatment groups. CONCLUSION: In ischemic AKI, intrarenal
endothelial autophagy may be stabilized by systemic administration of
pharmacologically preconditioned eEPCs. Early EPCs can reduce postischemic EndoMT
and fibrosis in the mid-term. Autophagy induction in eEPCs either increases or
decreases the mesenchymal properties of intrarenal endothelial cells, depending
on the substance being used. Thus, endothelial autophagy induction in ischemic
AKI, mediated by eEPCs is not a renoprotective event per se.