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Kidney Week

Abstract: SA-PO0305

SIRPα Neutralization Reverses Kidney Lipid Metabolism Defects, Improving Kidney Function Despite Hyperglycemia in Type 1 Diabetes

Session Information

Category: Diabetic Kidney Disease

  • 701 Diabetic Kidney Disease: Basic

Authors

  • Wu, Jiao, Baylor College of Medicine, Houston, Texas, United States
  • Hu, Zhaoyong, Baylor College of Medicine, Houston, Texas, United States
  • Thomas, Sandhya S., Baylor College of Medicine, Houston, Texas, United States
Background

Mechanisms responsible for skeletal muscle kidney crosstalk have not been defined. We have determined that SIRPα, a circulating mediator, impairs intracellular insulin-mediated functions. To determine insulin-independent effects on kidney fatty acid oxidation, a model of significant hyperglycemia was utilized, streptozotocin (STZ), an insulinopenic model.

Methods

To elucidate the impact of myokine SIRPα on diabetic kidney disease (DKD), a model of significant hyperglycemia was utilized, streptozotocin (STZ), an insulinopenic model. Three groups of mice (fl/fl, mSIRPα-/-, or anti-SIRPα monoclonal antibody (mAb)-treated fl/fl mice) were treated with STZ to induce significant hyperglycemia. Methods of evaluation include qPCR, immunohistochemistry, with sirius red staining and serum measurements.

Results

Suppressing SIRPα in skeletal muscles or treatment with anti-SIRPα monoclonal antibodies in STZ-treated mice, mitigated cachexia, proteinuria, polyuria, when compared to flox STZ-treated mice. Next, serum and kidney triglyceride, total cholesterol, lipid deposition, glomerular size, and importantly serum creatinine were found to be significantly reduced in STZ-treated mSIRPα-/- or anti-SIRPα-fl/fl mice. Additionally, STZ was found to suppress renal FAO transcripts with upregulation of genes encoding fibrosis in STZ-treated fl/fl mice vs. their respective control mice. In fact, FAO was found to be improved in mSIRPα-/-, or anti-SIRPα mAb-treated mice when comparing with fl/fl mice after STZ treatment.

Conclusion

In conclusion, blocking SIRPα improved kidney fatty acid metabolism and prevented diabetic kidney damage. Therefore, SIRPα serves as a novel biomarker and therapeutic target in diabetic kidney disease.

Funding

  • Veterans Affairs Support

Digital Object Identifier (DOI)