PMID- 34392303 OWN - NLM STAT- MEDLINE DCOM- 20220126 LR - 20240226 IS - 2041-4889 (Electronic) VI - 12 IP - 8 DP - 2021 Aug 14 TI - CPT1alpha maintains phenotype of tubules via mitochondrial respiration during kidney injury and repair. PG - 792 LID - 10.1038/s41419-021-04085-w [doi] LID - 792 AB - Impaired energy metabolism in proximal tubular epithelial cells (PTECs) is strongly associated with various kidney diseases. Here, we characterized proximal tubular phenotype alternations during kidney injury and repair in a mouse model of folic acid nephropathy, in parallel, identified carnitine palmitoyltransferase 1alpha (CPT1alpha) as an energy stress response accompanied by renal tubular dedifferentiation. Genetic ablation of Cpt1alpha aggravated the tubular injury and interstitial fibrosis and hampered kidney repair indicate that CPT1alpha is vital for the preservation and recovery of tubular phenotype. Our data showed that the lipid accumulation and mitochondrial mass reduction induced by folic acid were persistent and became progressively more severe in PTECs without CPT1alpha. Interference of CPT1alpha reduced capacities of mitochondrial respiration and ATP production in PTECs, and further sensitized cells to folic acid-induced phenotypic changes. On the contrary, overexpression of CPT1alpha protected mitochondrial respiration and prevented against folic acid-induced tubular cell damage. These findings link CPT1alpha to intrinsic mechanisms regulating the mitochondrial respiration and phenotype of kidney tubules that may contribute to renal pathology during injury and repair. CI - (c) 2021. The Author(s). FAU - Yuan, Qi AU - Yuan Q AD - Center for Kidney Disease, Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. AD - Department of Nephrology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, China. FAU - Lv, Yunhui AU - Lv Y AD - Center for Kidney Disease, Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Ding, Hao AU - Ding H AD - Center for Kidney Disease, Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Ke, Qingqing AU - Ke Q AD - Center for Kidney Disease, Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Shi, Caifeng AU - Shi C AD - Center for Kidney Disease, Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Luo, Jing AU - Luo J AD - Center for Kidney Disease, Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Jiang, Lei AU - Jiang L AUID- ORCID: 0000-0002-7322-4502 AD - Center for Kidney Disease, Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. jianglei@njmu.edu.cn. FAU - Yang, Junwei AU - Yang J AUID- ORCID: 0000-0001-9008-5826 AD - Center for Kidney Disease, Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. jwyang@njmu.edu.cn. FAU - Zhou, Yang AU - Zhou Y AUID- ORCID: 0000-0003-0453-4598 AD - Center for Kidney Disease, Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. zhouyang@njmu.edu.cn. LA - eng GR - 81873618/National Natural Science Foundation of China (National Science Foundation of China)/ GR - BK20201497/Natural Science Foundation of Jiangsu Province (Jiangsu Provincial Natural Science Foundation)/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210814 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 8L70Q75FXE (Adenosine Triphosphate) RN - 935E97BOY8 (Folic Acid) RN - AYI8EX34EU (Creatinine) RN - EC 2.3.1.21 (Carnitine O-Palmitoyltransferase) SB - IM MH - Adenosine Triphosphate/biosynthesis MH - Animals MH - Blood Urea Nitrogen MH - Carnitine O-Palmitoyltransferase/deficiency/*metabolism MH - Cell Respiration MH - Cells, Cultured MH - Creatinine/metabolism MH - Fibrosis MH - Folic Acid MH - Kidney Diseases/enzymology/pathology MH - Kidney Tubules/*enzymology/injuries/*pathology/ultrastructure MH - Lipid Metabolism MH - Male MH - Mice, Inbred C57BL MH - Mitochondria/*metabolism/ultrastructure MH - Phenotype MH - Mice PMC - PMC8364553 COIS- The authors declare no competing interests. EDAT- 2021/08/16 06:00 MHDA- 2022/01/27 06:00 PMCR- 2021/08/14 CRDT- 2021/08/15 20:58 PHST- 2021/05/22 00:00 [received] PHST- 2021/08/06 00:00 [accepted] PHST- 2021/07/29 00:00 [revised] PHST- 2021/08/15 20:58 [entrez] PHST- 2021/08/16 06:00 [pubmed] PHST- 2022/01/27 06:00 [medline] PHST- 2021/08/14 00:00 [pmc-release] AID - 10.1038/s41419-021-04085-w [pii] AID - 4085 [pii] AID - 10.1038/s41419-021-04085-w [doi] PST - epublish SO - Cell Death Dis. 2021 Aug 14;12(8):792. doi: 10.1038/s41419-021-04085-w.