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

S Kishi, CR Brooks, K Taguchi… - The Journal of …, 2019 - Am Soc Clin Investig
S Kishi, CR Brooks, K Taguchi, T Ichimura, Y Mori, A Akinfolarin, N Gupta, P Galichon
The Journal of clinical investigation, 2019Am Soc Clin Investig
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 …
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.
The Journal of Clinical Investigation