A small-molecule inhibitor of hypoxia-inducible factor prolyl hydroxylase improves obesity, nephropathy and cardiomyopathy in obese ZSF1 rats

Prolyl hydroxylase (PH) enzymes control the degradation of hypoxia-inducible factor (HIF), a transcription factor known to regulate erythropoiesis, angiogenesis, glucose metabolism, cell proliferation, and apoptosis. HIF-PH inhibitors (HIF-PHIs) correct anemia in patients with renal disease and in a...

Full description

Bibliographic Details
Main Authors: Pierre E. Signore, Guangjie Guo, Zhihua Wei, Weihua Zhang, Al Lin, Ughetta del Balzo
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8328318/?tool=EBI
_version_ 1818887061151678464
author Pierre E. Signore
Guangjie Guo
Zhihua Wei
Weihua Zhang
Al Lin
Ughetta del Balzo
author_facet Pierre E. Signore
Guangjie Guo
Zhihua Wei
Weihua Zhang
Al Lin
Ughetta del Balzo
author_sort Pierre E. Signore
collection DOAJ
description Prolyl hydroxylase (PH) enzymes control the degradation of hypoxia-inducible factor (HIF), a transcription factor known to regulate erythropoiesis, angiogenesis, glucose metabolism, cell proliferation, and apoptosis. HIF-PH inhibitors (HIF-PHIs) correct anemia in patients with renal disease and in animal models of anemia and kidney disease. However, the effects of HIF-PHIs on comorbidities associated with kidney disease remain largely unknown. We evaluated the effects of the HIF-PHI FG-2216 in obese ZSF1 (Ob-ZSF1) rats, an established model of kidney failure with metabolic syndrome. Following unilateral nephrectomy (Nx) at 8 weeks of age, rats were treated with 40 mg/kg FG-2216 or vehicle by oral gavage three times per week for up to 18 weeks. FG-2216 corrected blood hemoglobin levels and improved kidney function and histopathology in Nx-Ob-ZSF1 rats by increasing the glomerular filtration rate, decreasing proteinuria, and reducing peritubular fibrosis, tubular damage, glomerulosclerosis and mesangial expansion. FG-2216 increased renal glucose excretion and decreased body weight, fat pad weight, and serum cholesterol in Nx-Ob-ZSF1 rats. Additionally, FG-2216 corrected hypertension, improved diastolic and systolic heart function, and reduced cardiac hypertrophy and fibrosis. In conclusion, the HIF-PHI FG-2216 improved renal and cardiovascular outcomes, and reduced obesity in a rat model of kidney disease with metabolic syndrome. Thus, in addition to correcting anemia, HIF-PHIs may provide renal and cardiac protection to patients suffering from kidney disease with metabolic syndrome.
first_indexed 2024-12-19T16:31:14Z
format Article
id doaj.art-e32dc78df0304268aa155dcf81313212
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-19T16:31:14Z
publishDate 2021-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-e32dc78df0304268aa155dcf813132122022-12-21T20:14:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01168A small-molecule inhibitor of hypoxia-inducible factor prolyl hydroxylase improves obesity, nephropathy and cardiomyopathy in obese ZSF1 ratsPierre E. SignoreGuangjie GuoZhihua WeiWeihua ZhangAl LinUghetta del BalzoProlyl hydroxylase (PH) enzymes control the degradation of hypoxia-inducible factor (HIF), a transcription factor known to regulate erythropoiesis, angiogenesis, glucose metabolism, cell proliferation, and apoptosis. HIF-PH inhibitors (HIF-PHIs) correct anemia in patients with renal disease and in animal models of anemia and kidney disease. However, the effects of HIF-PHIs on comorbidities associated with kidney disease remain largely unknown. We evaluated the effects of the HIF-PHI FG-2216 in obese ZSF1 (Ob-ZSF1) rats, an established model of kidney failure with metabolic syndrome. Following unilateral nephrectomy (Nx) at 8 weeks of age, rats were treated with 40 mg/kg FG-2216 or vehicle by oral gavage three times per week for up to 18 weeks. FG-2216 corrected blood hemoglobin levels and improved kidney function and histopathology in Nx-Ob-ZSF1 rats by increasing the glomerular filtration rate, decreasing proteinuria, and reducing peritubular fibrosis, tubular damage, glomerulosclerosis and mesangial expansion. FG-2216 increased renal glucose excretion and decreased body weight, fat pad weight, and serum cholesterol in Nx-Ob-ZSF1 rats. Additionally, FG-2216 corrected hypertension, improved diastolic and systolic heart function, and reduced cardiac hypertrophy and fibrosis. In conclusion, the HIF-PHI FG-2216 improved renal and cardiovascular outcomes, and reduced obesity in a rat model of kidney disease with metabolic syndrome. Thus, in addition to correcting anemia, HIF-PHIs may provide renal and cardiac protection to patients suffering from kidney disease with metabolic syndrome.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8328318/?tool=EBI
spellingShingle Pierre E. Signore
Guangjie Guo
Zhihua Wei
Weihua Zhang
Al Lin
Ughetta del Balzo
A small-molecule inhibitor of hypoxia-inducible factor prolyl hydroxylase improves obesity, nephropathy and cardiomyopathy in obese ZSF1 rats
PLoS ONE
title A small-molecule inhibitor of hypoxia-inducible factor prolyl hydroxylase improves obesity, nephropathy and cardiomyopathy in obese ZSF1 rats
title_full A small-molecule inhibitor of hypoxia-inducible factor prolyl hydroxylase improves obesity, nephropathy and cardiomyopathy in obese ZSF1 rats
title_fullStr A small-molecule inhibitor of hypoxia-inducible factor prolyl hydroxylase improves obesity, nephropathy and cardiomyopathy in obese ZSF1 rats
title_full_unstemmed A small-molecule inhibitor of hypoxia-inducible factor prolyl hydroxylase improves obesity, nephropathy and cardiomyopathy in obese ZSF1 rats
title_short A small-molecule inhibitor of hypoxia-inducible factor prolyl hydroxylase improves obesity, nephropathy and cardiomyopathy in obese ZSF1 rats
title_sort small molecule inhibitor of hypoxia inducible factor prolyl hydroxylase improves obesity nephropathy and cardiomyopathy in obese zsf1 rats
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8328318/?tool=EBI
work_keys_str_mv AT pierreesignore asmallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats
AT guangjieguo asmallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats
AT zhihuawei asmallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats
AT weihuazhang asmallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats
AT allin asmallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats
AT ughettadelbalzo asmallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats
AT pierreesignore smallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats
AT guangjieguo smallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats
AT zhihuawei smallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats
AT weihuazhang smallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats
AT allin smallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats
AT ughettadelbalzo smallmoleculeinhibitorofhypoxiainduciblefactorprolylhydroxylaseimprovesobesitynephropathyandcardiomyopathyinobesezsf1rats