Sirtuin 3-dependent mitochondrial dynamic improvements protect against acute kidney injury

J Clin Invest. 2015 Feb;125(2):715-26. doi: 10.1172/JCI77632. Epub 2015 Jan 20.

Abstract

Acute kidney injury (AKI) is a public health concern with an annual mortality rate that exceeds those of breast and prostate cancer, heart failure, and diabetes combined. Oxidative stress and mitochondrial damage are drivers of AKI-associated pathology; however, the pathways that mediate these events are poorly defined. Here, using a murine cisplatin-induced AKI model, we determined that both oxidative stress and mitochondrial damage are associated with reduced levels of renal sirtuin 3 (SIRT3). Treatment with the AMPK agonist AICAR or the antioxidant agent acetyl-l-carnitine (ALCAR) restored SIRT3 expression and activity, improved renal function, and decreased tubular injury in WT animals, but had no effect in Sirt3-/- mice. Moreover, Sirt3-deficient mice given cisplatin experienced more severe AKI than WT animals and died, and neither AICAR nor ALCAR treatment prevented death in Sirt3-/- AKI mice. In cultured human tubular cells, cisplatin reduced SIRT3, resulting in mitochondrial fragmentation, while restoration of SIRT3 with AICAR and ALCAR improved cisplatin-induced mitochondrial dysfunction. Together, our results indicate that SIRT3 is protective against AKI and suggest that enhancing SIRT3 to improve mitochondrial dynamics has potential as a strategy for improving outcomes of renal injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylcarnitine / pharmacology
  • Acute Kidney Injury / enzymology*
  • Acute Kidney Injury / genetics
  • Acute Kidney Injury / pathology
  • Animals
  • Antineoplastic Agents / pharmacology
  • Antioxidants / pharmacology
  • Cell Line
  • Cisplatin / pharmacokinetics
  • Humans
  • Kidney Tubules, Proximal / enzymology*
  • Kidney Tubules, Proximal / pathology
  • Mice
  • Mice, Knockout
  • Mitochondria / genetics
  • Mitochondria / metabolism*
  • Mitochondria / pathology
  • Mitochondrial Dynamics*
  • Oxidative Stress / drug effects
  • Oxidative Stress / genetics
  • Sirtuin 3 / genetics
  • Sirtuin 3 / metabolism*
  • Vitamin B Complex / pharmacology

Substances

  • Antineoplastic Agents
  • Antioxidants
  • Sirt3 protein, mouse
  • Vitamin B Complex
  • Acetylcarnitine
  • SIRT3 protein, human
  • Sirtuin 3
  • Cisplatin