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2017 ; 7
(1
): 11168
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D-serine, a novel uremic toxin, induces senescence in human renal tubular cells
via GCN2 activation
#MMPMID28894140
Okada A
; Nangaku M
; Jao TM
; Maekawa H
; Ishimono Y
; Kawakami T
; Inagi R
Sci Rep
2017[Sep]; 7
(1
): 11168
PMID28894140
show ga
The prevalence of chronic kidney disease (CKD), characterized by progressive
renal dysfunction with tubulointerstitial fibrosis, is increasing because of
societal aging. Uremic toxins, accumulated during renal dysfunction, cause kidney
damage, leading to renal deterioration. A recent metabolomic analysis revealed
that plasma D-serine accumulation is associated with faster progression of renal
dysfunction in CKD patients. However, the causal relationship and the underlying
mechanisms remain unclear. Herein, we demonstrated that D-serine markedly induced
cellular senescence and apoptosis in a human proximal tubular cell line, HK-2,
and primary culture of human renal tubular cells. The former was accompanied by
G2/M cell cycle arrest and senescence-associated secretory phenotype, including
pro-fibrotic and pro-inflammatory factors, contributing to tubulointerstitial
fibrosis. Integrated stress response mediated by the general control
nonderepressible 2 played an important role in D-serine-induced tubular cell
toxicity and pro-fibrotic phenotypes, accelerating CKD progression and kidney
aging. D-serine upregulated the L-serine synthesis pathway. Furthermore,
D-serine-induced suppression of tubular cell proliferation was ameliorated by
L-serine administration, indicating that D-serine exposure induced an
L-serine-deprived state in tubular cells, compensated by L-serine synthesis.
Thus, this study unveils molecular mechanisms underlying D-serine-induced tubular
damage and pro-fibrotic phenotypes, suggesting that D-serine is a uremic toxin
involved in CKD pathogenesis.