PMID- 38411015 OWN - NLM STAT- MEDLINE DCOM- 20240313 LR - 20240416 IS - 1470-8736 (Electronic) IS - 0143-5221 (Linking) VI - 138 IP - 6 DP - 2024 Mar 20 TI - Enhanced STAT3/PIK3R1/mTOR signaling triggers tubular cell inflammation and apoptosis in septic-induced acute kidney injury: implications for therapeutic intervention. PG - 351-369 LID - 10.1042/CS20240059 [doi] AB - Septic acute kidney injury (AKI) is a severe form of renal dysfunction associated with high morbidity and mortality rates. However, the pathophysiological mechanisms underlying septic AKI remain incompletely understood. Herein, we investigated the signaling pathways involved in septic AKI using the mouse models of lipopolysaccharide (LPS) treatment and cecal ligation and puncture (CLP). In these models, renal inflammation and tubular cell apoptosis were accompanied by the aberrant activation of the mechanistic target of rapamycin (mTOR) and the signal transducer and activator of transcription 3 (STAT3) signaling pathways. Pharmacological inhibition of either mTOR or STAT3 significantly improved renal function and reduced apoptosis and inflammation. Interestingly, inhibition of STAT3 with pharmacological inhibitors or small interfering RNA blocked LPS-induced mTOR activation in renal tubular cells, indicating a role of STAT3 in mTOR activation. Moreover, knockdown of STAT3 reduced the expression of the phosphoinositide-3-kinase regulatory subunit 1 (PIK3R1/p85alpha), a key subunit of the phosphatidylinositol 3-kinase for AKT and mTOR activation. Chromatin immunoprecipitation assay also proved the binding of STAT3 to PIK3R1 gene promoter in LPS-treated kidney tubular cells. In addition, knockdown of PIK3R1 suppressed mTOR activation during LPS treatment. These findings highlight the dysregulation of mTOR and STAT3 pathways as critical mechanisms underlying the inflammatory and apoptotic phenotypes observed in renal tubular cells during septic AKI, suggesting the STAT3/ PIK3R1/mTOR pathway as a therapeutic target of septic AKI. CI - (c) 2024 The Author(s). Published by Portland Press Limited on behalf of the Biochemical Society. FAU - Fu, Ying AU - Fu Y AD - Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, Changsha 410011, China. FAU - Xiang, Yu AU - Xiang Y AD - Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, Changsha 410011, China. FAU - Zha, Jie AU - Zha J AD - Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, Changsha 410011, China. FAU - Chen, Guochun AU - Chen G AD - Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, Changsha 410011, China. FAU - Dong, Zheng AU - Dong Z AUID- ORCID: 0000-0003-3538-8095 AD - Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, Changsha 410011, China. AD - Department of Cellular Biology and Anatomy, Medical College of Georgia at Augusta University and Charlie Norwood VA Medical Center, Augusta, GA, U.S.A. LA - eng GR - 82090024/National Natural Science Foundation of China (NSFC)/ GR - 82170759/National Natural Science Foundation of China (NSFC)/ PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Sci (Lond) JT - Clinical science (London, England : 1979) JID - 7905731 RN - 0 (Lipopolysaccharides) RN - W36ZG6FT64 (Sirolimus) RN - 0 (STAT3 Transcription Factor) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.1.137 (Pik3r1 protein, mouse) RN - EC 2.7.1.137 (Class Ia Phosphatidylinositol 3-Kinase) SB - IM MH - Animals MH - Mice MH - *Acute Kidney Injury/metabolism MH - Apoptosis MH - Inflammation/metabolism MH - Kidney/metabolism MH - Lipopolysaccharides MH - *Sepsis/complications/metabolism MH - Sirolimus/therapeutic use MH - STAT3 Transcription Factor/metabolism MH - TOR Serine-Threonine Kinases/metabolism MH - Class Ia Phosphatidylinositol 3-Kinase/metabolism OTO - NOTNLM OT - Acute kidney injury OT - STAT3 OT - apoptosis OT - inflammation OT - mTOR OT - sepsis EDAT- 2024/02/27 06:45 MHDA- 2024/03/13 06:46 CRDT- 2024/02/27 05:43 PHST- 2024/01/10 00:00 [received] PHST- 2024/02/20 00:00 [revised] PHST- 2024/02/26 00:00 [accepted] PHST- 2024/03/13 06:46 [medline] PHST- 2024/02/27 06:45 [pubmed] PHST- 2024/02/27 05:43 [entrez] AID - 234105 [pii] AID - 10.1042/CS20240059 [doi] PST - ppublish SO - Clin Sci (Lond). 2024 Mar 20;138(6):351-369. doi: 10.1042/CS20240059.