PMID- 23691217 OWN - NLM STAT- MEDLINE DCOM- 20140107 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 5 DP - 2013 TI - Peroxisome proliferator-activated receptor delta agonist, HPP593, prevents renal necrosis under chronic ischemia. PG - e64436 LID - 10.1371/journal.pone.0064436 [doi] LID - e64436 AB - The Goldblatt's 2 kidney 1 clip (2K1C) rat animal model of renovascular hypertension is characterized by ischemic nephropathy of the clipped kidney. 2K1C rats were treated with a specific peroxisome proliferator-activated receptor delta (PPARdelta) agonist, HPP593. Clipped kidneys from untreated rats developed tubular and glomerular necrosis and massive interstitial, periglomerular and perivascular fibrosis. HPP593 kidneys did not exhibit any histochemical features of necrosis; fibrotic lesions were present only in perivascular areas. Necrosis in the untreated clipped kidneys was associated with an increased oxidative stress, up regulation and mitochondrial translocation of the pro-death protein BNIP3 specifically in tubules. In the kidneys of HPP593-treated rats oxidative stress was attenuated and BNIP3 protein decreased notably in the mitochondrial fraction when compared to untreated animals. In untreated clipped kidneys, mitochondria were dysfunctional as revealed by perturbations in the levels of MCAD, COXIV, TFAM, and Parkin proteins and AMPK activation, while in HPP593-treated rats these proteins remained at the physiological levels. Nuclear amounts of oxidative stress-responsive proteins, NRF1 and NRF2 were below physiological levels in treated kidneys. Mitochondrial biogenesis and autophagy were inhibited similarly in both treated and untreated 2K1C kidneys as indicated by a decrease in PGC1-alpha and deficiency of the autophagy-essential proteins LC3-II and ATG5. However, HPP593 treatment resulted in increased accumulation of p62 protein, an autophagic substrate and an enhancer of NRF2 activity. Therefore, inhibition of BNIP3 activation by the preservation of mitochondrial function and control of oxidative stress by PPARdelta is the most likely mechanism to account for the prevention of necrotic death in the kidney under conditions of persistent ischemia. FAU - Fedorova, Larisa V AU - Fedorova LV AD - Department of Medicine, The University of Toledo School of Medicine, Toledo, Ohio, United States of America. Larisa.fedorova@utoledo.edu FAU - Sodhi, Komal AU - Sodhi K FAU - Gatto-Weis, Cara AU - Gatto-Weis C FAU - Puri, Nitin AU - Puri N FAU - Hinds, Terry D Jr AU - Hinds TD Jr FAU - Shapiro, Joseph I AU - Shapiro JI FAU - Malhotra, Deepak AU - Malhotra D LA - eng GR - R01 HL109015/HL/NHLBI NIH HHS/United States GR - U01 HL071556/HL/NHLBI NIH HHS/United States GR - 263-MA-707136-1/PHS HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130515 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (DNA Primers) RN - 0 (PPAR delta) SB - IM MH - Animals MH - Base Sequence MH - Chronic Disease MH - DNA Primers MH - Ischemia/*pathology MH - Kidney/*blood supply MH - Male MH - Necrosis/*prevention & control MH - PPAR delta/*agonists MH - Rats MH - Rats, Sprague-Dawley PMC - PMC3654981 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/05/22 06:00 MHDA- 2014/01/08 06:00 PMCR- 2013/05/15 CRDT- 2013/05/22 06:00 PHST- 2012/11/29 00:00 [received] PHST- 2013/04/15 00:00 [accepted] PHST- 2013/05/22 06:00 [entrez] PHST- 2013/05/22 06:00 [pubmed] PHST- 2014/01/08 06:00 [medline] PHST- 2013/05/15 00:00 [pmc-release] AID - PONE-D-12-37498 [pii] AID - 10.1371/journal.pone.0064436 [doi] PST - epublish SO - PLoS One. 2013 May 15;8(5):e64436. doi: 10.1371/journal.pone.0064436. Print 2013.