Abstract P183: Porcupine Protects The Kidney By Suppressing Tubular Inflammation And Preserving Mitochondrial Integrity
Lu, X; Ren, J; Wen, Y; Su, J; Ali, S; Chen, Y; Madan, B; Virshup, DM; Yang, T; Crowley, SD
Published in: Hypertension
Chronic Kidney Disease (CKD) progression may be slowed or stopped with early diagnosis and intervention, so developing novel therapies is paramount. The Wnt acyl transferase porcupine (PORCN) regulates the secretion of all 19 Wnt ligand isoforms that propagate β-catenin signaling. We find that mice with deletion of PORCN from kidney epithelia (PORCN iKKO) had augmented kidney injury in the nephrotoxic serum nephritis (NTS) model of CKD, with higher BUNs (202 ± 12 vs. 101 ± 38, mg/dL; p<0.01), and renal mRNA levels for NGAL (6.1±1.14 vs. 1.0±0.35 au, p=0.0013), KIM-1(2.5±0.65 vs. 1.0±0.26 au, p=0.046), collagen I (2.4±0.31 vs. 1.0±0.38 au, p=0.025), and fibronectin (2.5±0.35 vs. 1.0±0.27 au, p=0.006) compared to wild-type (WT) controls. PORCN iKKOs also had upregulated renal protein levels for collagen I (1.5 ± 0.2 vs. 1.0 ± 0.1 au; p=0.01) and fibronectin (1.8 ± 0.3 vs. 1.0 ± 0.1 au; p<0.01), recapitulating the mRNA patterns. We also detected marked TNFα mRNA upregulation in the PORCN iKKO kidneys vs WTs during CKD (2.6±0.67 vs. 1.0±0.30 au, p=0.036). TNFα is a potent driver of renal injury and fibrosis, acting via TNFα receptor 1(TNFR1) to promote ROS generation. At day 14 of NTS, PORCN iKKO kidneys contained higher levels of the ROS metabolite, 8-isoprostane (2348 ± 718 vs. 486 ± 77, pg/mg kidney; p=0.02), and expressed higher levels of mitochondrial dysfunction markers, including Drp1 (1.26 ± 0.06 vs. 1.0 ± 0.04 au; p<0.01) and p62 (1.3 ± 0.09 vs. 1.0 ± 0.07 au; p=0.07). TNFR1 inhibition (R-7050, 12mg/kg, IP, every other day) reduced BUNs (94.13 ± 3 vs. 90.26 ± 4.1, mg/dL; p=0.46) and renal Drp1 protein levels (1.4 ± 0.17 vs. 1.0 ± 0.15 au; p=0.11) in the PORCN iKKO cohort to WT levels. In primary renal tubular cells (RTCs), TNFα treatment (50ng/ml, 12hrs) induced 8-isoprostane generation (387 ± 119 vs. 121 ± 39, pg/ml in medium; p=0.07), corroborating our
studies. Moreover, treatment of the RTCs with the Drp1 inhibitor mdivi-1 (MD1, 10μm) for 12 hours attenuated TNFα-induced accumulation of fibronectin and collagen I. Our studies suggest that PORCN in renal epithelia protects against kidney damage by limiting TNFα induction, thereby diminishing Drp1-mediated mitochondrial dysfunction and ROS generation.
