PMID- 28785379 OWN - NLM STAT- MEDLINE DCOM- 20180423 LR - 20240326 IS - 1942-0994 (Electronic) IS - 1942-0900 (Print) IS - 1942-0994 (Linking) VI - 2017 DP - 2017 TI - Expression of the NRF2 Target Gene NQO1 Is Enhanced in Mononuclear Cells in Human Chronic Kidney Disease. PG - 9091879 LID - 10.1155/2017/9091879 [doi] LID - 9091879 AB - Reduced nuclear factor erythroid 2-related factor 2 (NRF2) pathway activity was reported in models of chronic kidney disease (CKD). Pharmacological activation of NRF2 is supposed to improve renal function, but data concerning the NRF2 activity in human CKD are lacking. We investigated the NRF2 target NAD(P)H:quinone oxidoreductase 1 (NQO1) as a readout parameter for NRF2 activity in monocytes of CKD patients (n = 63) compared to those of healthy controls (n = 16). The NQO1 gene expression was quantified using real-time PCR and the protein content by in-cell Western assays. We found a 3-4-fold increase in NQO1 gene expression in CKD 1-5 (n = 29; 3.5 for NQO1/ribosomal protein L41; p < 0.001). This was accompanied by a 1.1-fold increase in NQO1 protein (p = 0.06). Cardiovascular disease prevalence was higher in CKD 1-5 patients with higher compared to those with lower NQO1 gene expression (p = 0.02). In advanced uremia, in dialysis patients (n = 34), NQO1 gene expression was less robustly upregulated than that in CKD 1-5, while NQO1 protein was not upregulated. We conclude that in mononuclear cells of CKD patients, the NRF2 pathway is activated by coexisting pathogenic mechanisms, but in advanced uremia, the effectiveness of this upregulation is reduced. Both processes could interfere with pharmacological NRF2 activation. FAU - Shen, Jianlin AU - Shen J AD - Department of Orthopedics, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. AD - Institute of Molecular Medicine, Cardiovascular and Renal Research, University of Southern Denmark, Odense, Denmark. FAU - Rasmussen, Marianne AU - Rasmussen M AD - Department of Nephrology, Odense University Hospital, Odense, Denmark. FAU - Dong, Qi-Rong AU - Dong QR AUID- ORCID: 0000-0001-8868-8003 AD - Department of Orthopedics, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. FAU - Tepel, Martin AU - Tepel M AUID- ORCID: 0000-0002-0086-0997 AD - Institute of Molecular Medicine, Cardiovascular and Renal Research, University of Southern Denmark, Odense, Denmark. AD - Department of Nephrology, Odense University Hospital, Odense, Denmark. FAU - Scholze, Alexandra AU - Scholze A AUID- ORCID: 0000-0002-3100-8692 AD - Department of Nephrology, Odense University Hospital, Odense, Denmark. AD - Institute of Clinical Research, University of Southern Denmark, Odense, Denmark. LA - eng PT - Journal Article DEP - 20170713 PL - United States TA - Oxid Med Cell Longev JT - Oxidative medicine and cellular longevity JID - 101479826 RN - 0 (NF-E2-Related Factor 2) RN - EC 1.6.5.2 (NAD(P)H Dehydrogenase (Quinone)) RN - EC 1.6.5.2 (NQO1 protein, human) SB - IM MH - Adult MH - Aged MH - Demography MH - Female MH - *Gene Expression Regulation MH - Humans MH - Leukocytes, Mononuclear/*metabolism MH - Male MH - Middle Aged MH - NAD(P)H Dehydrogenase (Quinone)/*genetics MH - NF-E2-Related Factor 2/*metabolism MH - Renal Insufficiency, Chronic/*genetics PMC - PMC5530440 EDAT- 2017/08/09 06:00 MHDA- 2018/04/24 06:00 PMCR- 2017/07/13 CRDT- 2017/08/09 06:00 PHST- 2017/04/07 00:00 [received] PHST- 2017/05/03 00:00 [revised] PHST- 2017/05/11 00:00 [accepted] PHST- 2017/08/09 06:00 [entrez] PHST- 2017/08/09 06:00 [pubmed] PHST- 2018/04/24 06:00 [medline] PHST- 2017/07/13 00:00 [pmc-release] AID - 10.1155/2017/9091879 [doi] PST - ppublish SO - Oxid Med Cell Longev. 2017;2017:9091879. doi: 10.1155/2017/9091879. Epub 2017 Jul 13.