Effects of Elamipretide on Autophagy in Renal Cells of Pigs with Metabolic Syndrome

Autophagy eliminates excessive nutrients and maintains homeostasis. Obesity and metabolic syndrome (MetS) dysregulate autophagy, possibly partly due to mitochondria injury and inflammation. Elamipretide (ELAM) improves mitochondrial function. We hypothesized that MetS blunts kidney autophagy, which...

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Main Authors: Siting Hong, Ramyar Ghandriz, Sarosh Siddiqi, Xiang-Yang Zhu, Ishran M. Saadiq, Kyra L. Jordan, Hui Tang, Khaled A. Ali, Amir Lerman, Alfonso Eirin, Lilach O. Lerman
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/11/18/2891
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author Siting Hong
Ramyar Ghandriz
Sarosh Siddiqi
Xiang-Yang Zhu
Ishran M. Saadiq
Kyra L. Jordan
Hui Tang
Khaled A. Ali
Amir Lerman
Alfonso Eirin
Lilach O. Lerman
author_facet Siting Hong
Ramyar Ghandriz
Sarosh Siddiqi
Xiang-Yang Zhu
Ishran M. Saadiq
Kyra L. Jordan
Hui Tang
Khaled A. Ali
Amir Lerman
Alfonso Eirin
Lilach O. Lerman
author_sort Siting Hong
collection DOAJ
description Autophagy eliminates excessive nutrients and maintains homeostasis. Obesity and metabolic syndrome (MetS) dysregulate autophagy, possibly partly due to mitochondria injury and inflammation. Elamipretide (ELAM) improves mitochondrial function. We hypothesized that MetS blunts kidney autophagy, which ELAM would restore. Domestic pigs were fed a control or MetS-inducing diet for 16 weeks. During the 4 last weeks, MetS pigs received subcutaneous injections of ELAM (0.1 mg/kg/day, MetS + ELAM) or vehicle (MetS), and kidneys were then harvested to measure protein expression of autophagy mediators and apoptosis. Systemic and renal venous levels of inflammatory cytokines were measured to calculate renal release. The function of isolated mitochondria was assessed by oxidative stress, energy production, and pro-apoptotic activity. MetS slightly downregulated renal expression of autophagy mediators including p62, ATG5-12, mTOR, and AMPK vs. control. Increased mitochondrial H<sub>2</sub>O<sub>2</sub> production accompanied decreased ATP production, elevated apoptosis, and renal fibrosis. In MetS + ELAM, mito-protection restored autophagic protein expression, improved mitochondrial energetics, and blunted renal cytokine release and fibrosis. In vitro, mitoprotection restored mitochondrial membrane potential and reduced oxidative stress in injured proximal tubular epithelial cells. Our study suggests that swine MetS mildly affects renal autophagy, possibly secondary to mitochondrial damage, and may contribute to kidney structural damage in MetS.
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spelling doaj.art-243b2e4845db4a2e92353998ce5a49012023-11-23T15:33:58ZengMDPI AGCells2073-44092022-09-011118289110.3390/cells11182891Effects of Elamipretide on Autophagy in Renal Cells of Pigs with Metabolic SyndromeSiting Hong0Ramyar Ghandriz1Sarosh Siddiqi2Xiang-Yang Zhu3Ishran M. Saadiq4Kyra L. Jordan5Hui Tang6Khaled A. Ali7Amir Lerman8Alfonso Eirin9Lilach O. Lerman10Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USADivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USADivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USADivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USADivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USADivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USADivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USADivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USADepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USADivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USADivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USAAutophagy eliminates excessive nutrients and maintains homeostasis. Obesity and metabolic syndrome (MetS) dysregulate autophagy, possibly partly due to mitochondria injury and inflammation. Elamipretide (ELAM) improves mitochondrial function. We hypothesized that MetS blunts kidney autophagy, which ELAM would restore. Domestic pigs were fed a control or MetS-inducing diet for 16 weeks. During the 4 last weeks, MetS pigs received subcutaneous injections of ELAM (0.1 mg/kg/day, MetS + ELAM) or vehicle (MetS), and kidneys were then harvested to measure protein expression of autophagy mediators and apoptosis. Systemic and renal venous levels of inflammatory cytokines were measured to calculate renal release. The function of isolated mitochondria was assessed by oxidative stress, energy production, and pro-apoptotic activity. MetS slightly downregulated renal expression of autophagy mediators including p62, ATG5-12, mTOR, and AMPK vs. control. Increased mitochondrial H<sub>2</sub>O<sub>2</sub> production accompanied decreased ATP production, elevated apoptosis, and renal fibrosis. In MetS + ELAM, mito-protection restored autophagic protein expression, improved mitochondrial energetics, and blunted renal cytokine release and fibrosis. In vitro, mitoprotection restored mitochondrial membrane potential and reduced oxidative stress in injured proximal tubular epithelial cells. Our study suggests that swine MetS mildly affects renal autophagy, possibly secondary to mitochondrial damage, and may contribute to kidney structural damage in MetS.https://www.mdpi.com/2073-4409/11/18/2891kidneymetabolic syndromeautophagymitochondriainflammation
spellingShingle Siting Hong
Ramyar Ghandriz
Sarosh Siddiqi
Xiang-Yang Zhu
Ishran M. Saadiq
Kyra L. Jordan
Hui Tang
Khaled A. Ali
Amir Lerman
Alfonso Eirin
Lilach O. Lerman
Effects of Elamipretide on Autophagy in Renal Cells of Pigs with Metabolic Syndrome
Cells
kidney
metabolic syndrome
autophagy
mitochondria
inflammation
title Effects of Elamipretide on Autophagy in Renal Cells of Pigs with Metabolic Syndrome
title_full Effects of Elamipretide on Autophagy in Renal Cells of Pigs with Metabolic Syndrome
title_fullStr Effects of Elamipretide on Autophagy in Renal Cells of Pigs with Metabolic Syndrome
title_full_unstemmed Effects of Elamipretide on Autophagy in Renal Cells of Pigs with Metabolic Syndrome
title_short Effects of Elamipretide on Autophagy in Renal Cells of Pigs with Metabolic Syndrome
title_sort effects of elamipretide on autophagy in renal cells of pigs with metabolic syndrome
topic kidney
metabolic syndrome
autophagy
mitochondria
inflammation
url https://www.mdpi.com/2073-4409/11/18/2891
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