Hypoxic preconditioning protects against ischemic kidney injury through the IDO1/kynurenine pathway.

Hypoxic preconditioning protects against ischemic kidney injury through the IDO1/kynurenine pathway.
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DOI:
10.1016/j.celrep.2021.109547
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发表时间:
2021-08-17
期刊:
影响因子:
8.8
通讯作者:
Kapitsinou PP
Kapitsinou PP
中科院分区:
生物学1区
文献类型:
--
作者:
Torosyan R;Huang S;Bommi PV;Tiwari R;An SY;Schonfeld M;Rajendran G;Kavanaugh MA;Gibbs B;Truax AD;Bohney S;Calcutt MW;Kerr EW;Leonardi R;Gao P;Chandel NS;Kapitsinou PP

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Prolonged cellular hypoxia leads to energetic failure and death. However, sublethal hypoxia can trigger an adaptive response called hypoxic preconditioning. While prolyl-hydroxylase (PHD) enzymes and hypoxia-inducible factors (HIFs) have been identified as key elements of oxygen-sensing machinery, the mechanisms by which hypoxic preconditioning protects against insults remain unclear. Here, we perform serum metabolomic profiling to assess alterations induced by two potent cytoprotective approaches, hypoxic preconditioning and pharmacologic PHD inhibition. We discover that both approaches increase serum kynurenine levels and enhance kynurenine biotransformation, leading to preservation of NAD+ in the post-ischemic kidney. Furthermore, we show that indoleamine 2,3-dioxygenase 1 (Ido1) deficiency abolishes the systemic increase of kynurenine and the subsequent renoprotection generated by hypoxic preconditioning and PHD inhibition. Importantly, exogenous administration of kynurenine restores the hypoxic preconditioning in the context of Ido1 deficiency. Collectively, our findings demonstrate a critical role of the IDO1-kynurenine axis in mediating hypoxic preconditioning. Torosyan et al. show that two potent cytoprotective strategies, hypoxic preconditioning and PHD inhibition, enhance kidney tissue resilience against ischemic injury by activating the kynurenine metabolic pathway. Specifically, they promote systemic kynurenine increase and enhance kynurenine metabolism, leading to preservation of NAD+ and generation of kynurenic acid in the post-ischemic kidney.
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