Reducing lipid bilayer stress by monounsaturated fatty acids protects renal proximal tubules in diabetes

In diabetic patients, dyslipidemia frequently contributes to organ damage such as diabetic kidney disease (DKD). Dyslipidemia is associated with both excessive deposition of triacylglycerol (TAG) in lipid droplets (LDs) and lipotoxicity. Yet, it is unclear how these two effects correlate with each o...

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Main Authors: Albert Pérez-Martí, Suresh Ramakrishnan, Jiayi Li, Aurelien Dugourd, Martijn R Molenaar, Luigi R De La Motte, Kelli Grand, Anis Mansouri, Mélanie Parisot, Soeren S Lienkamp, Julio Saez-Rodriguez, Matias Simons
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2022-05-01
Series:eLife
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Online Access:https://elifesciences.org/articles/74391
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author Albert Pérez-Martí
Suresh Ramakrishnan
Jiayi Li
Aurelien Dugourd
Martijn R Molenaar
Luigi R De La Motte
Kelli Grand
Anis Mansouri
Mélanie Parisot
Soeren S Lienkamp
Julio Saez-Rodriguez
Matias Simons
author_facet Albert Pérez-Martí
Suresh Ramakrishnan
Jiayi Li
Aurelien Dugourd
Martijn R Molenaar
Luigi R De La Motte
Kelli Grand
Anis Mansouri
Mélanie Parisot
Soeren S Lienkamp
Julio Saez-Rodriguez
Matias Simons
author_sort Albert Pérez-Martí
collection DOAJ
description In diabetic patients, dyslipidemia frequently contributes to organ damage such as diabetic kidney disease (DKD). Dyslipidemia is associated with both excessive deposition of triacylglycerol (TAG) in lipid droplets (LDs) and lipotoxicity. Yet, it is unclear how these two effects correlate with each other in the kidney and how they are influenced by dietary patterns. By using a diabetes mouse model, we find here that high-fat diet enriched in the monounsaturated oleic acid (OA) caused more lipid storage in LDs in renal proximal tubular cells (PTCs) but less tubular damage than a corresponding butter diet with the saturated palmitic acid (PA). This effect was particularly evident in S2/S3 but not S1 segments of the proximal tubule. Combining transcriptomics, lipidomics, and functional studies, we identify endoplasmic reticulum (ER) stress as the main cause of PA-induced PTC injury. Mechanistically, ER stress is caused by elevated levels of saturated TAG precursors, reduced LD formation, and, consequently, higher membrane order in the ER. Simultaneous addition of OA rescues the cytotoxic effects by normalizing membrane order and increasing both TAG and LD formation. Our study thus emphasizes the importance of monounsaturated fatty acids for the dietary management of DKD by preventing lipid bilayer stress in the ER and promoting TAG and LD formation in PTCs.
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spelling doaj.art-377e2b91e28b44ed87a64cd0b82e2ce32022-12-22T03:25:08ZengeLife Sciences Publications LtdeLife2050-084X2022-05-011110.7554/eLife.74391Reducing lipid bilayer stress by monounsaturated fatty acids protects renal proximal tubules in diabetesAlbert Pérez-Martí0https://orcid.org/0000-0003-3234-3756Suresh Ramakrishnan1Jiayi Li2Aurelien Dugourd3https://orcid.org/0000-0002-0714-028XMartijn R Molenaar4https://orcid.org/0000-0001-5221-608XLuigi R De La Motte5Kelli Grand6Anis Mansouri7Mélanie Parisot8Soeren S Lienkamp9Julio Saez-Rodriguez10Matias Simons11https://orcid.org/0000-0003-3959-6350Section Nephrogenetics, Institute of Human Genetics, University Hospital Heidelberg, Heidelberg, GermanySection Nephrogenetics, Institute of Human Genetics, University Hospital Heidelberg, Heidelberg, GermanySection Nephrogenetics, Institute of Human Genetics, University Hospital Heidelberg, Heidelberg, GermanyInstitute for Computational Biomedicine, Faculty of Medicine, Heidelberg University, University Hospital Heidelberg, Heidelberg, GermanyEuropean Molecular Biology Laboratorium (EMBL), Structural and