PMID- 30084650 OWN - NLM STAT- MEDLINE DCOM- 20200702 LR - 20200702 IS - 1557-7716 (Electronic) IS - 1523-0864 (Linking) VI - 30 IP - 13 DP - 2019 May 1 TI - Hyperhomocysteinemia Accelerates Acute Kidney Injury to Chronic Kidney Disease Progression by Downregulating Heme Oxygenase-1 Expression. PG - 1635-1650 LID - 10.1089/ars.2017.7397 [doi] AB - AIMS: The risk factors promoting acute kidney injury (AKI) to chronic kidney disease (CKD) progression remain largely unknown. The aim of the present study was to investigate whether hyperhomocysteinemia (Hhcy) accelerates the development of renal fibrosis after AKI. RESULTS: Hhcy aggravated ischemia-reperfusion-induced AKI and the subsequent development of renal fibrotic lesions characterized by excessive extracellular matrix deposition. Mechanistically, the RNA binding protein human antigen R (HuR) bound to the 3'-untranslated region (3'-UTR) of heme oxygenase-1 (HO-1) messenger RNA (mRNA). Homocysteine (Hcy) downregulated HuR expression, reduced the binding of HuR to the 3'-UTR of HO-1, and thereafter decreased HO-1 expression. Administration of the HO-1 inducer cobalt protoporphyrin-IX significantly hindered Hhcy-augmented reactive oxygen species production and renal fibrotic lesions. Innovation and Conclusion: These data indicate that Hhcy might be a novel risk factor that promotes AKI to CKD progression. Lowering Hcy level or HO-1 induction might be a potential therapeutic strategy to improve the outcome of AKI. FAU - Li, Shuang AU - Li S AD - 1 State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Key Laboratory of Organ Failure Research (Ministry of Education), Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Qiu, Bingbing AU - Qiu B AD - 1 State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Key Laboratory of Organ Failure Research (Ministry of Education), Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Lu, Hong AU - Lu H AD - 2 Department of Public Health, School of Public Health, Southern Medical University, Guangzhou, China. FAU - Lai, Yunshi AU - Lai Y AD - 1 State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Key Laboratory of Organ Failure Research (Ministry of Education), Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Liu, Jixing AU - Liu J AD - 1 State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Key Laboratory of Organ Failure Research (Ministry of Education), Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Luo, Jiajun AU - Luo J AD - 1 State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Key Laboratory of Organ Failure Research (Ministry of Education), Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Zhu, Fengxin AU - Zhu F AD - 1 State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Key Laboratory of Organ Failure Research (Ministry of Education), Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Hu, Zheng AU - Hu Z AD - 1 State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Key Laboratory of Organ Failure Research (Ministry of Education), Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Zhou, Miaomiao AU - Zhou M AD - 1 State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Key Laboratory of Organ Failure Research (Ministry of Education), Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Tian, Jianwei AU - Tian J AD - 1 State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Key Laboratory of Organ Failure Research (Ministry of Education), Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Zhou, Zhanmei AU - Zhou Z AD - 1 State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Key Laboratory of Organ Failure Research (Ministry of Education), Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Yu, Shouyi AU - Yu S AD - 2 Department of Public Health, School of Public Health, Southern Medical University, Guangzhou, China. FAU - Yi, Fan AU - Yi F AD - 3 Department of Pharmacology, Shandong University School of Medicine, Jinan, China. FAU - Nie, Jing AU - Nie J AD - 1 State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Key Laboratory of Organ Failure Research (Ministry of Education), Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180918 PL - United States TA - Antioxid Redox Signal JT - Antioxidants & redox signaling JID - 100888899 RN - 0 (ELAV-Like Protein 1) RN - 0 (ELAVL1 protein, human) RN - 0 (RNA, Messenger) RN - 0 (Reactive Oxygen Species) RN - EC 1.14.14.18 (Heme Oxygenase-1) SB - IM MH - Acute Kidney Injury/etiology/*metabolism/*pathology MH - Biopsy MH - Disease Progression MH - Disease Susceptibility MH - ELAV-Like Protein 1/metabolism MH - Gene Expression MH - Heme Oxygenase-1/*genetics/metabolism MH - Humans MH - Hyperhomocysteinemia/blood/complications/*metabolism MH - Kidney Tubules/metabolism MH - RNA Stability MH - RNA, Messenger/genetics/metabolism MH - Reactive Oxygen Species/metabolism MH - Renal Insufficiency, Chronic/etiology/*metabolism/*pathology OTO - NOTNLM OT - HuR OT - acute renal injury OT - heme oxygenase-1 OT - homocysteine OT - renal fibrosis EDAT- 2018/08/08 06:00 MHDA- 2020/07/03 06:00 CRDT- 2018/08/08 06:00 PHST- 2018/08/08 06:00 [pubmed] PHST- 2020/07/03 06:00 [medline] PHST- 2018/08/08 06:00 [entrez] AID - 10.1089/ars.2017.7397 [doi] PST - ppublish SO - Antioxid Redox Signal. 2019 May 1;30(13):1635-1650. doi: 10.1089/ars.2017.7397. Epub 2018 Sep 18.