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10.1038/s41598-017-05667-5

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suck abstract from ncbi


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pmid28706237
      Sci+Rep 2017 ; 7 (1 ): 5311
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  • Suppressed autophagic response underlies augmentation of renal ischemia/reperfusion injury by type 2 diabetes #MMPMID28706237
  • Muratsubaki S ; Kuno A ; Tanno M ; Miki T ; Yano T ; Sugawara H ; Shibata S ; Abe K ; Ishikawa S ; Ohno K ; Kimura Y ; Tatekoshi Y ; Nakata K ; Ohwada W ; Mizuno M ; Miura T
  • Sci Rep 2017[Jul]; 7 (1 ): 5311 PMID28706237 show ga
  • Diabetes mellitus is a major risk factor for acute kidney injury (AKI). Here, we hypothesized that suppression of autophagic response underlies aggravation of renal ischemia/reperfusion (I/R) injury by type 2 diabetes mellitus (T2DM). In OLETF, a rat model of T2DM, and its non-diabetic control, LETO, AKI was induced by unilateral nephrectomy and 30-min occlusion and 24-h reperfusion of the renal artery in the contralateral kidney. Levels of serum creatinine and blood urea nitrogen and tubular injury score after I/R were significantly higher in OLETF than in LETO. Administration of chloroquine, a widely used autophagy inhibitor, aggravated I/R-induced renal injury in LETO, but not in OLETF. In contrast to LETO, OLETF exhibited no increase in autophagosomes in the proximal tubules after I/R. Immunoblotting showed that I/R activated the AMPK/ULK1 pathway in LETO but not in OLETF, and mTORC1 activation after I/R was enhanced in OLETF. Treatment of OLETF with rapamycin, an mTORC1 inhibitor, partially restored autophagic activation in response to I/R and significantly attenuated I/R-induced renal injury. Collectively, these findings indicate that suppressed autophagic activation in proximal tubules by impaired AMPK/ULK1 signaling and upregulated mTORC1 activation underlies T2DM-induced worsening of renal I/R injury.
  • |*Autophagy [MESH]
  • |Animals [MESH]
  • |Blood Urea Nitrogen [MESH]
  • |Creatinine/blood [MESH]
  • |Diabetes Mellitus, Type 2/*complications/*pathology [MESH]
  • |Disease Models, Animal [MESH]
  • |Kidney Diseases/pathology/*physiopathology [MESH]
  • |Kidney Tubules, Proximal/pathology [MESH]
  • |Mechanistic Target of Rapamycin Complex 1/analysis [MESH]
  • |Rats [MESH]


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