Routes of Albumin Overload Toxicity in Renal Tubular Epithelial Cells

Besides being a marker of kidney disease severity, albuminuria exerts a toxic effect on renal proximal tubular epithelial cells (RPTECs). We evaluated whether an unfolded protein response (UPR) or DNA damage response (DDR) is elicited in RPTECs exposed to high albumin concentration. The deleterious...

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Main Authors: Theodoros Eleftheriadis, Georgios Pissas, Spyridon Golfinopoulos, Maria Efthymiadi, Christina Poulianiti, Maria Anna Polyzou Konsta, Vassilios Liakopoulos, Ioannis Stefanidis
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/11/9640
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author Theodoros Eleftheriadis
Georgios Pissas
Spyridon Golfinopoulos
Maria Efthymiadi
Christina Poulianiti
Maria Anna Polyzou Konsta
Vassilios Liakopoulos
Ioannis Stefanidis
author_facet Theodoros Eleftheriadis
Georgios Pissas
Spyridon Golfinopoulos
Maria Efthymiadi
Christina Poulianiti
Maria Anna Polyzou Konsta
Vassilios Liakopoulos
Ioannis Stefanidis
author_sort Theodoros Eleftheriadis
collection DOAJ
description Besides being a marker of kidney disease severity, albuminuria exerts a toxic effect on renal proximal tubular epithelial cells (RPTECs). We evaluated whether an unfolded protein response (UPR) or DNA damage response (DDR) is elicited in RPTECs exposed to high albumin concentration. The deleterious outcomes of the above pathways, apoptosis, senescence, or epithelial-to-mesenchymal transition (EMT) were evaluated. Albumin caused reactive oxygen species (ROS) overproduction and protein modification, and a UPR assessed the level of crucial molecules involved in this pathway. ROS also induced a DDR evaluated by critical molecules involved in this pathway. Apoptosis ensued through the extrinsic pathway. Senescence also occurred, and the RPTECs acquired a senescence-associated secretory phenotype since they overproduced IL-1β and TGF-β1. The latter may contribute to the observed EMT. Agents against endoplasmic reticulum stress (ERS) only partially alleviated the above changes, while the inhibition of ROS upregulation prevented both UPR and DDR and all the subsequent harmful effects. Briefly, albumin overload causes cellular apoptosis, senescence, and EMT in RPTECs by triggering UPR and DDR. Promising anti-ERS factors are beneficial but cannot eliminate the albumin-induced deleterious effects because DDR also occurs. Factors that suppress ROS overproduction may be more effective since they could halt UPR and DDR.
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spelling doaj.art-9de65a2b3cca4fd785f88309c03eb6072023-11-18T08:01:54ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-06-012411964010.3390/ijms24119640Routes of Albumin Overload Toxicity in Renal Tubular Epithelial CellsTheodoros Eleftheriadis0Georgios Pissas1Spyridon Golfinopoulos2Maria Efthymiadi3Christina Poulianiti4Maria Anna Polyzou Konsta5Vassilios Liakopoulos6Ioannis Stefanidis7Department of Nephrology, Faculty of Medicine, University of Thessaly, Biopolis, Mezourlo Hill, 41110 Larissa, GreeceDepartment of Nephrology, Faculty of Medicine, University of Thessaly, Biopolis, Mezourlo Hill, 41110 Larissa, GreeceDepartment of Nephrology, Faculty of Medicine, University of Thessaly, Biopolis, Mezourlo Hill, 41110 Larissa, GreeceDepartment of Nephrology, Faculty of Medicine, University of Thessaly, Biopolis, Mezourlo Hill, 41110 Larissa, GreeceDepartment of Nephrology, Faculty of Medicine, University of Thessaly, Biopolis, Mezourlo Hill, 41110 Larissa, GreeceDepartment of Nephrology, Faculty of Medicine, University of Thessaly, Biopolis, Mezourlo Hill, 41110 Larissa, GreeceDepartment of Nephrology, Faculty of Medicine, University of Thessaly, Biopolis, Mezourlo Hill, 41110 Larissa, GreeceDepartment of Nephrology, Faculty of Medicine, University of Thessaly, Biopolis, Mezourlo Hill, 41110 Larissa, GreeceBesides being a marker of kidney disease severity, albuminuria exerts a toxic effect on renal proximal tubular epithelial cells (RPTECs). We evaluated whether an unfolded protein response (UPR) or DNA damage response (DDR) is elicited in RPTECs exposed to high albumin concentration. The deleterious outcomes of the above pathways, apoptosis, senescence, or epithelial-to-mesenchymal transition (EMT) were evaluated. Albumin caused reactive oxygen species (ROS) overproduction and protein modification, and a UPR assessed the level of crucial molecules involved in this pathway. ROS also induced a DDR evaluated by critical molecules involved in this pathway. Apoptosis ensued through the extrinsic pathway. Senescence also occurred, and the RPTECs acquired a senescence-associated secretory phenotype since they overproduced IL-1β and TGF-β1. The latter may contribute to the observed EMT. Agents against endoplasmic reticulum stress (ERS) only partially alleviated the above changes, while the inhibition of ROS upregulation prevented both UPR and DDR and all the subsequent harmful effects. Briefly, albumin overload causes cellular apoptosis, senescence, and EMT in RPTECs by triggering UPR and DDR. Promising anti-ERS factors are beneficial but cannot eliminate the albumin-induced deleterious effects because DDR also occurs. Factors that suppress ROS overproduction may be more effective since they could halt UPR and DDR.https://www.mdpi.com/1422-0067/24/11/9640albuminrenal tubular epithelial cellsendoplasmic reticulum stressDNA damageapoptosissenescence
spellingShingle Theodoros Eleftheriadis
Georgios Pissas
Spyridon Golfinopoulos
Maria Efthymiadi
Christina Poulianiti
Maria Anna Polyzou Konsta
Vassilios Liakopoulos
Ioannis Stefanidis
Routes of Albumin Overload Toxicity in Renal Tubular Epithelial Cells
International Journal of Molecular Sciences
albumin
renal tubular epithelial cells
endoplasmic reticulum stress
DNA damage
apoptosis
senescence
title Routes of Albumin Overload Toxicity in Renal Tubular Epithelial Cells
title_full Routes of Albumin Overload Toxicity in Renal Tubular Epithelial Cells
title_fullStr Routes of Albumin Overload Toxicity in Renal Tubular Epithelial Cells
title_full_unstemmed Routes of Albumin Overload Toxicity in Renal Tubular Epithelial Cells
title_short Routes of Albumin Overload Toxicity in Renal Tubular Epithelial Cells
title_sort routes of albumin overload toxicity in renal tubular epithelial cells
topic albumin
renal tubular epithelial cells
endoplasmic reticulum stress
DNA damage
apoptosis
senescence
url https://www.mdpi.com/1422-0067/24/11/9640
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