PMID- 31266025 OWN - NLM STAT- MEDLINE DCOM- 20200129 LR - 20200703 IS - 1423-0143 (Electronic) IS - 1420-4096 (Print) IS - 1420-4096 (Linking) VI - 44 IP - 4 DP - 2019 TI - Rac1 GTPase Inhibition Blocked Podocyte Injury and Glomerular Sclerosis during Hyperhomocysteinemia via Suppression of Nucleotide-Binding Oligomerization Domain-Like Receptor Containing Pyrin Domain 3 Inflammasome Activation. PG - 513-532 LID - 10.1159/000500457 [doi] AB - Elevated homocysteine (Hcy) levels have been shown to activate nucleotide-binding oligomerization domain-like receptor containing pyrin domain 3 (NLRP3) inflammasome leading to podocyte dysfunction and glomerular injury. However, it remains unclear how this inflammasome activation in podocytes is a therapeutic target for reversal of glomerular injury and ultimate sclerosis. The present study tested whether inhibition of Rac1 GTPase activity suppresses NLRP3 inflammation activation and thereby blocks podocyte injury induced by elevated Hcy. In cultured podocytes, we found that L-Hcy (the active Hcy form) stimulated the NLRP3 inflammasome formation, as shown by increased colocalization of NLRP3 with apoptosis-associated speck-like protein (ASC) or caspase-1, which was accompanied by increased interleukin-1beta production and caspase-1 activity, indicating NLRP3 inflammasome activation. Rac1 activator, uridine triphosphate (UTP), mimicked L-Hcy-induced NLRP3 inflammasome activation, while Rac1 inhibitor NSC23766 blocked it. This Rac1 inhibition also prevented L-Hcy-induced podocyte dysfunction. All these effects were shown to be mediated via lipid raft redox signaling platforms with nicotinamide adenine dinucleotide phosphate oxidase subunits and consequent O2- production. In animal studies, hyperhomocysteinemia (hHcy) induced by folate-free diet was shown to induce NLRP3 inflammasome formation and activation in glomeruli, which was also mimicked by UTP and inhibited by NSC23766 to a comparable level seen in Nlrp3 gene knockout mice. These results together suggest that Rac1 inhibition protects the kidney from hHcy-induced podocyte injury and glomerular sclerosis due to its action to suppress NLRP3 inflammasome activation in podocytes. CI - (c) 2019 The Author(s) Published by S. Karger AG, Basel. FAU - Zhang, Qinghua AU - Zhang Q AD - Departments of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia, USA. FAU - Conley, Sabena M AU - Conley SM AD - Departments of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia, USA. FAU - Li, Guangbi AU - Li G AD - Departments of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia, USA. FAU - Yuan, Xinxu AU - Yuan X AD - Departments of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia, USA. FAU - Li, Pin-Lan AU - Li PL AD - Departments of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia, USA, pin-lan.li@vcuhealth.org. LA - eng GR - R01 HL075316/HL/NHLBI NIH HHS/United States GR - R01 HL057244/HL/NHLBI NIH HHS/United States GR - R01 DK120491/DK/NIDDK NIH HHS/United States GR - R29 HL057244/HL/NHLBI NIH HHS/United States GR - R01 DK054927/DK/NIDDK NIH HHS/United States PT - Journal Article DEP - 20190702 PL - Switzerland TA - Kidney Blood Press Res JT - Kidney & blood pressure research JID - 9610505 RN - 0 (Enzyme Inhibitors) RN - 0 (Inflammasomes) RN - 0 (NLR Family, Pyrin Domain-Containing 3 Protein) RN - 0 (Protective Agents) RN - 0 (RAC1 protein, human) RN - EC 3.6.1.- (GTP Phosphohydrolases) RN - EC 3.6.5.2 (rac1 GTP-Binding Protein) SB - IM MH - Animals MH - Cells, Cultured MH - Enzyme Inhibitors/pharmacology MH - GTP Phosphohydrolases/*antagonists & inhibitors MH - Humans MH - Hyperhomocysteinemia/complications/*metabolism MH - Inflammasomes/chemistry/drug effects/*metabolism MH - Kidney Glomerulus/*pathology MH - Mice MH - NLR Family, Pyrin Domain-Containing 3 Protein/metabolism MH - Podocytes/drug effects/*pathology MH - Protective Agents MH - Sclerosis/prevention & control MH - rac1 GTP-Binding Protein/antagonists & inhibitors PMC - PMC6800118 MID - NIHMS1054409 OTO - NOTNLM OT - Glomerulosclerosis OT - Inflammatory machinery OT - Membrane rafts OT - Rac1 GTPase OT - Reactive oxygen species COIS- Disclosure Statement The authors declare no conflicts of interest. EDAT- 2019/07/03 06:00 MHDA- 2020/01/30 06:00 PMCR- 2020/07/02 CRDT- 2019/07/03 06:00 PHST- 2019/02/22 00:00 [received] PHST- 2019/04/04 00:00 [accepted] PHST- 2019/07/03 06:00 [pubmed] PHST- 2020/01/30 06:00 [medline] PHST- 2019/07/03 06:00 [entrez] PHST- 2020/07/02 00:00 [pmc-release] AID - 000500457 [pii] AID - 10.1159/000500457 [doi] PST - ppublish SO - Kidney Blood Press Res. 2019;44(4):513-532. doi: 10.1159/000500457. Epub 2019 Jul 2.