Pink1-or Park2-deficiency deteriorated renal interstitial fibrosis after UUO. Wild-type, Pink1-KO, or Park2-KO mice were subjected to sham-operation or ligation of the left ureter, the left kidney was collected 7 days after UUO. (A) Representative images of masson's trichrome staining of kidneys sections and (B) quantitative analysis of fibrotic area (n = 4 per group). Scale bar, 50 μm(C) TGFβ1 expression was revealed by immunohistochemical staining of kidney sections, and (D) the quantitative data were shown (n = 4 per group). Scale bar, 50 μm. (E) Immunoblot analysis of protein level of α-smooth muscle actin in lysates of kidney

Pink1-or Park2-deficiency deteriorated renal interstitial fibrosis after UUO. Wild-type, Pink1-KO, or Park2-KO mice were subjected to sham-operation or ligation of the left ureter, the left kidney was collected 7 days after UUO. (A) Representative images of masson's trichrome staining of kidneys sections and (B) quantitative analysis of fibrotic area (n = 4 per group). Scale bar, 50 μm(C) TGFβ1 expression was revealed by immunohistochemical staining of kidney sections, and (D) the quantitative data were shown (n = 4 per group). Scale bar, 50 μm. (E) Immunoblot analysis of protein level of α-smooth muscle actin in lysates of kidney

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Mitophagy is a principle mechanism to degrade damaged mitochondria though PARK2-dependent or PARK2-independent pathway. Mitophagy has been identified to play an important role in acute kidney disease, whereas its role in renal fibrosis remains ill-defined. We sought to investigate the involvement and regulation of mitophagy in renal tubular epithel...

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... During acute kidney damage as well as acute heart damage, the cells of these organs are insufficient for the oxidation of fatty acids, due to which ATP is depleted and lipids accumulate in the cell, and an alternative path in the tubule cells in the kidneys for energy restoration and ATP synthesis is achieved with the help of enzymes glycolysis, while this modification in the heart has not been insufficiently researched for the time beeing [76][77][78]. ...
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Despite a large amount of research on synchronous and mutually induced kidney and heart damage, the basis of the disease is still not fully clarified. Healthy mitochondria are essential for normal kidney and heart function. Mitochondrial dysfunction occurs when the clearance or process of generation and fragmentation of mitochondria is disturbed. The kidney is the second organ after the heart in the number of mitochondria. Kidney tubules are rich in mitochondria due to the high energy requirements for absorption processes of large amounts of ultrafiltrate and dissolved substances. The place of action of oxidative stress is the influence on the balance in the production and breakdown of mitochondrial reactive oxygen species . A more precise determination of the place and role of key factors that play a role in the onset of the disease is necessary for understanding the nature of the onset of the disease and the creation of therapy in the future. The narrative review integrates results found in previously performed studies which have evaluated oxidative stress participation in renocardial syndrome type 3.
... 21 This process exerts a protective effect in a variety of kidney pathophysiological processes, 22 including acute kidney injury, 23 diabetic nephropathy, 24 and tubulointerstitial fibrosis. 25 Li Shu et al. 26 demonstrated that mice with impaired mitophagy due to PINK1 or PARK2 gene knockout exhibited more pronounced kidney fibrosis compared with control subjects. Recent study has identified mTORC2 as a negative regulator of mitophagy via the mTORC2-AKT-SGK axis. ...
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Background Renal allograft interstitial fibrosis/tubular atrophy (IF/TA) constitutes the principal histopathological characteristic of chronic allograft dysfunction (CAD) in kidney‐transplanted patients. While renal vascular endothelial‐mesenchymal transition (EndMT) has been verified as an important contributing factor to IF/TA in CAD patients, its underlying mechanisms remain obscure. Through single‐cell transcriptomic analysis, we identified Rictor as a potential pivotal mediator for EndMT. This investigation sought to elucidate the role of Rictor/mTORC2 signalling in the pathogenesis of renal allograft interstitial fibrosis and the associated mechanisms. Methods The influence of the Rictor/mTOR2 pathway on renal vascular EndMT and renal allograft fibrosis was investigated by cell experiments and Rictor depletion in renal allogeneic transplantation mice models. Subsequently, a series of assays were conducted to explore the underlying mechanisms of the enhanced mitophagy and the ameliorated EndMT resulting from Rictor knockout. Results Our findings revealed a significant activation of the Rictor/mTORC2 signalling in CAD patients and allogeneic kidney transplanted mice. The suppression of Rictor/mTORC2 signalling alleviated TNFα‐induced EndMT in HUVECs. Moreover, Rictor knockout in endothelial cells remarkably ameliorated renal vascular EndMT and allograft interstitial fibrosis in allogeneic kidney transplanted mice. Mechanistically, Rictor knockout resulted in an augmented BNIP3‐mediated mitophagy in endothelial cells. Furthermore, Rictor/mTORC2 facilitated the MARCH5‐mediated degradation of BNIP3 at the K130 site through K48‐linked ubiquitination, thereby regulating mitophagy activity. Subsequent experiments also demonstrated that BNIP3 knockdown nearly reversed the enhanced mitophagy and mitigated EndMT and allograft interstitial fibrosis induced by Rictor knockout. Conclusions Consequently, our study underscores Rictor/mTORC2 signalling as a critical mediator of renal vascular EndMT and allograft interstitial fibrosis progression, exerting its impact through regulating BNIP3‐mediated mitophagy. This insight unveils a potential therapeutic target for mitigating renal allograft interstitial fibrosis.
