PMID- 37833977 OWN - NLM STAT- MEDLINE DCOM- 20231115 LR - 20231115 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 19 DP - 2023 Sep 26 TI - Kruppel-like Factor 15 Suppresses Ferroptosis by Activating an NRF2/GPX4 Signal to Protect against Folic Acid-Induced Acute Kidney Injury. LID - 10.3390/ijms241914530 [doi] LID - 14530 AB - Acute kidney injury (AKI) is a common and serious disease with high morbidity and mortality, and its pathophysiological mechanisms are not fully understood. Increasing evidence suggests an important role of ferroptosis in AKI. Kruppel-like factor 15 (KLF15) is a transcription factor involved in several metabolic diseases, but its role in AKI and ferroptosis remains unclear. In this study, we explored the potential role of KLF15 using a folic acid-induced AKI model. Our study showed that KLF15 expression was reduced in kidney tissues of AKI mice, and KLF15 knockout exacerbated folic acid-induced ferroptosis and kidney injury. In vitro studies revealed that the ferroptosis inducer erastin significantly suppressed KLF15 expression in human tubular epithelial cells. Notably, the overexpression of KLF15 attenuated ferroptosis, as evidenced by a decrease in the lipid peroxidation marker of malondialdehyde and the upregulation of glutathione peroxidase 4 (GPX4), while KLF15 knockdown with shRNA exerted the opposite effect. Mechanistically, KLF15 stabilized the protein of nuclear factor erythroid 2-related factor 2 (NRF2) and subsequently increased the GPX4 level. Collectively, KLF15 plays an important role in the modulation of ferroptosis in AKI and may be a potential therapeutic target for treating AKI. FAU - Yang, Xue AU - Yang X AD - National Clinical Research Center for Kidney Diseases, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210044, China. FAU - Dong, Shihui AU - Dong S AD - National Clinical Research Center for Kidney Diseases, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210044, China. FAU - Fan, Yun AU - Fan Y AD - Jinling Clinical Medical College, Nanjing Medical University, Nanjing 210008, China. FAU - Xia, Yuanyuan AU - Xia Y AD - National Clinical Research Center for Kidney Diseases, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210044, China. FAU - Yang, Fan AU - Yang F AD - National Clinical Research Center for Kidney Diseases, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210044, China. FAU - Chen, Zhaohong AU - Chen Z AD - National Clinical Research Center for Kidney Diseases, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210044, China. FAU - Chen, Dacheng AU - Chen D AD - National Clinical Research Center for Kidney Diseases, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210044, China. FAU - Zhang, Mingchao AU - Zhang M AD - National Clinical Research Center for Kidney Diseases, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210044, China. FAU - Liang, Dandan AU - Liang D AD - National Clinical Research Center for Kidney Diseases, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210044, China. FAU - Zeng, Caihong AU - Zeng C AUID- ORCID: 0000-0002-3816-5164 AD - National Clinical Research Center for Kidney Diseases, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210044, China. LA - eng GR - 82070793/the National Natural Science Foundation of China/ GR - ZD2021018/the Key Program of Health Commission Foundation of Jiangsu Province/ PT - Journal Article DEP - 20230926 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 935E97BOY8 (Folic Acid) RN - 0 (Kruppel-Like Transcription Factors) RN - 0 (NF-E2-Related Factor 2) SB - IM MH - Animals MH - Humans MH - Mice MH - *Acute Kidney Injury/chemically induced/genetics/prevention & control MH - *Ferroptosis MH - Folic Acid/pharmacology MH - *Kruppel-Like Transcription Factors/genetics MH - NF-E2-Related Factor 2/genetics PMC - PMC10572468 OTO - NOTNLM OT - GPX4 OT - KLF15 OT - NRF2 OT - acute kidney injury OT - ferroptosis COIS- The authors declare no conflict of interest. EDAT- 2023/10/14 10:49 MHDA- 2023/11/01 12:43 PMCR- 2023/09/26 CRDT- 2023/10/14 01:01 PHST- 2023/08/08 00:00 [received] PHST- 2023/09/16 00:00 [revised] PHST- 2023/09/23 00:00 [accepted] PHST- 2023/11/01 12:43 [medline] PHST- 2023/10/14 10:49 [pubmed] PHST- 2023/10/14 01:01 [entrez] PHST- 2023/09/26 00:00 [pmc-release] AID - ijms241914530 [pii] AID - ijms-24-14530 [pii] AID - 10.3390/ijms241914530 [doi] PST - epublish SO - Int J Mol Sci. 2023 Sep 26;24(19):14530. doi: 10.3390/ijms241914530.