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 2023 and some content may be unavailable. To unlock all content for 2023, please visit the archives.

Abstract: FR-PO1076

Stimulator of Interferon Genes (STING) Mediates Endoplasmic Reticulum Stress Activation Causing Renal Fibroinflammation

Session Information

Category: CKD (Non-Dialysis)

  • 2303 CKD (Non-Dialysis): Mechanisms

Authors

  • Silva, Magaiver Andrade, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States
  • Dhillon, Poonam, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States
  • Sanchez Navarro, Andrea, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States
  • Hu, Hailong, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States
  • Bergeson, Andrea Marie, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States
  • Miner, Jonathan J., University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States
  • Susztak, Katalin, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States

Group or Team Name

  • Susztak Lab.
Background

Endoplasmic reticulum (ER) stress plays a pivotal role in kidney disease pathogenesis, yet the mechanisms leading to ER stress are largely unexplored. Viruses are known to manipulate ER-related processes, potentially aiding their replication or pathogenesis. The adaptor molecule STING, known for detecting double-strand DNA in pathogenic infections. In light of these insights, we investigated the relationship between STING, ER stress, and the development of kidney disease.

Methods

We utilized STING N153S mice, exhibiting constitutive STING activation, and mice with a conditional deletion of STING from kidney tubules. We performed in vitro experiments, including the silencing of STING or ER stress pathways, and analyzed molecular events through immunofluorescence, qPCR, western blot, and immunoprecipitation techniques. Gene expression data was scrutinized through RNA sequencing from human control and diseased samples, as well as mouse kidney disease models.

Results

In both the cisplatin and UUO models, we identified a consistent activation of STING and the ER stress–activated eIF2α kinase (PERK) pathway. Interestingly, STING was found to physically interact with and activate PERK, leading to ER stress and, subsequently, renal fibroinflammation. On the contrary, deletion of STING or PERK inhibition showed a protective effect against disease development. Further, transcriptomic analysis of human CKD patients and mouse kidney injury models bolstered the association between renal dysfunction and ER stress pathway activation.

Conclusion

Our findings unveil a novel mechanism wherein STING activation triggers ER stress via the PERK pathway, leading to kidney tubule injury and fibrosis. This breakthrough research offers promising avenues for devising strategies to modulate ER stress and develop potent therapies for treating fibroinflammatory kidney diseases.

Funding

  • NIDDK Support