4.8 Article

Krappel-like factor 6-mediated loss of BCAA catabolism contributes to kidney injury in mice and humans

Publisher

NATL ACAD SCIENCES
DOI: 10.1073/pnas.2024414118

Keywords

kidney; acute kidney injury; proximal tubule; transcription factor; branched-chain amino acids

Funding

  1. University of Alabama at Birmingham-University of California San Diego O'Brien Center (National Institute of Diabetes and Digestive and Kidney Diseases) [P30DK079337]
  2. American Society of Nephrology KidneyCure Joseph V. Bonventre Research Scholar Grant
  3. Zickler Foundation
  4. Henry and Marsha Laufer Foundation
  5. National Institute for Environmental Health Sciences [1R56ES029514-01A1]
  6. NIH/National Institute for Environmental Health Sciences [DK112984, DK121846]
  7. Veterans Affairs Merit [1I01BX003698]
  8. Dialysis Clinic, Inc.
  9. NIH [U54HL127624, U24CA224260]

Ask authors/readers for more resources

The altered cellular metabolism in kidney proximal tubule (PT) cells, particularly involving the transcription factor Krappel-like factor 6 (KLF6), plays a critical role in acute kidney injury (AKI) and kidney fibrosis. Targeting KLF6-mediated suppression of branched-chain amino acid (BCAA) catabolism may serve as a key therapeutic target in AKI and kidney fibrosis, as shown by protective effects in mice and inverse correlations in human chronic kidney disease patients.
Altered cellular metabolism in kidney proximal tubule (PT) cells plays a critical role in acute kidney injury (AKI). The transcription factor Krappel-like factor 6 (KLF6) is rapidly and robustly induced early in the PT after AKI. We found that PT-specific Klf6 knockdown (Klf6(PTKD)) is protective against AKI and kidney fibrosis in mice. Com-bined RNA and chromatin immunoprecipitation sequencing analysis demonstrated that expression of genes encoding branched-chain amino acid (BCAA) catabolic enzymes was preserved in Klf6(PTKD) mice, with KLF6 occupying the promoter region of these genes. Conversely, inducible KLF6 overexpression suppressed expression of BCAA genes and exacerbated kidney injury and fibrosis in mice. In vitro, injured cells overexpressing KLF6 had similar decreases in BCAA catabolic gene expression and were less able to utilize BCAA. Furthermore, knockdown of BCKDHB, which encodes one subunit of the rate-limiting enzyme in BCAA catabolism, resulted in reduced ATP production, while treatment with BCAA catabolism enhancer BT2 increased metabolism. Analysis of kidney function, KLF6, and BCAA gene expression in human chronic kidney disease patients showed significant inverse correlations between KLF6 and both kid-ney function and BCAA expression. Thus, targeting KLF6-mediated suppression of BCAA catabolism may serve as a key therapeutic target in AKI and kidney fibrosis.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.8
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Medicine, Research & Experimental

Integration of spatial and single-cell transcriptomics localizes epithelial cell-immune cross-talk in kidney injury

Ricardo Melo Ferreira, Angela R. Sabo, Seth Winfree, Kimberly S. Collins, Danielle Janosevic, Connor J. Gulbronson, Ying-Hua Cheng, Lauren Casbon, Daria Barwinska, Michael J. Ferkowicz, Xiaoling Xuei, Chi Zhang, Kenneth W. Dunn, Katherine J. Kelly, Timothy A. Sutton, Takashi Hato, Pierre C. Dagher, Tarek M. El-Achkar, Michael T. Eadon

Summary: This study characterized the transcriptomic signature of cell types within the kidney and found that the spatial distribution of acute kidney injury (AKI) affects cells heterogeneously. By mapping different cell types to human nephrectomy, the researchers were able to predict cell-type spots that corresponded with histopathology. Furthermore, the study identified localized regions of reduced overall expression associated with injury pathways in murine AKI models.

JCI INSIGHT (2021)

Article Urology & Nephrology

Loss of proximal tubular transcription factor Kruppel-like factor 15 exacerbates kidney injury through loss of fatty acid oxidation

Sian E. Piret, Ahmed A. Attallah, Xiangchen Gu, Yiqing Guo, Nehaben A. Gujarati, Justina Henein, Amy Zollman, Takashi Hato, Avi Ma'ayan, Monica P. Revelo, Kathleen G. Dickman, Chung-Hsin Chen, Chia-Tung Shun, Thomas A. Rosenquist, John C. He, Sandeep K. Mallipattu

Summary: The loss of proximal tubule-specific KLF15 exacerbates acute kidney injury and fibrosis, likely due to the loss of interaction with PPAR alpha leading to the loss of FAO gene transcription.

