ELABELA attenuates deoxycorticosterone acetate/salt-induced hypertension and renal injury by inhibition of NADPH oxidase/ROS/NLRP3 inflammasome pathway

Cell Death Dis. 2020 Aug 22;11(8):698. doi: 10.1038/s41419-020-02912-0.

Abstract

ELABELA (ELA), a 32-residue hormone peptide abundantly expressed in adult kidneys, has been identified as a novel endogenous ligand for APJ/Apelin receptor. The aim of this study was to investigate the role of ELA in deoxycorticosterone acetate (DOCA)/salt-induced hypertension and further explore the underlying mechanism. In DOCA/salt-treated rats, the mRNA level of ELA greatly decreased in the renal medulla. Next, overexpression of ELA in the kidney was found to attenuate DOCA/salt-induced hypertension and renal injury, including lower blood pressure, reversed glomerular morphological damage, decreased blood urea nitrogen (BUN), and blocked the accumulation of fibrotic markers. Mechanistically, ELA overexpression inhibited renal nicotinamide adenine dinucleotide phosphate (NADPH) oxidase activity and subsequent reactive oxygen species (ROS) production, thus resulted in the blockade of formation and activation of Nod-like receptor protein 3 (NLRP3) inflammasome. The inhibitory effects of ELA on Aldosterone-stimulated NADPH oxidase/ROS/NLRP3 inflammasome pathway were confirmed in the human renal tubular cells. Furthermore, our in vivo and in vitro results showed that the deficiency of the apelin receptor APJ did not influence the antihypertensive effect and blockage to NADPH oxidase/ROS/NLRP3 pathway of ELA. Moreover, in heterozygous ELA knockout mice (ELA+/-), the ELA deficiency remarkably accelerated the onset of DOCA/salt-induced hypertension. Our data demonstrate that ELA prevents DOCA/salt-induced hypertension by inhibiting NADPH oxidase/ROS/NLRP3 pathway in the kidney, which is APJ independent. Pharmacological targeting of ELA may serve as a novel therapeutic strategy for the treatment of hypertensive kidney disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Kidney Injury / chemically induced
  • Acute Kidney Injury / metabolism
  • Animals
  • Blood Pressure / drug effects
  • China
  • Desoxycorticosterone / adverse effects
  • Desoxycorticosterone / pharmacology
  • Hypertension / drug therapy*
  • Hypertension / metabolism
  • Inflammasomes / metabolism
  • Kidney / pathology
  • Kidney Diseases / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • NADPH Oxidases / metabolism
  • NLR Family, Pyrin Domain-Containing 3 Protein / metabolism
  • Peptide Hormones / metabolism*
  • Peptide Hormones / pharmacology*
  • Rats
  • Rats, Sprague-Dawley
  • Reactive Oxygen Species / metabolism
  • Sodium Chloride / adverse effects
  • Sodium Chloride / pharmacology

Substances

  • Apela protein, mouse
  • Inflammasomes
  • LOC100912649 protein, rat
  • NLR Family, Pyrin Domain-Containing 3 Protein
  • NLRP3 protein, human
  • Nlrp3 protein, mouse
  • Nlrp3 protein, rat
  • Peptide Hormones
  • Reactive Oxygen Species
  • Desoxycorticosterone
  • Sodium Chloride
  • NADPH Oxidases