... It is reported that mitophagy is beneficial to the repression of cell senescence [41], renal ischemia/ reperfusion injury [42] and glioma progression [43]. Also Park2-mediated mitophagy is confirmed to play a protective role in many diseases, For instance, Drp1regulated PARK2-dependent mitophagy protects against renal fibrosis in unilateral ureteral obstruction [44]. Interestingly, overactive mitophagy triggered off under certain stressful status may function as a disease contributor. ...
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... In addition, a lack of mitophagy can lead to kidney disease. PINK1 or PARK2-mediated mitophagy loss significantly increases the production of mitochondrial reactive oxygen species (mROS) and amplifies the transforming growth factor (TGF)-β1/Smad2/3 cascade, thereby accelerating renal fibrosis (Li 2020). Meanwhile, mitophagy inducer significantly delayed renal fibrosis in mice (Jin 2022). ...
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... 53 Furthermore, mitochondrial fission also triggers the induction of mitophagy to remove damaged mitochondria since fission induces the recruitment of Pink1 through Drp1. 54 In UUO and Nx models, high levels of Drp1 promote the upregulation of Pink1 and Parkin. 28,42,44 The recruitment of Pink1 and Parkin from the cytosol to the mitochondria is only the first step for the induction of mitophagy and are markers commonly evaluated for this process. ...
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Kidney diseases are a growing health problem worldwide, causing millions of deaths. Acute kidney injury (AKI) commonly evolves into chronic kidney disease (CKD) and fibrosis, which is a feature of CKD predisposing to end-stage renal disease. Thus, treatments that avoid this transition are urgently necessary. Mitochondria are the hub energy house of the renal cells, which provides energy in adenosine triphosphate (ATP) form, commonly obtained from β-oxidation through fatty acids degradation into the mitochondrial matrix. Mitochondria are plastic organelles that constantly change according to the cell's energy requirements. For this, mitochondria carry out biogenesis, fission, fusion, and mitophagy/autophagy, processes highly regulated to maintain mitochondrial bioenergetics and homeostasis. Alterations in one or more of these processes might cause detrimental consequences that affect cell function. In this sense, it is widely accepted that mitochondrial dysfunction associated with oxidative stress plays a crucial role in developing kidney diseases. Therefore, antioxidants that target mitochondria might be an excellent strategy to ameliorate mitochondrial dysfunction, and selecting one or another antioxidant could depend on AKI or CKD requirements. This review focuses on potent antioxidants such as sulforaphane (SFN), N-acetyl cysteine (NAC), resveratrol, curcumin, quercetin, and α-mangostin in the improvement of mitochondrial function in kidney pathologies.
... The PINK1/parkin pathway mediates the autophagy clearance of DM. Mitophagic deficiency via PINK1 or PARK2 loss has been shown to drastically enhance tubular cell apoptosis and tissue damage, while increasing MD, mitochondrial ROS formation, DNA oxidative injury, and inflammation in several renal injury models (unilateral ureteral obstruction model, contrast/ cisplatin media-induced acute kidney injury model, and renal ischemia-reperfusion models) (37)(38)(39)(40). Similarly, mitochondrial fragmentation, reduced PINK and Parkin expression, and increased apoptosis were reported to occur in the tubular cells of diabetic nephropathy mice and were then reversed by increasing the expression of PINK1 and parkin via injection of mitoQ (41). ...
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... Sham: simulated surgery; UUO: unilateral ureteral obstruction; RUUO: release of UUO; SFN + RUUO: SFN administered before RUUO. previously suggested the relevance of mitochondria in the UUO model [18,19,85], so future studies might focus on developing therapies that target mitochondria after obstruction removal. ...
