PMID- 27252492 OWN - NLM STAT- MEDLINE DCOM- 20170724 LR - 20220409 IS - 1522-1466 (Electronic) IS - 1522-1466 (Linking) VI - 311 IP - 4 DP - 2016 Oct 1 TI - Preconditioning mice with activators of AMPK ameliorates ischemic acute kidney injury in vivo. PG - F731-F739 LID - 10.1152/ajprenal.00541.2015 [doi] AB - This study had two objectives: 1) to determine whether preconditioning cultured proximal tubular cells (PTCs) with pharmacological activators of AMP-activated protein kinase (AMPK) protects these cells from apoptosis induced by metabolic stress in vitro and 2) to assess the effects of preconditioning mice with these agents on the severity of ischemic acute renal kidney injury (AKI) in vivo. We demonstrate that preconditioning PTCs with 5-aminoimidazole-4-carboxamide-1-beta-d-ribofuranoside (AICAR) or A-769662 reduces apoptosis of PTCs induced by subsequent stress. We also show that the reduction in cell death during metabolic stress associated with pretreatment by AMPK activators is associated with an increase in the cytosolic level of ATP, which is mediated by an increase in the rate of glycolysis. In addition, we provide evidence that the effect of AMPK activators on glycolysis is mediated, at least in part, by an increased uptake of glucose, and by the induction of hexokinase II (HK II) expression. Our data also show that the increased in HK II expression associated with preconditioning with AMPK activators is mediated by the activation (phosphorylation) of the cAMP-response element binding protein (CREB). We also provide entirely novel evidence that that A-79662 is substantially more effective than AICAR in mediating these alterations in PTCs in vitro. Finally, we demonstrate that preconditioning mice with AICAR or A-769662 substantially reduces the severity of renal dysfunction and tubular injury in a model of ischemic AKI in vivo and that the efficacy of AICAR and A-768662 in ameliorating ischemic AKI in vivo is comparable. FAU - Lieberthal, Wilfred AU - Lieberthal W AD - Section of Nephrology, Department of Medicine, Stony Brook University Medical Center, Stony Brook, New York; Section of Nephrology, Department of Medicine, Northport Veterans Affairs Hospital, Northport, New York; wilfred.lieberthal@stonybrookmedicine.edu. FAU - Tang, Meiyi AU - Tang M AD - Section of Nephrology, Department of Medicine, Stony Brook University Medical Center, Stony Brook, New York. FAU - Lusco, Mark AU - Lusco M AD - Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee. FAU - Abate, Mersema AU - Abate M AD - Section of Nephrology, Department of Medicine, Stony Brook University Medical Center, Stony Brook, New York. FAU - Levine, Jerrold S AU - Levine JS AD - Section of Nephrology, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois; Department of Microbiology and Immunology, University of Illinois at Chicago, Chicago, Illinois; and Section of Nephrology, Department of Medicine, Jesse Brown Veterans Affairs Hospital, Chicago, Illinois. LA - eng PT - Journal Article DEP - 20160601 PL - United States TA - Am J Physiol Renal Physiol JT - American journal of physiology. Renal physiology JID - 100901990 RN - 0 (Biphenyl Compounds) RN - 0 (Protective Agents) RN - 0 (Pyrones) RN - 0 (Ribonucleotides) RN - 0 (Thiophenes) RN - 360-97-4 (Aminoimidazole Carboxamide) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - F0X88YW0YK (AICA ribonucleotide) RN - P68477CD2C (4-hydroxy-3-(4-(2-hydroxyphenyl)phenyl)-6-oxo-7H-thieno(2,3-b)pyridine-5-carbonitrile) SB - IM MH - AMP-Activated Protein Kinases/*metabolism MH - Acute Kidney Injury/drug therapy/metabolism/*prevention & control MH - Aminoimidazole Carboxamide/*analogs & derivatives/pharmacology/therapeutic use MH - Animals MH - Apoptosis/drug effects MH - Biphenyl Compounds MH - Ischemia/drug therapy/metabolism/*prevention & control MH - Ischemic Preconditioning/*methods MH - Kidney/*blood supply/drug effects/metabolism MH - Mice MH - Protective Agents/pharmacology/*therapeutic use MH - Pyrones/pharmacology/therapeutic use MH - Ribonucleotides/pharmacology/*therapeutic use MH - Thiophenes/pharmacology/therapeutic use OTO - NOTNLM OT - AMP-activated protein kinase (AMPK) OT - apoptosis OT - glycolysis, hexokinases OT - ischemic AKI EDAT- 2016/06/03 06:00 MHDA- 2017/07/25 06:00 CRDT- 2016/06/03 06:00 PHST- 2015/12/07 00:00 [received] PHST- 2016/04/01 00:00 [accepted] PHST- 2016/06/03 06:00 [pubmed] PHST- 2017/07/25 06:00 [medline] PHST- 2016/06/03 06:00 [entrez] AID - ajprenal.00541.2015 [pii] AID - 10.1152/ajprenal.00541.2015 [doi] PST - ppublish SO - Am J Physiol Renal Physiol. 2016 Oct 1;311(4):F731-F739. doi: 10.1152/ajprenal.00541.2015. Epub 2016 Jun 1.