Pioglitazone Protects Against Renal Ischemia-Reperfusion Injury via the AMP-Activated Protein Kinase-Regulated Autophagy Pathway

Renal ischemia-reperfusion injury (IRI) is a major cause of acute renal failure. Our previous studies have shown that pioglitazone, a peroxisome proliferators-activated receptor (PPAR)-γ agonist used in type 2 diabetes, protects against renal IRI; however, the molecular mechanism underlying the reno...

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Main Authors: Wenlin Chen, Xiaoqing Xi, Shuangyang Zhang, Cong Zou, Renrui Kuang, Zhenfeng Ye, Yawei Huang, Honglin Hu
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-08-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphar.2018.00851/full
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author Wenlin Chen
Xiaoqing Xi
Shuangyang Zhang
Cong Zou
Renrui Kuang
Zhenfeng Ye
Yawei Huang
Honglin Hu
author_facet Wenlin Chen
Xiaoqing Xi
Shuangyang Zhang
Cong Zou
Renrui Kuang
Zhenfeng Ye
Yawei Huang
Honglin Hu
author_sort Wenlin Chen
collection DOAJ
description Renal ischemia-reperfusion injury (IRI) is a major cause of acute renal failure. Our previous studies have shown that pioglitazone, a peroxisome proliferators-activated receptor (PPAR)-γ agonist used in type 2 diabetes, protects against renal IRI; however, the molecular mechanism underlying the renoprotective effects of pioglitazone is still unclear. In this study, we investigated the role of AMP-activated protein kinase (AMPK)-regulated autophagy in renoprotection by pioglitazone in IRI. To investigate whether pioglitazone protects renal cells from IRI, an in vivo renal IRI model was used. Cell apoptosis in the kidneys was determined by TUNEL staining. Western blotting was used to determine the expression of AMPK, autophagy-related proteins, and caspase-3/8 proteins in the kidneys. In a rat model of IRI, pioglitazone decreased the increased serum creatinine and urea nitrogen, improved renal histological score, and decreased the cell injury. Pioglitazone also increased AMPK phosphorylation, inhibited p62 and cleaved caspase-3/8 proteins, and activated autophagy-related proteins LC3 II and Beclin-1 in the kidneys of IRI rats. Moreover, GW9662, as a selective inhibitor of PPAR-γ, inhibited the protective effects of pioglitazone. These results suggest that pioglitazone exerts its protective effects in renal IRI via activation of an AMPK-regulated autophagy signaling pathway.
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spelling doaj.art-d5ddcf79642a42d5b0680ce47aa42b062022-12-21T19:40:21ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122018-08-01910.3389/fphar.2018.00851378761Pioglitazone Protects Against Renal Ischemia-Reperfusion Injury via the AMP-Activated Protein Kinase-Regulated Autophagy PathwayWenlin Chen0Xiaoqing Xi1Shuangyang Zhang2Cong Zou3Renrui Kuang4Zhenfeng Ye5Yawei Huang6Honglin Hu7Department of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The Hospital of Wuchang, Wuhan, ChinaDepartment of Endocrinology, The Fourth Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaRenal ischemia-reperfusion injury (IRI) is a major cause of acute renal failure. Our previous studies have shown that pioglitazone, a peroxisome proliferators-activated receptor (PPAR)-γ agonist used in type 2 diabetes, protects against renal IRI; however, the molecular mechanism underlying the renoprotective effects of pioglitazone is still unclear. In this study, we investigated the role of AMP-activated protein kinase (AMPK)-regulated autophagy in renoprotection by pioglitazone in IRI. To investigate whether pioglitazone protects renal cells from IRI, an in vivo renal IRI model was used. Cell apoptosis in the kidneys was determined by TUNEL staining. Western blotting was used to determine the expression of AMPK, autophagy-related proteins, and caspase-3/8 proteins in the kidneys. In a rat model of IRI, pioglitazone decreased the increased serum creatinine and urea nitrogen, improved renal histological score, and decreased the cell injury. Pioglitazone also increased AMPK phosphorylation, inhibited p62 and cleaved caspase-3/8 proteins, and activated autophagy-related proteins LC3 II and Beclin-1 in the kidneys of IRI rats. Moreover, GW9662, as a selective inhibitor of PPAR-γ, inhibited the protective effects of pioglitazone. These results suggest that pioglitazone exerts its protective effects in renal IRI via activation of an AMPK-regulated autophagy signaling pathway.https://www.frontiersin.org/article/10.3389/fphar.2018.00851/fullpioglitazonerenal ischemia reperfusion injuryperoxisome proliferators-activated receptor-γautophagycell apoptosis
spellingShingle Wenlin Chen
Xiaoqing Xi
Shuangyang Zhang
Cong Zou
Renrui Kuang
Zhenfeng Ye
Yawei Huang
Honglin Hu
Pioglitazone Protects Against Renal Ischemia-Reperfusion Injury via the AMP-Activated Protein Kinase-Regulated Autophagy Pathway
Frontiers in Pharmacology
pioglitazone
renal ischemia reperfusion injury
peroxisome proliferators-activated receptor-γ
autophagy
cell apoptosis
title Pioglitazone Protects Against Renal Ischemia-Reperfusion Injury via the AMP-Activated Protein Kinase-Regulated Autophagy Pathway
title_full Pioglitazone Protects Against Renal Ischemia-Reperfusion Injury via the AMP-Activated Protein Kinase-Regulated Autophagy Pathway
title_fullStr Pioglitazone Protects Against Renal Ischemia-Reperfusion Injury via the AMP-Activated Protein Kinase-Regulated Autophagy Pathway
title_full_unstemmed Pioglitazone Protects Against Renal Ischemia-Reperfusion Injury via the AMP-Activated Protein Kinase-Regulated Autophagy Pathway
title_short Pioglitazone Protects Against Renal Ischemia-Reperfusion Injury via the AMP-Activated Protein Kinase-Regulated Autophagy Pathway
title_sort pioglitazone protects against renal ischemia reperfusion injury via the amp activated protein kinase regulated autophagy pathway
topic pioglitazone
renal ischemia reperfusion injury
peroxisome proliferators-activated receptor-γ
autophagy
cell apoptosis
url https://www.frontiersin.org/article/10.3389/fphar.2018.00851/full
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