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Mitochondrial and NAD+ metabolism predict recovery from acute kidney injury in a diverse mouse population
Jean-David Morel, Maroun Bou Sleiman, Terytty Yang Li, Giacomo von Alvensleben, Alexis M. Bachmann, Dina Hofer, Ellen Broeckx, Jing Ying Ma, Vinicius Carreira, Tao Chen, Nabil Azhar, Romer A. Gonzalez-Villalobos, Matthew Breyer, Dermot Reilly, Shannon Mullican, Johan Auwerx
Jean-David Morel, Maroun Bou Sleiman, Terytty Yang Li, Giacomo von Alvensleben, Alexis M. Bachmann, Dina Hofer, Ellen Broeckx, Jing Ying Ma, Vinicius Carreira, Tao Chen, Nabil Azhar, Romer A. Gonzalez-Villalobos, Matthew Breyer, Dermot Reilly, Shannon Mullican, Johan Auwerx
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Research Article Nephrology

Mitochondrial and NAD+ metabolism predict recovery from acute kidney injury in a diverse mouse population

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Abstract

Acute kidney failure and chronic kidney disease are global health issues steadily rising in incidence and prevalence. Animal models on a single genetic background have so far failed to recapitulate the clinical presentation of human nephropathies. Here, we used a simple model of folic acid–induced kidney injury in 7 highly diverse mouse strains. We measured plasma and urine parameters, as well as renal histopathology and mRNA expression data, at 1, 2, and 6 weeks after injury, covering the early recovery and long-term remission. We observed an extensive strain-specific response ranging from complete resistance of the CAST/EiJ to high sensitivity of the C57BL/6J, DBA/2J, and PWK/PhJ strains. In susceptible strains, the severe early kidney injury was accompanied by the induction of mitochondrial stress response (MSR) genes and the attenuation of NAD+ synthesis pathways. This is associated with delayed healing and a prolonged inflammatory and adaptive immune response 6 weeks after insult, heralding a transition to chronic kidney disease. Through a thorough comparison of the transcriptomic response in mouse and human disease, we show that critical metabolic gene alterations were shared across species, and we highlight the PWK/PhJ strain as an emergent model of transition from acute kidney injury to chronic disease.

Authors

Jean-David Morel, Maroun Bou Sleiman, Terytty Yang Li, Giacomo von Alvensleben, Alexis M. Bachmann, Dina Hofer, Ellen Broeckx, Jing Ying Ma, Vinicius Carreira, Tao Chen, Nabil Azhar, Romer A. Gonzalez-Villalobos, Matthew Breyer, Dermot Reilly, Shannon Mullican, Johan Auwerx

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Figure 5

The mitochondrial stress response profile differentiates strains that recover from those that evolve towards chronic disease.

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The mitochondrial stress response profile differentiates strains that re...
(A) Selected gene set enrichment analysis (GSEA) across strains. Star-shaped dots indicate adjusted P < 0.05 when comparing folic acid to control in a given strain. Compared to other strains, the CAST/EiJ strain loses little mitochondrial activity early and has reduced adaptive immunity later, while the PWK/PhJ strain has strongly repressed mitochondrial activity and later develops persistent T cell– and B cell–mediated adaptive immunity. (B) GSEA of major stress pathways using custom gene sets, constructed as described in Supplemental Table 1. The analysis reveals that heat shock and oxidative stress are not significantly induced at any point, while mitochondrial and ER stress are activated throughout, likely feeding into the integrated stress response. SR, stress response. The CAST/EiJ differs very significantly from every other strain (adjusted P < 0.0001) when it comes to MSR activation at weeks 1 and 2. (C) Western blots from week 1 after folic acid administration and week 2 controls. Mitochondrial respiratory complexes I–V, mitochondrial chaperones, HSPA9, HSPD1, and LONP1; phosphorylation of the central regulator of the integrated stress response, EIF2α, and downstream mediator ATF4; mediators of the MSR, ATF5, ASNS, and TRIB3; and the reporter of ER stress, BIP/GRP78. Tubulin was initially used as a loading control, but it increased upon folic acid administration despite equal amounts of total protein, and GAPDH was used as an alternate loading control. (D) Quantification of the western blot from C. All proteins were normalized to GAPDH, except P-eIF2α, which was normalized to eIF2α, then fold changes between folic acid and control were computed. (E) Measurements of mtDNA/nuclear DNA ratio at week 1 after folic acid administration. The box plot represents median and quartiles. Whiskers reach 1.5 inter-quartile range. ***P < 0.001, **P < 0.01, *P < 0.05, 1-way ANOVA with Tukey post hoc comparisons.

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