PMID- 33192538 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201117 IS - 1664-042X (Print) IS - 1664-042X (Electronic) IS - 1664-042X (Linking) VI - 11 DP - 2020 TI - OGT-Mediated KEAP1 Glycosylation Accelerates NRF2 Degradation Leading to High Phosphate-Induced Vascular Calcification in Chronic Kidney Disease. PG - 1092 LID - 10.3389/fphys.2020.01092 [doi] LID - 1092 AB - Unraveling the complex regulatory pathways that mediate the effects of phosphate on vascular smooth muscle cells (VSMCs) may provide novel targets and therapies to limit the destructive effects of vascular calcification (VC) in patients with chronic kidney disease (CKD). Our previous studies have highlighted several signaling networks associated with VSMC autophagy, but the underlying mechanisms remain poorly understood. Thereafter, the current study was performed to characterize the functional relevance of O-linked N-acetylglucosamine (GlcNAc) transferase (OGT) in high phosphate-induced VC in CKD settings. We generated VC models in 5/6 nephrectomized rats in vivo and VSMC calcification models in vitro. Artificial modulation of OGT (knockdown and overexpression) was performed to explore the role of OGT in VSMC autophagy and VC in thoracic aorta, and in vivo experiments were used to substantiate in vitro findings. Mechanistically, co-immunoprecipitation (Co-IP) assay was performed to examine interaction between OGT and kelch like ECH associated protein 1 (KEAP1), and in vivo ubiquitination assay was performed to examine ubiquitination extent of nuclear factor erythroid 2-related factor 2 (NRF2). OGT was highly expressed in high phosphate-induced 5/6 nephrectomized rats and VSMCs. OGT silencing was shown to suppress high phosphate-induced calcification of VSMCs. OGT enhances KEAP1 glycosylation and thereby results in degradation and ubiquitination of NRF2, concurrently inhibiting VSMC autophagy to promote VSMC calcification in 5/6 nephrectomized rats. OGT inhibits VSMC autophagy through the KEAP1/NRF2 axis and thus accelerates high phosphate-induced VC in CKD. CI - Copyright (c) 2020 Xu, Du, Sheng, Li, Qiu, Tian and Yao. FAU - Xu, Tian-Hua AU - Xu TH AD - Department of Nephrology, The First Hospital of China Medical University, Shenyang, China. FAU - Du, Yinke AU - Du Y AD - Department of Nephrology, The First Hospital of China Medical University, Shenyang, China. FAU - Sheng, Zitong AU - Sheng Z AD - Department of Nephrology, The First Hospital of China Medical University, Shenyang, China. FAU - Li, Yue AU - Li Y AD - Department of Nephrology, The First Hospital of China Medical University, Shenyang, China. FAU - Qiu, Xiaobo AU - Qiu X AD - Department of Nephrology, The First Hospital of China Medical University, Shenyang, China. FAU - Tian, Binyao AU - Tian B AD - Department of Nephrology, The First Hospital of China Medical University, Shenyang, China. FAU - Yao, Li AU - Yao L AD - Department of Nephrology, The First Hospital of China Medical University, Shenyang, China. LA - eng PT - Journal Article DEP - 20201026 PL - Switzerland TA - Front Physiol JT - Frontiers in physiology JID - 101549006 PMC - PMC7649800 OTO - NOTNLM OT - O-linked N-acetylglucosamine transferase OT - autophagy OT - chronic kidney disease OT - high phosphorus OT - kelch like ECH associated protein 1 OT - nuclear factor erythroid 2-related factor 2 OT - vascular calcification OT - vascular smooth muscle cell EDAT- 2020/11/17 06:00 MHDA- 2020/11/17 06:01 PMCR- 2020/10/26 CRDT- 2020/11/16 08:44 PHST- 2020/01/27 00:00 [received] PHST- 2020/08/07 00:00 [accepted] PHST- 2020/11/16 08:44 [entrez] PHST- 2020/11/17 06:00 [pubmed] PHST- 2020/11/17 06:01 [medline] PHST- 2020/10/26 00:00 [pmc-release] AID - 10.3389/fphys.2020.01092 [doi] PST - epublish SO - Front Physiol. 2020 Oct 26;11:1092. doi: 10.3389/fphys.2020.01092. eCollection 2020.