Computational Biology Unit, Heidelberg, GermanySection Nephrogenetics, Institute of Human Genetics, University Hospital Heidelberg, Heidelberg, GermanyInstitute of Anatomy, University of Zurich, Zurich, SwitzerlandInstitute for Computational Biomedicine, Faculty of Medicine, Heidelberg University, University Hospital Heidelberg, Heidelberg, GermanyGenomics Core Facility, Institut Imagine-Structure Fédérative de Recherche Necker, INSERM U1163, INSERM US24/CNRS UMS3633, Paris Descartes Sorbonne Paris Cite University, Paris, FranceInstitute of Anatomy, University of Zurich, Zurich, SwitzerlandInstitute for Computational Biomedicine, Faculty of Medicine, Heidelberg University, University Hospital Heidelberg, Heidelberg, Germany; Molecular Medicine Partnership Unit (MMPU), European Molecular Biology Laboratory (EMBL) and Heidelberg University, Heidelberg, GermanySection Nephrogenetics, Institute of Human Genetics, University Hospital Heidelberg, Heidelberg, Germany; Molecular Medicine Partnership Unit (MMPU), European Molecular Biology Laboratory (EMBL) and Heidelberg University, Heidelberg, GermanyIn diabetic patients, dyslipidemia frequently contributes to organ damage such as diabetic kidney disease (DKD). Dyslipidemia is associated with both excessive deposition of triacylglycerol (TAG) in lipid droplets (LDs) and lipotoxicity. Yet, it is unclear how these two effects correlate with each other in the kidney and how they are influenced by dietary patterns. By using a diabetes mouse model, we find here that high-fat diet enriched in the monounsaturated oleic acid (OA) caused more lipid storage in LDs in renal proximal tubular cells (PTCs) but less tubular damage than a corresponding butter diet with the saturated palmitic acid (PA). This effect was particularly evident in S2/S3 but not S1 segments of the proximal tubule. Combining transcriptomics, lipidomics, and functional studies, we identify endoplasmic reticulum (ER) stress as the main cause of PA-induced PTC injury. Mechanistically, ER stress is caused by elevated levels of saturated TAG precursors, reduced LD formation, and, consequently, higher membrane order in the ER. Simultaneous addition of OA rescues the cytotoxic effects by normalizing membrane order and increasing both TAG and LD formation. Our study thus emphasizes the importance of monounsaturated fatty acids for the dietary management of DKD by preventing lipid bilayer stress in the ER and promoting TAG and LD formation in PTCs.https://elifesciences.org/articles/74391diabetic nephropathyproximal tubuleslipotoxicityER stressmembrane orderlipid bilayer stress
spellingShingle Albert Pérez-Martí
Suresh Ramakrishnan
Jiayi Li
Aurelien Dugourd
Martijn R Molenaar
Luigi R De La Motte
Kelli Grand
Anis Mansouri
Mélanie Parisot
Soeren S Lienkamp
Julio Saez-Rodriguez
Matias Simons
Reducing lipid bilayer stress by monounsaturated fatty acids protects renal proximal tubules in diabetes
eLife
diabetic nephropathy
proximal tubules
lipotoxicity
ER stress
membrane order
lipid bilayer stress
title Reducing lipid bilayer stress by monounsaturated fatty acids protects renal proximal tubules in diabetes
title_full Reducing lipid bilayer stress by monounsaturated fatty acids protects renal proximal tubules in diabetes
title_fullStr Reducing lipid bilayer stress by monounsaturated fatty acids protects renal proximal tubules in diabetes
title_full_unstemmed Reducing lipid bilayer stress by monounsaturated fatty acids protects renal proximal tubules in diabetes
title_short Reducing lipid bilayer stress by monounsaturated fatty acids protects renal proximal tubules in diabetes
title_sort reducing lipid bilayer stress by monounsaturated fatty acids protects renal proximal tubules in diabetes
topic diabetic nephropathy
proximal tubules
lipotoxicity
ER stress
membrane order
lipid bilayer stress
url https://elifesciences.org/articles/74391
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