PMID- 30995114 OWN - NLM STAT- MEDLINE DCOM- 20200407 LR - 20211204 IS - 1522-1466 (Electronic) IS - 1522-1466 (Linking) VI - 317 IP - 7 DP - 2019 Jul 1 TI - AMPK-mediated activation of Akt protects renal tubular cells from stress-induced apoptosis in vitro and ameliorates ischemic AKI in vivo. PG - F1-F11 LID - 10.1152/ajprenal.00553.2018 [doi] AB - We have reported that preconditioning renal tubular cells (RTCs) with A-769662 [a pharmacological activator of AMP-activated protein kinase (AMPK)] reduces apoptosis of RTCs induced by subsequent stress and ameliorates the severity of ischemic acute kidney injury (AKI) in mice. In the present study, we examined the role of the phosphoinositide 3-kinase (PI3K)/Akt pathway in mediating these effects. Using shRNA, we developed knockdown (KD) RTCs to confirm that any novel effects of A-769662 are mediated specifically by AMPK. We reduced expression of the total beta-domain of AMPK in KD RTCs by >80%. Control RTCs were transfected with "scrambled" shRNA. Preconditioning control RTCs with A-769662 increased both the phosphorylation (activity) of AMPK and survival of these cells when exposed to subsequent stress, but neither effect was observed in KD cells. These data demonstrate that activation of AMPK by A-769662 is profoundly impaired in KD cells. A-769662 activated PI3K and Akt in control but not KD RTCs. These data provide novel evidence that activation of the PI3K/Akt pathway by A-769662 is mediated specifically through activation of AMPK and not by a nonspecific mechanism. We also demonstrate that, in control RTCs, Akt plays a role in mediating the antiapoptotic effects of A-769662. In addition, we provide evidence that AMPK ameliorates the severity of ischemic AKI in mice and that this effect is also partially mediated by Akt. Finally, we provide evidence that AMPK activates PI3K by inhibiting mechanistic target of rapamycin complex 1 and preventing mechanistic target of rapamycin complex 1-mediated inhibition of insulin receptor substrate-1-associated activation of PI3K. FAU - Lieberthal, Wilfred AU - Lieberthal W AD - Division of Nephrology, Department of Medicine, Stony Brook University Medical Center , Stony Brook, New York. AD - Division of Nephrology, Department of Medicine, Northport Veterans Affairs Hospital, Northport, New York. FAU - Tang, Meiyi AU - Tang M AD - Division of Nephrology, Department of Medicine, Stony Brook University Medical Center , Stony Brook, New York. FAU - Abate, Mersema AU - Abate M AD - Division 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 - Levine, Jerrold S AU - Levine JS AD - Division of Nephrology, Department of Medicine, Jesse Brown Veterans Affairs Hospital , Chicago, Illinois. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20190417 PL - United States TA - Am J Physiol Renal Physiol JT - American journal of physiology. Renal physiology JID - 100901990 RN - 0 (Biphenyl Compounds) RN - 0 (Insulin Receptor Substrate Proteins) RN - 0 (Pyrones) RN - 0 (Thiophenes) RN - EC 2.7.1.137 (Phosphatidylinositol 3-Kinase) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) 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/genetics/*physiology MH - Acute Kidney Injury/etiology/pathology/*prevention & control MH - Animals MH - Apoptosis/drug effects/*physiology MH - Biphenyl Compounds MH - Cell Line MH - Enzyme Activation/drug effects MH - Gene Knockdown Techniques MH - Insulin Receptor Substrate Proteins/physiology MH - Ischemic Preconditioning MH - Kidney/blood supply MH - Kidney Tubules, Proximal/drug effects/*pathology MH - Mechanistic Target of Rapamycin Complex 1/antagonists & inhibitors MH - Mice MH - Phosphatidylinositol 3-Kinase/metabolism MH - Proto-Oncogene Proteins c-akt/*physiology MH - Pyrones/pharmacology MH - Reperfusion Injury/*complications MH - Thiophenes/pharmacology OTO - NOTNLM OT - A-769662 OT - AMP-activated protein kinase OT - Akt OT - acute kidney injury OT - phosphoinositide-3 kinase EDAT- 2019/04/18 06:00 MHDA- 2020/04/09 06:00 CRDT- 2019/04/18 06:00 PHST- 2019/04/18 06:00 [pubmed] PHST- 2020/04/09 06:00 [medline] PHST- 2019/04/18 06:00 [entrez] AID - 10.1152/ajprenal.00553.2018 [doi] PST - ppublish SO - Am J Physiol Renal Physiol. 2019 Jul 1;317(7):F1-F11. doi: 10.1152/ajprenal.00553.2018. Epub 2019 Apr 17.