[HTML][HTML] Proximal tubule sphingosine kinase-1 has a critical role in A1 adenosine receptor-mediated renal protection from ischemia

SW Park, M Kim, JY Kim, KM Brown, VH Haase… - Kidney international, 2012 - Elsevier
SW Park, M Kim, JY Kim, KM Brown, VH Haase, VD D'Agati, HT Lee
Kidney international, 2012Elsevier
Renal ischemia–reperfusion injury is a major cause of acute kidney injury. We previously
found that renal A 1 adenosine receptor (A 1 AR) activation attenuated multiple cell death
pathways including necrosis, apoptosis, and inflammation. Here, we tested whether
induction of cytoprotective sphingosine kinase (SK)-1 and sphingosine-1-phosphate (S1P)
synthesis might be the mechanism of protection. A selective A 1 AR agonist (CCPA)
increased the synthesis of S1P and selectively induced SK1 in mouse kidney and HK-2 …
Renal ischemia–reperfusion injury is a major cause of acute kidney injury. We previously found that renal A1 adenosine receptor (A1AR) activation attenuated multiple cell death pathways including necrosis, apoptosis, and inflammation. Here, we tested whether induction of cytoprotective sphingosine kinase (SK)-1 and sphingosine-1-phosphate (S1P) synthesis might be the mechanism of protection. A selective A1AR agonist (CCPA) increased the synthesis of S1P and selectively induced SK1 in mouse kidney and HK-2 cells. This agonist failed to protect SK1-knockout but protected SK2-knockout mice against renal ischemia–reperfusion injury indicating a critical role of SK1 in A1AR-mediated renal protection. Inhibition of SK prevented A1AR-mediated defense against necrosis and apoptosis in HK-2 cells. A selective S1P1R antagonist (W146) and global in vivo gene knockdown of S1P1Rs with small interfering RNA completely abolished the renal protection provided by CCPA. Mice selectively deficient in renal proximal tubule S1P1Rs (S1P1Rf/f PEPCKCre/–) were not protected against renal ischemia–reperfusion injury by CCPA. Mechanistically, CCPA increased nuclear translocation of hypoxia-inducible factor-1α in HK-2 cells and selective hypoxia-inducible factor-1α inhibition blocked A1AR-mediated induction of SK1. Thus, proximal tubule SK1 has a critical role in A1AR-mediated protection against renal ischemia–reperfusion injury.
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