Abstract

Aging is an important risk factor for kidney injury. Energy homeostasis plays a key role in retarding aging, and mitochondria are responsible for energy production. In the kidney, renal tubular cells possess high abundance of mitochondria to meet the high energy consumption. AMPK is an evolutionarily conserved serine/threonine kinase which plays a central role in maintaining energy homeostasis and mitochondrial homeostasis. Besides that, AMPK also commands autophagy, a clearing and recycling process to maintain cellular homeostasis. However, the effect of AMPK activators on kidney aging has not been fully elucidated. To this end, we testified the effects of O304, a novel direct AMPK activator, in naturally aging mice model and D-Galactose (D-Gal)-treated renal tubular cell culture. We identified that O304 beneficially protects against cellular senescence and aged-related fibrosis in kidneys. Also, O304 restored energy metabolism, promoted autophagy and preserved mitochondrial homeostasis. Transcriptomic sequencing also proved that O304 induced fatty acid metabolism, mitochondrial biogenesis and ATP process, and downregulated cell aging, DNA damage response and collagen organization. All these results suggest that O304 has a strong potential to retard aged kidney injury through regulating AMPK-induced multiple pathways. Our results provide an important therapeutic approach to delay kidney aging.

Highlights

  • Aging is one of the most important risk factors for many organ disorders (St et al, 2015; Godic, 2019)

  • The results show that O304 can retard kidney aging through AMPK-induced fatty acid metabolism and autophagy

  • Western blot analyses showed that the expression of carnitine palmitoyl transferase-1A (CPT1A) and Acyl-CoA oxidase-1 (ACOX1) was greatly down-regulated in aged mice (Figures 1F–H)

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Summary

Introduction

Aging is one of the most important risk factors for many organ disorders (St et al, 2015; Godic, 2019) It is a process characterized with stem cell depletion, reduced autophagy, mitochondrial dysfunction, impaired immune system, epigenetic changes, somatic and mitochondrial DNA mutations, loss of telomeres, and so on (Jang et al, 2018; Johnson and Stolzing, 2019; Luo and Qin, 2019; Sameri et al, 2020). O304 Retards Kidney Aging related with glucose intolerance, reduced mitochondrial biogenesis and oxidative phosphorylation, and reduced fatty acid oxidation (Azzu and Valencak, 2017). Inside these factors, lipid metabolism plays an important role in aging process (Johnson and Stolzing, 2019). Reports show that fatty acid oxidation deficiency in kidneys is an important inducer of renal fibrosis (Chung et al, 2018)

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