PMID- 30487750 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1664-042X (Print) IS - 1664-042X (Electronic) IS - 1664-042X (Linking) VI - 9 DP - 2018 TI - SIRT3 Protects Against Acute Kidney Injury via AMPK/mTOR-Regulated Autophagy. PG - 1526 LID - 10.3389/fphys.2018.01526 [doi] LID - 1526 AB - Acute kidney injury (AKI), which involves the loss of kidney function caused by damage to renal tubular cells, is an important public health concern. We previously showed that sirtuin (SIRT)3 protects the kidneys against mitochondrial damage by inhibiting the nucleotide-binding domain (NOD)-like receptor protein 3 (NLRP3) inflammasome, attenuating oxidative stress, and downregulating proinflammatory cytokines. In this article, we investigated the role of autophagy, mediated by a mammalian target of rapamycin (mTOR) and AMP-activated protein kinase (AMPK), in the protective effect of SIRT3, against sepsis-induced AKI, in a mouse model of cecal ligation and puncture (CLP). The AKI in CLP mice was associated with the upregulation of autophagy markers; this effect was abolished in SIRT3(-) mice in parallel with the downregulation of phospho (p)-AMPK and the upregulation of p-mTOR. Pretreatment with the autophagy inhibitor 3-methyladenine (3-MA) or AMPK inhibitor compound isotonic saline (C), exacerbated AKI. SIRT3 overexpression promoted autophagy, upregulated p-AMPK and downregulated p-mTOR in CLP mice, attenuating sepsis-induced AKI, tubular cell apoptosis, and inflammatory cytokine accumulation in the kidneys. The blockage of autophagy induction largely abolished the protective effect of SIRT3 in sepsis-induced AKI. These findings indicate that SIRT3 protects against CLP-induced AKI by inducing autophagy through regulation of the AMPK/mTOR pathway. FAU - Zhao, Wenyu AU - Zhao W AD - Department of Organ Transplantation, Changhai Hospital, Second Military Medical University, Shanghai, China. FAU - Zhang, Lei AU - Zhang L AD - Department of Organ Transplantation, Changhai Hospital, Second Military Medical University, Shanghai, China. FAU - Chen, Rui AU - Chen R AD - Department of Organ Transplantation, Changhai Hospital, Second Military Medical University, Shanghai, China. FAU - Lu, Hanlan AU - Lu H AD - Department of Organ Transplantation, Changhai Hospital, Second Military Medical University, Shanghai, China. FAU - Sui, Mingxing AU - Sui M AD - Department of Organ Transplantation, Changhai Hospital, Second Military Medical University, Shanghai, China. FAU - Zhu, Youhua AU - Zhu Y AD - Department of Organ Transplantation, Changhai Hospital, Second Military Medical University, Shanghai, China. FAU - Zeng, Li AU - Zeng L AD - Department of Organ Transplantation, Changhai Hospital, Second Military Medical University, Shanghai, China. LA - eng PT - Journal Article DEP - 20181114 PL - Switzerland TA - Front Physiol JT - Frontiers in physiology JID - 101549006 PMC - PMC6246697 OTO - NOTNLM OT - AMPK/mTOR pathway OT - acute kidney injury OT - autophagy OT - cecal ligation and puncture OT - sirtuin 3 EDAT- 2018/11/30 06:00 MHDA- 2018/11/30 06:01 PMCR- 2018/11/14 CRDT- 2018/11/30 06:00 PHST- 2018/03/18 00:00 [received] PHST- 2018/10/11 00:00 [accepted] PHST- 2018/11/30 06:00 [entrez] PHST- 2018/11/30 06:00 [pubmed] PHST- 2018/11/30 06:01 [medline] PHST- 2018/11/14 00:00 [pmc-release] AID - 10.3389/fphys.2018.01526 [doi] PST - epublish SO - Front Physiol. 2018 Nov 14;9:1526. doi: 10.3389/fphys.2018.01526. eCollection 2018.