PMID- 37760019 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231003 IS - 2076-3921 (Print) IS - 2076-3921 (Electronic) IS - 2076-3921 (Linking) VI - 12 IP - 9 DP - 2023 Sep 4 TI - NRF2 Deficiency Attenuates Diabetic Kidney Disease in Db/Db Mice via Down-Regulation of Angiotensinogen, SGLT2, CD36, and FABP4 Expression and Lipid Accumulation in Renal Proximal Tubular Cells. LID - 10.3390/antiox12091715 [doi] LID - 1715 AB - The role(s) of nuclear factor erythroid 2-related factor 2 (NRF2) in diabetic kidney disease (DKD) is/are controversial. We hypothesized that Nrf2 deficiency in type 2 diabetes (T2D) db/db mice (db/dbNrf2 knockout (KO)) attenuates DKD progression through the down-regulation of angiotensinogen (AGT), sodium-glucose cotransporter-2 (SGLT2), scavenger receptor CD36, and fatty -acid-binding protein 4 (FABP4), and lipid accumulation in renal proximal tubular cells (RPTCs). Db/dbNrf2 KO mice were studied at 16 weeks of age. Human RPTCs (HK2) with NRF2 KO via CRISPR-Cas9 genome editing and kidneys from patients with or without T2D were examined. Compared with db/db mice, db/dbNrf2 KO mice had lower systolic blood pressure, fasting blood glucose, kidney hypertrophy, glomerular filtration rate, urinary albumin/creatinine ratio, tubular lipid droplet accumulation, and decreased expression of AGT, SGLT2, CD36, and FABP4 in RPTCs. Male and female mice had similar results. NRF2 KO attenuated the stimulatory effect of the Nrf2 activator, oltipraz, on AGT, SGLT2, and CD36 expression and high-glucose/free fatty acid (FFA)-stimulated lipid accumulation in HK2. Kidneys from T2D patients exhibited markedly higher levels of CD36 and FABP4 in RPTCs than kidneys from non-diabetic patients. These data suggest that NRF2 exacerbates DKD through the stimulation of AGT, SGLT2, CD36, and FABP4 expression and lipid accumulation in RPTCs of T2D. FAU - Su, Ke AU - Su K AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Zhao, Shui-Ling AU - Zhao SL AUID- ORCID: 0000-0002-0769-5365 AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Yang, Wen-Xia AU - Yang WX AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Lo, Chao-Sheng AU - Lo CS AUID- ORCID: 0000-0003-0645-7987 AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Chenier, Isabelle AU - Chenier I AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Liao, Min-Chun AU - Liao MC AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Pang, Yu-Chao AU - Pang YC AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Peng, Jun-Zheng AU - Peng JZ AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Miyata, Kana N AU - Miyata KN AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Cailhier, Jean-Francois AU - Cailhier JF AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Ethier, Jean AU - Ethier J AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Lattouf, Jean-Baptiste AU - Lattouf JB AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Filep, Janos G AU - Filep JG AUID- ORCID: 0000-0001-5022-3534 AD - Centre de Recherche, Hopital Maisonneuve-Rosemont, Departement de Pathologie et Biologie Cellulaire, Universite de Montreal, 5415 Boul. de l'Assomption, Montreal, QC H1T 2M4, Canada. FAU - Ingelfinger, Julie R AU - Ingelfinger JR AD - Pediatric Nephrology Unit, Massachusetts General Hospital, Harvard Medical School, 15 Parkman Street, WAC 709, Boston, MA 02114, USA. FAU - Zhang, Shao-Ling AU - Zhang SL AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. FAU - Chan, John S D AU - Chan JSD AUID- ORCID: 0000-0002-7137-454X AD - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM), Departement de Medecine, Universite de Montreal, 900 Saint Denis Street, Montreal, QC H2X 0A9, Canada. LA - eng GR - PJT-186199/CAPMC/CIHR/Canada PT - Journal Article DEP - 20230904 PL - Switzerland TA - Antioxidants (Basel) JT - Antioxidants (Basel, Switzerland) JID - 101668981 PMC - PMC10525648 OTO - NOTNLM OT - CD36 OT - NRF2 OT - SGLT2 COIS- The authors declare no conflict of interest. EDAT- 2023/09/28 06:42 MHDA- 2023/09/28 06:43 PMCR- 2023/09/04 CRDT- 2023/09/28 01:04 PHST- 2023/06/30 00:00 [received] PHST- 2023/08/17 00:00 [revised] PHST- 2023/08/28 00:00 [accepted] PHST- 2023/09/28 06:43 [medline] PHST- 2023/09/28 06:42 [pubmed] PHST- 2023/09/28 01:04 [entrez] PHST- 2023/09/04 00:00 [pmc-release] AID - antiox12091715 [pii] AID - antioxidants-12-01715 [pii] AID - 10.3390/antiox12091715 [doi] PST - epublish SO - Antioxidants (Basel). 2023 Sep 4;12(9):1715. doi: 10.3390/antiox12091715.