Mesh : Autophagy / drug effects physiology Basic Helix-Loop-Helix Leucine Zipper Transcription Factors / metabolism Calcifying Nanoparticles / pharmacokinetics toxicity Calcium Phosphates / chemistry Cell Line Cell Membrane / drug effects metabolism Cell Membrane Permeability / drug effects Cholesterol / metabolism Endocytosis Epithelial Cells / drug effects metabolism pathology Humans Hydrogen-Ion Concentration Kidney Tubules, Proximal / cytology Lysosomes / metabolism pathology Oxidative Stress / drug effects Reactive Oxygen Species / metabolism

来  源:   DOI:10.1038/s41598-020-77308-3   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
Dietary phosphate overload induces chronic kidney disease (CKD), and calciprotein particles (CPPs), a form of nanoparticle comprising calcium phosphate and serum proteins, has been proposed to cause renal toxicity. However, the mechanism of CPP cytotoxicity in renal tubular cells is unknown. Here we show that in renal proximal tubular epithelial HK-2 cells, endocytosed CPPs accumulate in late endosomes/lysosomes (LELs) and increase their luminal pH by ~ 1.0 unit. This results in a decrease in lysosomal hydrolase activity and autophagic flux blockage without lysosomal rupture and reactive oxygen species generation. CPP treatment led to vulnerability to H2O2-induced oxidative stress and plasma membrane injury, probably because of autophagic flux blockage and decreased plasma membrane cholesterol, respectively. CPP-induced disruption of lysosomal homeostasis, autophagy flux and plasma membrane integrity might trigger a vicious cycle, leading to progressive nephron loss.
摘要:
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