Aldehyde dehydrogenase 2 protects against acute kidney injury by regulating autophagy via the Beclin-1 pathway

The mitochondrial enzyme aldehyde dehydrogenase 2 (ALDH2) catalyzes the detoxification of acetaldehyde and endogenous lipid aldehydes. Approximately 40% of East Asians, accounting for 8% of the human population, carry the E504K mutation in ALDH2 that leads to accumulation of toxic reactive aldehydes...

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Main Authors: Tonghui Xu, Jialin Guo, Maozeng Wei, Jiali Wang, Kehui Yang, Chang Pan, Jiaojiao Pang, Li Xue, Qiuhuan Yuan, Mengyang Xue, Jian Zhang, Wentao Sang, Tangxing Jiang, Yuguo Chen, Feng Xu
Format: Article
Language:English
Published: American Society for Clinical investigation 2021-08-01
Series:JCI Insight
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Online Access:https://doi.org/10.1172/jci.insight.138183
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author Tonghui Xu
Jialin Guo
Maozeng Wei
Jiali Wang
Kehui Yang
Chang Pan
Jiaojiao Pang
Li Xue
Qiuhuan Yuan
Mengyang Xue
Jian Zhang
Wentao Sang
Tangxing Jiang
Yuguo Chen
Feng Xu
author_facet Tonghui Xu
Jialin Guo
Maozeng Wei
Jiali Wang
Kehui Yang
Chang Pan
Jiaojiao Pang
Li Xue
Qiuhuan Yuan
Mengyang Xue
Jian Zhang
Wentao Sang
Tangxing Jiang
Yuguo Chen
Feng Xu
author_sort Tonghui Xu
collection DOAJ
description The mitochondrial enzyme aldehyde dehydrogenase 2 (ALDH2) catalyzes the detoxification of acetaldehyde and endogenous lipid aldehydes. Approximately 40% of East Asians, accounting for 8% of the human population, carry the E504K mutation in ALDH2 that leads to accumulation of toxic reactive aldehydes and increases the risk for cardiovascular disease, cancer, and Alzheimer disease, among others. However, the role of ALDH2 in acute kidney injury (AKI) remains poorly defined and is therefore the subject of the present study using various cellular and organismal sources. In murine models, in which AKI was induced by either the contrast agent iohexol or renal ischemia/reperfusion, KO, activation/overexpression of ALDH2 were associated with increased and decreased renal injury, respectively. In murine renal tubular epithelial cells (RTECs), ALDH2 upregulated Beclin-1 expression, promoted autophagy activation, and eliminated ROS. In vivo and in vitro, both 3-MA and Beclin-1 siRNAs inhibited autophagy and abolished ALDH2-mediated renoprotection. In mice with iohexol-induced AKI, ALDH2 knockdown in RTECs using AAV-shRNA impaired autophagy activation and aggravated renal injury. In human renal proximal tubular epithelial HK-2 cells exposed to iohexol, ALDH2 activation potentiated autophagy and attenuated apoptosis. In mice with AKI induced by renal ischemia/reperfusion, ALDH2 overexpression or pretreatment regulated autophagy mitigating apoptosis of RTECs and renal injury. In summary, our data collectively substantiate a critical role of ALDH2 in AKI via autophagy activation involving the Beclin-1 pathway.
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spelling doaj.art-e50af833991b49e5bff8f4d24dcbc02f2022-12-22T03:37:54ZengAmerican Society for Clinical investigationJCI Insight2379-37082021-08-01615Aldehyde dehydrogenase 2 protects against acute kidney injury by regulating autophagy via the Beclin-1 pathwayTonghui XuJialin GuoMaozeng WeiJiali WangKehui YangChang PanJiaojiao PangLi XueQiuhuan YuanMengyang XueJian ZhangWentao SangTangxing JiangYuguo ChenFeng XuThe mitochondrial enzyme aldehyde dehydrogenase 2 (ALDH2) catalyzes the detoxification of acetaldehyde and endogenous lipid aldehydes. Approximately 40% of East Asians, accounting for 8% of the human population, carry the E504K mutation in ALDH2 that leads to accumulation of toxic reactive aldehydes and increases the risk for cardiovascular disease, cancer, and Alzheimer disease, among others. However, the role of ALDH2 in acute kidney injury (AKI) remains poorly defined and is therefore the subject of the present study using various cellular and organismal sources. In murine models, in which AKI was induced by either the contrast agent iohexol or renal ischemia/reperfusion, KO, activation/overexpression of ALDH2 were associated with increased and decreased renal injury, respectively. In murine renal tubular epithelial cells (RTECs), ALDH2 upregulated Beclin-1 expression, promoted autophagy activation, and eliminated ROS. In vivo and in vitro, both 3-MA and Beclin-1 siRNAs inhibited autophagy and abolished ALDH2-mediated renoprotection. In mice with iohexol-induced AKI, ALDH2 knockdown in RTECs using AAV-shRNA impaired autophagy activation and aggravated renal injury. In human renal proximal tubular epithelial HK-2 cells exposed to iohexol, ALDH2 activation potentiated autophagy and attenuated apoptosis. In mice with AKI induced by renal ischemia/reperfusion, ALDH2 overexpression or pretreatment regulated autophagy mitigating apoptosis of RTECs and renal injury. In summary, our data collectively substantiate a critical role of ALDH2 in AKI via autophagy activation involving the Beclin-1 pathway.https://doi.org/10.1172/jci.insight.138183Nephrology
spellingShingle Tonghui Xu
Jialin Guo
Maozeng Wei
Jiali Wang
Kehui Yang
Chang Pan
Jiaojiao Pang
Li Xue
Qiuhuan Yuan
Mengyang Xue
Jian Zhang
Wentao Sang
Tangxing Jiang
Yuguo Chen
Feng Xu
Aldehyde dehydrogenase 2 protects against acute kidney injury by regulating autophagy via the Beclin-1 pathway
JCI Insight
Nephrology
title Aldehyde dehydrogenase 2 protects against acute kidney injury by regulating autophagy via the Beclin-1 pathway
title_full Aldehyde dehydrogenase 2 protects against acute kidney injury by regulating autophagy via the Beclin-1 pathway
title_fullStr Aldehyde dehydrogenase 2 protects against acute kidney injury by regulating autophagy via the Beclin-1 pathway
title_full_unstemmed Aldehyde dehydrogenase 2 protects against acute kidney injury by regulating autophagy via the Beclin-1 pathway
title_short Aldehyde dehydrogenase 2 protects against acute kidney injury by regulating autophagy via the Beclin-1 pathway
title_sort aldehyde dehydrogenase 2 protects against acute kidney injury by regulating autophagy via the beclin 1 pathway
topic Nephrology
url https://doi.org/10.1172/jci.insight.138183
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