Cytoskeletal protein degradation in brain death donor kidneys associates with adverse posttransplant outcomes

In brain death, cerebral injury contributes to systemic biological dysregulation, causing significant cellular stress in donor kidneys adversely impacting the quality of grafts. Here, we hypothesized that donation after brain death (DBD) kidneys undergo proteolytic processes that may deem grafts sus...

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मुख्य लेखकों: Vaughan, RH, Kresse, J-C, Farmer, LK, Thézénas, ML, Kessler, BM, Lindeman, JHN, Sharples, EJ, Welsh, GI, Nørregaard, R, Ploeg, RJ, Kaisar, ME
स्वरूप: Journal article
भाषा:English
प्रकाशित: Wiley 2022
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author Vaughan, RH
Kresse, J-C
Farmer, LK
Thézénas, ML
Kessler, BM
Lindeman, JHN
Sharples, EJ
Welsh, GI
Nørregaard, R
Ploeg, RJ
Kaisar, ME
author_facet Vaughan, RH
Kresse, J-C
Farmer, LK
Thézénas, ML
Kessler, BM
Lindeman, JHN
Sharples, EJ
Welsh, GI
Nørregaard, R
Ploeg, RJ
Kaisar, ME
author_sort Vaughan, RH
collection OXFORD
description In brain death, cerebral injury contributes to systemic biological dysregulation, causing significant cellular stress in donor kidneys adversely impacting the quality of grafts. Here, we hypothesized that donation after brain death (DBD) kidneys undergo proteolytic processes that may deem grafts susceptible to posttransplant dysfunction. Using mass spectrometry and immunoblotting, we mapped degradation profiles of cytoskeletal proteins in deceased and living donor kidney biopsies. We found that key cytoskeletal proteins in DBD kidneys were proteolytically cleaved, generating peptide fragments, predominantly in grafts with suboptimal posttransplant function. Interestingly, α-actinin-4 and talin-1 proteolytic fragments were detected in brain death but not in circulatory death or living donor kidneys with similar donor characteristics. As talin-1 is a specific proteolytic target of calpain-1, we investigated a potential trigger of calpain activation and talin-1 degradation using human ex vivo precision-cut kidney slices and in vitro podocytes. Notably, we showed that activation of calpain-1 by transforming growth factor-β generated proteolytic fragments of talin-1 that matched the degradation fragments detected in DBD preimplantation kidneys, also causing dysregulation of the actin cytoskeleton in human podocytes; events that were reversed by calpain-1 inhibition. Our data provide initial evidence that brain death donor kidneys are more susceptible to cytoskeletal protein degradation. Correlation to posttransplant outcomes may be established by future studies.
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spelling oxford-uuid:4b73e78b-948a-4db7-b719-d0b632fbb34a2022-06-13T08:47:45ZCytoskeletal protein degradation in brain death donor kidneys associates with adverse posttransplant outcomesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4b73e78b-948a-4db7-b719-d0b632fbb34aEnglishSymplectic ElementsWiley2022Vaughan, RHKresse, J-CFarmer, LKThézénas, MLKessler, BMLindeman, JHNSharples, EJWelsh, GINørregaard, RPloeg, RJKaisar, MEIn brain death, cerebral injury contributes to systemic biological dysregulation, causing significant cellular stress in donor kidneys adversely impacting the quality of grafts. Here, we hypothesized that donation after brain death (DBD) kidneys undergo proteolytic processes that may deem grafts susceptible to posttransplant dysfunction. Using mass spectrometry and immunoblotting, we mapped degradation profiles of cytoskeletal proteins in deceased and living donor kidney biopsies. We found that key cytoskeletal proteins in DBD kidneys were proteolytically cleaved, generating peptide fragments, predominantly in grafts with suboptimal posttransplant function. Interestingly, α-actinin-4 and talin-1 proteolytic fragments were detected in brain death but not in circulatory death or living donor kidneys with similar donor characteristics. As talin-1 is a specific proteolytic target of calpain-1, we investigated a potential trigger of calpain activation and talin-1 degradation using human ex vivo precision-cut kidney slices and in vitro podocytes. Notably, we showed that activation of calpain-1 by transforming growth factor-β generated proteolytic fragments of talin-1 that matched the degradation fragments detected in DBD preimplantation kidneys, also causing dysregulation of the actin cytoskeleton in human podocytes; events that were reversed by calpain-1 inhibition. Our data provide initial evidence that brain death donor kidneys are more susceptible to cytoskeletal protein degradation. Correlation to posttransplant outcomes may be established by future studies.
spellingShingle Vaughan, RH
Kresse, J-C
Farmer, LK
Thézénas, ML
Kessler, BM
Lindeman, JHN
Sharples, EJ
Welsh, GI
Nørregaard, R
Ploeg, RJ
Kaisar, ME
Cytoskeletal protein degradation in brain death donor kidneys associates with adverse posttransplant outcomes
title Cytoskeletal protein degradation in brain death donor kidneys associates with adverse posttransplant outcomes
title_full Cytoskeletal protein degradation in brain death donor kidneys associates with adverse posttransplant outcomes
title_fullStr Cytoskeletal protein degradation in brain death donor kidneys associates with adverse posttransplant outcomes
title_full_unstemmed Cytoskeletal protein degradation in brain death donor kidneys associates with adverse posttransplant outcomes
title_short Cytoskeletal protein degradation in brain death donor kidneys associates with adverse posttransplant outcomes
title_sort cytoskeletal protein degradation in brain death donor kidneys associates with adverse posttransplant outcomes
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