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Releasing unilateral ureteral obstruction (RUUO) is the gold standard for decreasing renal damage induced during unilateral ureteral obstruction (UUO); however, the complete recovery after RUUO depends on factors such as the time and severity of obstruction and kidney contralateral compensatory mechanisms. Interestingly, previous studies have shown that kidney damage markers such as oxidative stress, inflammation, and apoptosis are present and even increase after removal obstruction. To date, previous therapeutic strategies have been used to potentiate the recovery of renal function after RUUO; however, the mechanisms involving renal damage reduction are poorly described and sometimes focus on the recovery of renal functionality. Furthermore, using natural antioxidants has not been completely studied in the RUUO model. In this study, we selected sulforaphane (SFN) because it activates the nuclear factor erythroid 2-related factor 2 (Nrf2), a transcription factor that induces an antioxidant response, decreasing oxidative stress and inflammation, preventing apoptosis. Thus, we pre- administrated SFN on the second day after UUO until day five, where we released the obstruction on the three days after UUO. Then, we assessed oxidative stress, inflammation, and apoptosis markers. Interestingly, we found that SFN administration in the RUUO model activated Nrf2, inducing its translocation to the nucleus to activate its target proteins. Thus, the Nrf2 activation upregulated glutathione (GSH) content and the antioxidant enzymes catalase, glutathione peroxidase (GPx), and glutathione reductase (GR), which reduced the oxidative stress markers. Moreover, the improvement of antioxidant response by SFN restored S-glutathionylation in the mitochondrial fraction. Activated Nrf2 also reduced inflammation by lessening the nucleotide-binding domain-like receptor family pyrin domain containing 3 and interleukin 1β (IL-1β) production. Reducing oxidative stress and inflammation prevented apoptosis by avoiding caspase 3 cleavage and increasing B-cell lymphoma 2 (Bcl2) levels. Taken together, the obtained results in our study showed that the upregulation of Nrf2 by SFN decreases oxidative stress, preventing inflammation and apoptosis cell death during the release of UUO.
... To enable formation of mitophagosomes in mitophagy, mitochondrial priming is regulated by both ubiquitin-dependent PINK1/Parkin pathway and ubiquitin-independent mitophagy receptors, including BNIP3/BNIP3L/FUNDC1 25 . It has been reported that PINK1, Parkin or BNIP3 deficiency exacerbates ischemic/reperfusion-, cisplatin-, contrast medium-, or sepsis-induced acute kidney injury (AKI) [39][40][41][42][43] , as well as unilateral ureter obstruction-induced CKD 44,45 . Concurring with the notion that mitophagy plays a protective role in proximal tubular cells under pathogenic conditions, our study further illuminates the important therapeutic implication of MANF as a mitophagy/autophagy activator in ADTKD-UMOD, which can also directly promote autophagic clearance of mutant UMOD. ...
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... 256 In unilateral ureteral obstruction (UUO)-renal fibrosis, PINK1 or Parkin deficiency not only leads to insufficient mitophagy but also increases the production and damage of mitochondrial ROS in renal tubular cells after UUO, consequently aggravating renal fibrosis. 257 The mitophagy activator UMI-77 reduces profibrotic responses in renal tubular epithelial cells by activating mitophagy. 258 In addition, in the UUO-induced experiments, PINK1 or Parkin deletion led to excessive accumulation of abnormal mitochondria in macrophages, which accelerated the transformation of macrophages into profibrotic /M2 macrophages and the progression of renal fibrosis. ...
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... Based on the findings described above, we hypothesized that increased mitochondrial dysfunction and mtROS production were responsible for the deterioration of kidney injury due to TRPM2 silencing. Mito-TEMPO was shown to be effective in reducing ischemic AKI (41) and renal fibrosis (42) through eliminating excessive mtROS. Therefore, we tested this hypothesis by determining the effects of pretreatment with Mito-TEMPO ( Figure 4A). ...
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Background: Cisplatin is a widely used anti-tumor agent but its use is frequently limited by nephrotoxicity. Transient receptor potential melastatin 2 (TRPM2) is a non-selective cation channel which is generally viewed as a sensor of oxidative stress, and increasing evidence supports its link with autophagy, a critical process for organelle homeostasis. Methods: Cisplatin-induced cell injury and mitochondrial damage were both assessed in WT and Trpm2-knockout mice and primary cells. RNA sequencing, immunofluorescence staining, immunoblotting and flowcytometry were applied to interpret the mechanism of TRPM2 in cisplatin nephrotoxicity. Results: Knockout of TRPM2 exacerbates renal dysfunction, tubular injury and cell apoptosis in a model of acute kidney injury (AKI) induced by treatment with cisplatin. Cisplatin-caused tubular mitochondrial damage is aggravated in TRPM2-deficient mice and cells and, conversely, alleviated by treatment with Mito-TEMPO, a mitochondrial ROS scavenger. TRPM2 deficiency hinders cisplatin-induced autophagy via blockage of Ca2+ influx and subsequent up-regulation of AKT-mTOR signaling. Consistently, cisplatin-induced tubular mitochondrial damage, cell apoptosis and renal dysfunction in TRPM2-deficient mice are mitigated by treatment with a mTOR inhibitor. Conclusion: Our results suggest that the TRPM2 channel plays a protective role in cisplatin-induced AKI via modulating the Ca2+-AKT-mTOR signaling pathway and autophagy, providing novel insights into the pathogenesis of kidney injury.