Histone deacetylase inhibitors protect against cisplatin-induced acute kidney injury by activating autophagy in proximal tubular cells

Cell Death Dis. 2018 Feb 23;9(3):322. doi: 10.1038/s41419-018-0374-7.

Abstract

Histone deacetylase inhibitors (HDACi) have therapeutic effects in models of various renal diseases including acute kidney injury (AKI); however, the underlying mechanism remains unclear. Here we demonstrate that two widely tested HDACi (suberoylanilide hydroxamic acid (SAHA) and trichostatin A (TSA)) protect the kidneys in cisplatin-induced AKI by enhancing autophagy. In cultured renal proximal tubular cells, SAHA and TSA enhanced autophagy during cisplatin treatment. We further verified the protective effect of TSA against cisplatin-induced apoptosis in these cells. Notably, inhibition of autophagy by chloroquine or by autophagy gene 7 (Atg7) ablation diminished the protective effect of TSA. In mice, TSA increased autophagy in renal proximal tubules and protected against cisplatin-induced AKI. The in vivo effect of TSA was also abolished by chloroquine and by Atg7 knockout specifically from renal proximal tubules. Mechanistically, TSA stimulated AMPK and inactivated mTOR during cisplatin treatment of proximal tubule cells and kidneys in mice. Together, these results suggest that HDACi may protect kidneys by activating autophagy in proximal tubular cells.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Acute Kidney Injury / chemically induced*
  • Acute Kidney Injury / pathology
  • Acute Kidney Injury / prevention & control*
  • Adenylate Kinase / metabolism
  • Animals
  • Autophagy* / drug effects
  • Autophagy-Related Protein 7 / metabolism
  • Chloroquine / pharmacology
  • Cisplatin / adverse effects*
  • Cytoprotection / drug effects
  • Histone Deacetylase Inhibitors / pharmacology
  • Histone Deacetylase Inhibitors / therapeutic use*
  • Hydroxamic Acids / pharmacology
  • Hydroxamic Acids / therapeutic use
  • Kidney Tubules, Proximal / drug effects
  • Kidney Tubules, Proximal / pathology*
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Protective Agents / pharmacology
  • Protective Agents / therapeutic use
  • TOR Serine-Threonine Kinases / metabolism
  • Vorinostat / pharmacology
  • Vorinostat / therapeutic use

Substances

  • Atg7 protein, mouse
  • Histone Deacetylase Inhibitors
  • Hydroxamic Acids
  • Protective Agents
  • trichostatin A
  • Vorinostat
  • Chloroquine
  • TOR Serine-Threonine Kinases
  • Adenylate Kinase
  • Autophagy-Related Protein 7
  • Cisplatin