cGAS-STING activation contributes to podocyte injury in diabetic kidney disease

Summary: Diabetic kidney disease (DKD) is the leading cause of end-stage renal diseases. DKD does not have efficacious treatment. The cGAS-STING pathway is activated in podocytes at the early stage of kidney dysfunction, which is associated with the activation of STING downstream effectors TBK1 and...

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Main Authors: Nan Zang, Chen Cui, Xinghong Guo, Jia Song, Huiqing Hu, Mengmeng Yang, Mingyue Xu, Lingshu Wang, Xinguo Hou, Qin He, Zheng Sun, Chuan Wang, Li Chen
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:iScience
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589004222014171
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author Nan Zang
Chen Cui
Xinghong Guo
Jia Song
Huiqing Hu
Mengmeng Yang
Mingyue Xu
Lingshu Wang
Xinguo Hou
Qin He
Zheng Sun
Chuan Wang
Li Chen
author_facet Nan Zang
Chen Cui
Xinghong Guo
Jia Song
Huiqing Hu
Mengmeng Yang
Mingyue Xu
Lingshu Wang
Xinguo Hou
Qin He
Zheng Sun
Chuan Wang
Li Chen
author_sort Nan Zang
collection DOAJ
description Summary: Diabetic kidney disease (DKD) is the leading cause of end-stage renal diseases. DKD does not have efficacious treatment. The cGAS-STING pathway is activated in podocytes at the early stage of kidney dysfunction, which is associated with the activation of STING downstream effectors TBK1 and NF-κB but not IRF3. Lipotoxicity induces mitochondrial damage and mtDNA leakage to the cytosol through Bcl-2 associated X protein (BAX) in podocytes. BAX-mediated mtDNA cytosolic leakage can activate the cGAS-STING pathway in the absence of lipotoxicity and is sufficient to cause podocyte injury. Depletion of cytosolic mtDNA, genetic STING knockdown, or pharmacological inhibition of STING or TBK1 alleviates podocyte injury and improves renal functions in cultured podocytes or mouse models of diabetes and obesity. These results suggest that the mtDNA-cGAS-STING pathway promotes podocyte injury and is a potential therapeutic target for DKD or other obesity-related kidney diseases.
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spelling doaj.art-999b97fb2a624fec84350ac2aadc4b9d2022-12-22T03:50:00ZengElsevieriScience2589-00422022-10-012510105145cGAS-STING activation contributes to podocyte injury in diabetic kidney diseaseNan Zang0Chen Cui1Xinghong Guo2Jia Song3Huiqing Hu4Mengmeng Yang5Mingyue Xu6Lingshu Wang7Xinguo Hou8Qin He9Zheng Sun10Chuan Wang11Li Chen12Department of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, ChinaDepartment of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, ChinaDepartment of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, ChinaDepartment of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, ChinaDepartment of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, ChinaDepartment of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, ChinaDepartment of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, ChinaDepartment of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, China; Institute of Endocrine and Metabolic Diseases of Shandong University, Jinan, Shandong 250012, China; Key Laboratory of Endocrine and Metabolic Diseases, Shandong Province Medicine and Health, Jinan, Shandong 250012, China; Jinan Clinical Research Center for Endocrine and Metabolic Disease, Jinan, Shandong 250012, ChinaDepartment of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, China; Institute of Endocrine and Metabolic Diseases of Shandong University, Jinan, Shandong 250012, China; Key Laboratory of Endocrine and Metabolic Diseases, Shandong Province Medicine and Health, Jinan, Shandong 250012, China; Jinan Clinical Research Center for Endocrine and Metabolic Disease, Jinan, Shandong 250012, ChinaDepartment of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, China; Institute of Endocrine and Metabolic Diseases of Shandong University, Jinan, Shandong 250012, China; Key Laboratory of Endocrine and Metabolic Diseases, Shandong Province Medicine and Health, Jinan, Shandong 250012, China; Jinan Clinical Research Center for Endocrine and Metabolic Disease, Jinan, Shandong 250012, ChinaDepartment of Medicine – Endocrinology, Baylor College of Medicine, Houston, TX, USADepartment of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, China; Institute of Endocrine and Metabolic Diseases of Shandong University, Jinan, Shandong 250012, China; Key Laboratory of Endocrine and Metabolic Diseases, Shandong Province Medicine and Health, Jinan, Shandong 250012, China; Jinan Clinical Research Center for Endocrine and Metabolic Disease, Jinan, Shandong 250012, China; Corresponding authorDepartment of Endocrinology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, China; Institute of Endocrine and Metabolic Diseases of Shandong University, Jinan, Shandong 250012, China; Key Laboratory of Endocrine and Metabolic Diseases, Shandong Province Medicine and Health, Jinan, Shandong 250012, China; Jinan Clinical Research Center for Endocrine and Metabolic Disease, Jinan, Shandong 250012, China; Corresponding authorSummary: Diabetic kidney disease (DKD) is the leading cause of end-stage renal diseases. DKD does not have efficacious treatment. The cGAS-STING pathway is activated in podocytes at the early stage of kidney dysfunction, which is associated with the activation of STING downstream effectors TBK1 and NF-κB but not IRF3. Lipotoxicity induces mitochondrial damage and mtDNA leakage to the cytosol through Bcl-2 associated X protein (BAX) in podocytes. BAX-mediated mtDNA cytosolic leakage can activate the cGAS-STING pathway in the absence of lipotoxicity and is sufficient to cause podocyte injury. Depletion of cytosolic mtDNA, genetic STING knockdown, or pharmacological inhibition of STING or TBK1 alleviates podocyte injury and improves renal functions in cultured podocytes or mouse models of diabetes and obesity. These results suggest that the mtDNA-cGAS-STING pathway promotes podocyte injury and is a potential therapeutic target for DKD or other obesity-related kidney diseases.http://www.sciencedirect.com/science/article/pii/S2589004222014171Biological sciencesmolecular biologydiabetology
spellingShingle Nan Zang
Chen Cui
Xinghong Guo
Jia Song
Huiqing Hu
Mengmeng Yang
Mingyue Xu
Lingshu Wang
Xinguo Hou
Qin He
Zheng Sun
Chuan Wang
Li Chen
cGAS-STING activation contributes to podocyte injury in diabetic kidney disease
iScience
Biological sciences
molecular biology
diabetology
title cGAS-STING activation contributes to podocyte injury in diabetic kidney disease
title_full cGAS-STING activation contributes to podocyte injury in diabetic kidney disease
title_fullStr cGAS-STING activation contributes to podocyte injury in diabetic kidney disease
title_full_unstemmed cGAS-STING activation contributes to podocyte injury in diabetic kidney disease
title_short cGAS-STING activation contributes to podocyte injury in diabetic kidney disease
title_sort cgas sting activation contributes to podocyte injury in diabetic kidney disease
topic Biological sciences
molecular biology
diabetology
url http://www.sciencedirect.com/science/article/pii/S2589004222014171
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