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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 Am+J+Physiol+Renal+Physiol
2016 ; 311
(5
): F1025-F1034
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Nrf2-AKT interactions regulate heme oxygenase 1 expression in kidney epithelia
during hypoxia and hypoxia-reoxygenation
#MMPMID27582105
Potteti HR
; Tamatam CR
; Marreddy R
; Reddy NM
; Noel S
; Rabb H
; Reddy SP
Am J Physiol Renal Physiol
2016[Nov]; 311
(5
): F1025-F1034
PMID27582105
show ga
Ischemia-reperfusion (IR)-induced kidney injury is a major clinical problem, but
its underlying mechanisms remain unclear. The transcription factor known as
nuclear factor, erythroid 2-like 2 (NFE2L2 or Nrf2) is crucial for protection
against oxidative stress generated by pro-oxidant insults. We have previously
shown that Nrf2 deficiency enhances susceptibility to IR-induced kidney injury in
mice and that its upregulation is protective. Here, we examined Nrf2 target
antioxidant gene expression and the mechanisms of its activation in both human
and murine kidney epithelia following acute (2 h) and chronic (12 h) hypoxia and
reoxygenation conditions. We found that acute hypoxia modestly stimulates and
chronic hypoxia strongly stimulates Nrf2 putative target HMOX1 expression, but
not that of other antioxidant genes. Inhibition of AKT1/2 or ERK1/2 signaling
blocked this induction; AKT1/2 but not ERK1/2 inhibition affected Nrf2 levels in
basal and acute hypoxia-reoxygenation states. Unexpectedly, chromatin
immunoprecipitation assays revealed reduced levels of Nrf2 binding at the distal
AB1 and SX2 enhancers and proximal promoter of HMOX1 in acute hypoxia,
accompanied by diminished levels of nuclear Nrf2. In contrast, Nrf2 binding at
the AB1 and SX2 enhancers significantly but differentially increased during
chronic hypoxia and reoxygenation, with reaccumulation of nuclear Nrf2 levels.
Small interfering-RNA-mediated Nrf2 depletion attenuated acute and chronic
hypoxia-inducible HMOX1 expression, and primary Nrf2-null kidney epithelia showed
reduced levels of HMOX1 induction in response to both acute and chronic hypoxia.
Collectively, our data demonstrate that Nrf2 upregulates HMOX1 expression in
kidney epithelia through a distinct mechanism during acute and chronic hypoxia
reoxygenation, and that both AKT1/2 and ERK1/2 signaling are required for this
process.