ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005

email@asn-online.org

202-640-4660

The Latest on X

Kidney Week

Please note that you are viewing an archived section from 2020 and some content may be unavailable. To unlock all content for 2020, please visit the archives.

Abstract: PO0210

Klotho Deficiency Intensifies Hypoxia-Induced Expression of INF-α/β Through Upregulation of Rig-I

Session Information

  • AKI Mechanisms - 2
    October 22, 2020 | Location: On-Demand
    Abstract Time: 10:00 AM - 12:00 PM

Category: Acute Kidney Injury

  • 103 AKI: Mechanisms

Authors

  • Urabe, Asako, Department of Nephrology, Hiroshima University Hospital, Hiroshima, Hiroshima, Japan
  • Doi, Shigehiro, Department of Nephrology, Hiroshima University Hospital, Hiroshima, Hiroshima, Japan
  • Doi, Toshiki, Department of Nephrology, Hiroshima University Hospital, Hiroshima, Hiroshima, Japan
  • Nakashima, Ayumu, Department of Nephrology, Hiroshima University Hospital, Hiroshima, Hiroshima, Japan
  • Masaki, Takao, Department of Nephrology, Hiroshima University Hospital, Hiroshima, Hiroshima, Japan
Background

Hypoxia is a common pathway to progression of end-stage kidney disease. Although numerous studies have provided evidence that inflammation plays a major role in this process, the mechanism by which hypoxia induces inflammation remains unknown. Retinoic acid-inducible gene-I (RIG-I) encodes an RNA helicase that recognizes viruses including SARS-CoV2, which is responsible for production of interferon (IFN)-α/β to prevent the spread of a viral infection. Recently, RIG-I activation was found under hypoxic conditions, and klotho deficiency intensified the activation of RIG-I in mouse brains. However, the roles of these functions in renal inflammation remain elusive.

Methods

In vitro, expression of RIG-I and INF-α/β was examined in normal rat kidney (NRK)-52E cells incubated under hypoxic conditions (1% O2) for 30, 60, 90, and 120 min. Next, siRNA targeting RIG-I or scramble siRNA was transfected into NRK52E cells to examine expression of RIG-I and INF-α/β under hypoxic conditions. In vivo, we induced renal hypoxia by clamping the renal artery for 10 min in wildtype mice (hypoxic WT mice) and Klotho knockout mice (hypoxic Kl-/- mice). Lastly, we investigated the expression levels of RIG-I and INF-α/β in 33 human kidney biopsy samples diagnosed with IgA nephropathy.

Results

In vitro, incubation under hypoxic conditions increased expression of Rig-I and IFN-α/β in NRK52E cells. Their upregulation was inhibited in NRK52E cells transfected with siRNA targeting Rig-I. In vivo, the expression levels of Rig-I and IFN-α/β were upregulated in kidneys of hypoxic WT mice and further upregulation was observed in hypoxic Kl-/- mice. In patients with IgA nephropathy, immunohistochemical staining of renal biopsy samples revealed that expression of Rig-I was correlated with that of IFN-α/β (r=0.57, P<0.001, and r=0.81, P<0.001, respectively).

Conclusion

These findings suggest that hypoxia induces expression of INF-α/β through upregulation of Rig-I, and that klotho deficiency intensifies this hypoxia-induced expression.