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Proximal tubule ATR regulates DNA repair to prevent maladaptive renal injury responses
Seiji Kishi, … , Ryuji Morizane, Joseph V. Bonventre
Seiji Kishi, … , Ryuji Morizane, Joseph V. Bonventre
Published October 7, 2019
Citation Information: J Clin Invest. 2019;129(11):4797-4816. https://doi.org/10.1172/JCI122313.
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Research Article Nephrology Article has an altmetric score of 4

Proximal tubule ATR regulates DNA repair to prevent maladaptive renal injury responses

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Abstract

Maladaptive proximal tubule (PT) repair has been implicated in kidney fibrosis through induction of cell-cycle arrest at G2/M. We explored the relative importance of the PT DNA damage response (DDR) in kidney fibrosis by genetically inactivating ataxia telangiectasia and Rad3-related (ATR), which is a sensor and upstream initiator of the DDR. In human chronic kidney disease, ATR expression inversely correlates with DNA damage. ATR was upregulated in approximately 70% of Lotus tetragonolobus lectin–positive (LTL+) PT cells in cisplatin-exposed human kidney organoids. Inhibition of ATR resulted in greater PT cell injury in organoids and cultured PT cells. PT-specific Atr-knockout (ATRRPTC–/–) mice exhibited greater kidney function impairment, DNA damage, and fibrosis than did WT mice in response to kidney injury induced by either cisplatin, bilateral ischemia-reperfusion, or unilateral ureteral obstruction. ATRRPTC–/– mice had more cells in the G2/M phase after injury than did WT mice after similar treatments. In conclusion, PT ATR activation is a key component of the DDR, which confers a protective effect mitigating the maladaptive repair and consequent fibrosis that follow kidney injury.

Authors

Seiji Kishi, Craig R. Brooks, Kensei Taguchi, Takaharu Ichimura, Yutaro Mori, Akinwande Akinfolarin, Navin Gupta, Pierre Galichon, Bertha C. Elias, Tomohisa Suzuki, Qian Wang, Leslie Gewin, Ryuji Morizane, Joseph V. Bonventre

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Figure 5

Atr deletion promotes G2/M arrest in cisplatin injured RPTECs.

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Atr deletion promotes G2/M arrest in cisplatin injured RPTECs.
(A) Sche...
(A) Schematic diagram showing the timing of the FUCCI2a fluorescence reporters. Red indicates mCherry; green indicates mVenus. Dot plots show the cell-cycle profile and proportion of FUCCI RPTECs in G1, early S, and S/G2/M phases, as analyzed by flow cytometry. Primary RPTECs from FUCCI2a-gGT-Cre mice were synchronized in 1% FBS PTC media and then treated with cisplatin, with or without VE-821, or were left untreated for 48 hours. Cells were then fixed and analyzed by flow cytometry. Red and green colors in the graph indicate G1 and S/G2/M phases, respectively, and double-positive cells were considered to be in the early S phase. RFP, red fluorescent protein; GFP, green fluorescent protein. (B and C) Cell-cycle assessment by live microscopy of HK2 cells expressing the FUCCI system in control conditions (Ctrl, n = 4), or incubated with 50 nM pifithrin-α (PF50, n = 2) or 10 nM rigosertib (RG10, n = 2). (B) Representative images of the cells at 1 hour and 24 hours after incubation are shown. Images on the left show overlays of bright-field, monomeric Kusabira-Orange (mKO), and monomeric Azami-Green (mAG) channels. Images on the right show mKO and mAG channels (original magnification, ×10). (C) Graph shows the quantification over time of the cells in G1 (mKO-Cdt1, red), G2 (mAG-geminin, green), and S (mKO-Cdt1+ mAG-geminin, orange) phases of the cell cycle. (D) Cell-cycle analysis by propidium iodide staining and flow cytometry of mouse primary cells at baseline (top 2 graphs) and after treatment with cisplatin at 0.2 μg/mL for 48 hours (bottom 2 graphs). (E and F) Results of the cell-cycle analysis for 3 independent experiments. Data are presented as the mean ± SEM. Statistical significance was determined by 1-way ANOVA followed by Tukey’s post hoc test. *P < 0.05 and **P < 0.01.

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