PMID- 25760322 OWN - NLM STAT- MEDLINE DCOM- 20160520 LR - 20220408 IS - 1523-1755 (Electronic) IS - 0085-2538 (Print) IS - 0085-2538 (Linking) VI - 88 IP - 1 DP - 2015 Jul TI - Telomerase deficiency delays renal recovery in mice after ischemia-reperfusion injury by impairing autophagy. PG - 85-94 LID - 10.1038/ki.2015.69 [doi] AB - The aged population suffers increased morbidity and higher mortality in response to episodes of acute kidney injury (AKI). Aging is associated with telomere shortening, and both telomerase reverse transcriptase (TerT) and RNA (TerC) are essential to maintain telomere length. To define a role of telomerase deficiency in susceptibility to AKI, we used ischemia/reperfusion injury in wild-type mice or mice with either TerC or TerT deletion. Injury induced similar renal impairment at day 1 in each genotype, as assessed by azotemia, proteinuria, acute tubular injury score, and apoptotic tubular epithelial cell index. However, either TerC or TerT knockout significantly delayed recovery compared with wild-type mice. Electron microscopy showed increased autophagosome formation in renal tubular epithelial cells in wild-type mice but a significant delay of their development in TerC and TerT knockout mice. There were also impeded increases in the expression of the autophagosome marker LC3 II, prolonged accumulation of the autophagosome protein P62, an increase of the cell cycle regulator p16, and greater activation of the mammalian target of rapamycin (mTOR) pathway. The mTORC1 inhibitor, rapamycin, partially restored the ischemia/reperfusion-induced autophagy response, without a significant effect on either p16 induction or tubule epithelial cell proliferation. Thus, muting the maintenance of normal telomere length in mice impaired recovery from AKI, owing to an increase in tubule cell senescence and impairment of mTOR-mediated autophagy. FAU - Cheng, Huifang AU - Cheng H AD - 1] Department of Medicine, Nashville Veterans Affairs Hospital, Vanderbilt University School of Medicine, Nashville, Tennessee, USA [2] Division of Nephrology, Department of Medicine, C3121 MCN, Vanderbilt University School of Medicine, Nashville, Tennessee, USA. FAU - Fan, Xiaofeng AU - Fan X AD - Division of Nephrology, Department of Medicine, C3121 MCN, Vanderbilt University School of Medicine, Nashville, Tennessee, USA. FAU - Lawson, William E AU - Lawson WE AD - 1] Department of Medicine, Nashville Veterans Affairs Hospital, Vanderbilt University School of Medicine, Nashville, Tennessee, USA [2] Division of Allergy/Pulmonary and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA. FAU - Paueksakon, Paisit AU - Paueksakon P AD - Department of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, Tennessee, USA. FAU - Harris, Raymond C AU - Harris RC AD - 1] Department of Medicine, Nashville Veterans Affairs Hospital, Vanderbilt University School of Medicine, Nashville, Tennessee, USA [2] Division of Nephrology, Department of Medicine, C3121 MCN, Vanderbilt University School of Medicine, Nashville, Tennessee, USA. LA - eng GR - DK51265/DK/NIDDK NIH HHS/United States GR - I01 BX000320/BX/BLRD VA/United States GR - DK95785/DK/NIDDK NIH HHS/United States GR - R01 DK095785/DK/NIDDK NIH HHS/United States GR - R01 DK051265/DK/NIDDK NIH HHS/United States GR - DK62794/DK/NIDDK NIH HHS/United States GR - R01 DK062794/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20150311 PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) RN - 0 (telomerase RNA) RN - 63231-63-0 (RNA) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.7.49 (Telomerase) RN - EC 2.7.7.49 (Tert protein, mouse) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Acute Kidney Injury/*enzymology/etiology/pathology MH - Aging/physiology MH - Animals MH - Apoptosis MH - *Autophagy MH - Blood Urea Nitrogen MH - Cell Proliferation/drug effects MH - Cells, Cultured MH - Cyclin-Dependent Kinase Inhibitor p16/metabolism MH - Disease Models, Animal MH - Epithelial Cells/drug effects/metabolism MH - Kidney/*physiology MH - Kidney Tubules, Proximal/cytology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - RNA/genetics MH - Regeneration/*physiology MH - Reperfusion Injury/complications MH - Signal Transduction MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases/metabolism MH - Telomerase/*deficiency/genetics MH - Telomere Shortening PMC - PMC4490111 MID - NIHMS662278 EDAT- 2015/03/12 06:00 MHDA- 2016/05/21 06:00 PMCR- 2016/01/01 CRDT- 2015/03/12 06:00 PHST- 2014/07/08 00:00 [received] PHST- 2015/01/19 00:00 [revised] PHST- 2015/01/22 00:00 [accepted] PHST- 2015/03/12 06:00 [entrez] PHST- 2015/03/12 06:00 [pubmed] PHST- 2016/05/21 06:00 [medline] PHST- 2016/01/01 00:00 [pmc-release] AID - S2157-1716(15)32149-3 [pii] AID - 10.1038/ki.2015.69 [doi] PST - ppublish SO - Kidney Int. 2015 Jul;88(1):85-94. doi: 10.1038/ki.2015.69. Epub 2015 Mar 11.