KIDNEY INTERNATIONAL (2021)

Article Cardiac & Cardiovascular Systems

Myocardial Cytoskeletal Adaptations in Advanced Kidney Disease

Arvin Halim, Gayatri Narayanan, Takashi Hato, Lilun Ho, Douglas Wan, Andrew M. Siedlecki, Eugene P. Rhee, Andrew S. Allegretti, Sagar U. Nigwekar, Daniel Zehnder, Thomas F. Hiemstra, Joseph Bonventre, David M. Charytan, Sahir Kalim, Ravi Thadhani, Tzongshi Lu, Kenneth Lim

Summary: Failure of the myocardium in advanced chronic kidney disease is characterized by impairment of the cytoskeleton, disruption of the focal adhesion pathway, mitochondrial failure, and loss of cell survival pathways.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2022)

Article Oncology

Inhibition of BCL2A1 by STAT5 inactivation overcomes resistance to targeted therapies of FLT3-ITD/D835 mutant AML

Kotoko Yamatani, Tomohiko Ai, Kaori Saito, Koya Suzuki, Atsushi Hori, Sonoko Kinjo, Kazuho Ikeo, Vivian Ruvolo, Weiguo Zhang, Po Yee Mak, Bogumil Kaczkowski, Hironori Harada, Kazuhiro Katayama, Yoshikazu Sugimoto, Jered Myslinski, Takashi Hato, Takashi Miida, Marina Konopleva, Yoshihide Hayashizaki, Bing Z. Carter, Yoko Tabe, Michael Andreeff

Summary: BCL2A1 was found to be overexpressed in FLT3-ITD/D835 mutated AML cells, leading to resistance to TKIs. By inhibiting STAT5, type I TKI gilteritinib alleviated TKI resistance of FLT3-ITD/D835. The combination of gilteritinib and venetoclax showed synergistic effects in FLT3-ITD/D835 positive AML cells. BCL2A1 may be a potential novel therapeutic target in treating FLT3-ITD/D835 mutated AML.

TRANSLATIONAL ONCOLOGY (2022)

Article Cell Biology

Alterations in Protein Translation and Carboxylic Acid Catabolic Processes in Diabetic Kidney Disease

Kimberly S. Collins, Michael T. Eadon, Ying-Hua Cheng, Daria Barwinska, Ricardo Melo Ferreira, Thomas W. McCarthy, Danielle Janosevic, Farooq Syed, Bernhard Maier, Tarek M. El-Achkar, Katherine J. Kelly, Carrie L. Phillips, Takashi Hato, Timothy A. Sutton, Pierre C. Dagher

Summary: This study found that alterations in protein translation and carboxylic acid catabolism in the proximal tubule are key features in both human and murine DKD.

CELLS (2022)

Article Orthopedics

Single-cell RNAseq provides insight into altered immune cell populations in human fracture nonunions

Keith G. Avin, James M. Dominguez, Neal X. Chen, Takashi Hato, Jered J. Myslinski, Hongyu Gao, Yunlong Liu, Todd O. McKinley, Krista M. Brown, Sharon M. Moe, Roman M. Natoli

Summary: By analyzing bone marrow tissue samples of patients with femoral nonunions using single-cell RNA sequencing, gene expression differences associated with osteoimmunology were identified. These findings contribute to a better understanding of the pathogenesis of nonunion fractures and provide a clinical rationale for further research in the field of osteoimmunology.

JOURNAL OF ORTHOPAEDIC RESEARCH (2023)

Article Urology & Nephrology

Translation Rescue by Targeting Ppp1r15a through Its Upstream Open Reading Frame in Sepsis-Induced Acute Kidney Injury in a Murine Model

Ashley Kidwell, Shiv Pratap Singh Yadav, Bernhard Maier, Amy Zollman, Kevin Ni, Arvin Halim, Danielle Janosevic, Jered Myslinski, Farooq Syed, Lifan Zeng, Alain Bopda Waffo, Kimihiko Banno, Xiaoling Xuei, Emma H. Doud, Pierre C. Dagher, Takashi Hato

Summary: This study reveals that translation shutdown in late-phase sepsis-induced kidney injury is caused by excessive phosphorylation of eIF2 alpha and sustained by reduced expression of the counter-regulatory phosphatase Ppp1r15a. Overcoming the repression of Ppp1r15a enables translation salvage and improves kidney function in an endotoxemia model. The existence of an upstream open reading frame (uORF) in Ppp1r15a is a potential therapeutic target for rescuing translation in late-phase sepsis.

JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY (2023)

Editorial Material Immunology

Klotho in Kidney Transplantation: A New and Important Target?

Kenneth Lim, Neal Chen, Takashi Hato

TRANSPLANTATION (2023)

Article Medicine, Research & Experimental

Origin, prospective identification, and function of circulating endothelial colony-forming cells in mice and humans

Yang Lin, Kimihiko Banno, Chang-Hyun Gil, Jered Myslinski, Takashi Hato, William C. . Shelley, Hongyu Gao, Xiaoling Xuei, Yunlong Liu, David P. . Basile, Momoko Yoshimoto, Nutan Prasain, Stefan P. Tarnawsky, Ralf H. Adams, Katsuhiko Naruse, Junko Yoshida, Michael P. . Murphy, Kyoji Horie, Mervin C. . Yoder

Summary: Most circulating endothelial cells undergo apoptosis, but rare circulating endothelial colony-forming cells (C-ECFCs) with proliferative and vasculogenic activity can be cultured. This study revealed that murine C-ECFCs emerged in the early postnatal period, possessed high vasculogenic potential with enriched frequency of clonal proliferative cells compared with tissue-resident ECFCs, and were not derived from the BM hematopoietic system but from tissue-resident ECFCs. In humans, C-ECFCs were present in the CD34bright cord blood mononuclear subset, exhibited proliferative potential and in vivo vasculogenic function, and showed a single cell transcriptome similar to umbilical venous endothelial cells.

JCI INSIGHT (2023)

Article Urology & Nephrology

Roles of Kruppel-like transcription factors KLF6 and KLF15 in proximal tubular metabolism

Sian E. E. Piret

Summary: Members of the Kruppel-like family of transcription factors are expressed widely, including in the kidney, and their expression may change in acute kidney injury, resulting in effects on various cellular pathways. This mini-review focuses on the roles of KLF6 and KLF15 in controlling proximal tubular cell metabolism.

NEPHRON (2023)

Article Physiology

The kidney protects against sepsis by producing systemic uromodulin

Kaice A. LaFavers, Chadi A. Hage, Varun Gaur, Radmila Micanovic, Takashi Hato, Shehnaz Khan, Seth Winfree, Simit Doshi, Ranjani N. Moorthi, Homer Twigg, Xue-Ru Wu, Pierre C. Dagher, Edward F. Srour, Tarek M. El-Achkar

Summary: The kidney modulates the immune response in sepsis by enhancing mononuclear phagocyte function through the release of Tamm-Horsfall protein, suggesting potential therapeutic applications in sepsis.

AMERICAN JOURNAL OF PHYSIOLOGY-RENAL PHYSIOLOGY (2022)

Article Biochemistry & Molecular Biology

Th1 cytokine endotype discriminates and predicts severe complications in COVID-19

Takehiro Hasegawa, Takashi Hato, Toshitsugu Okayama, Kazuho Ikeo, Yoshiaki Miyamoto, Niina Iwanaga, Kohjin Suzuki, Maho Yoshida, Kazuto Yamashita, Saya Yamashita, Eiya Tamada, Abdullah Khasawneh, Faith Jessica Paran, Rieko Oyama, Toshio Naito, Kenta Noda, Yoko Tabe

Summary: This study investigated the association between cytokine endotypes and cell-mediated immunity in severe cases of COVID-19. The study identified four clusters of COVID-19 cases based on severity, with two clusters showing potential as prognostic references for targeted treatment. The study also observed signs of T cell exhaustion in a certain cluster.

EUROPEAN CYTOKINE NETWORK (2022)

Review Oncology

Aristolochic acid-associated cancers: a public health risk in need of global action

Samrat Das, Shefali Thakur, Michael Korenjak, Viktoriya S. Sidorenko, Felicia Fei-Lei Chung, Jiri Zavadil

Summary: In this Review, Das et al. describe the evidence for aristolochic acid as a potent carcinogen and explore the impact of public health measures on preventing aristolochic acid-linked cancers and nephropathy, with a call to action for the implementation of further preventative measures.

NATURE REVIEWS CANCER (2022)

No Data Available