Abstract

Kidney aging leads to an increased incidence of end-stage renal disease (ESRD) in the elderly, and aging is a complex biological process controlled by signaling pathways and transcription factors. Podocyte senescence plays a central role in injury resulting from kidney aging. Here, we demonstrated the critical role of C/EBPα in podocyte senescence and kidney aging by generating a genetically modified mouse model of chronological aging in which C/EBPα was selectively deleted in podocytes and by overexpressing C/EBPα in cultured podocytes, in which premature senescence was induced by treatment with adriamycin. Moreover, we illuminated the mechanisms by which podocyte senescence causes tubular impairment by stimulating HK-2 cells with bovine serum albumin (BSA) and chloroquine. Our findings suggest that C/EBPα knockout in podocytes aggravates podocyte senescence through the AMPK/mTOR pathway, leading to glomerulosclerosis, and that subsequent albuminuria exacerbates the epithelial–mesenchymal transdifferentiation of senescent tubular cells by suppressing autophagy. These observations highlight the importance of C/EBPα as a new potential target in kidney aging.

Highlights

  • As the global population has aged, the incidence of kidney disease in the expanding geriatric population has grown proportionally

  • By examining the colocalization of C/EBPα and the podocyte marker synaptopodin by immunofluorescence, we found that C/EBPα in the kidneys was mainly expressed in podocytes and that C/EBPα expression in podocytes was deleted in KO mice and downregulated upon aging (Fig. 1c)

  • ADR, a chemotherapeutic agent that causes DNA damage, was employed at a concentration of 0.5 μM to induce the premature senescence[10,11] of podocytes, and we found that the expression level of C/EBPα decreased significantly in podocytes treated with ADR (0.5 μM ADR group) compared with podocytes not treated with ADR (Fig. 7a, b)

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Summary

Introduction

As the global population has aged, the incidence of kidney disease in the expanding geriatric population has grown proportionally. A progressive decline in the physiological function of all organs and systems is a common characteristic of aging[1] In the kidneys, this decline appears to involve an ~10% decrease in the glomerular filtration rate per decade after the age of 352. Aging induces the CAAT enhancer-binding proteins (C/EBPs) are a family of transcription factors belonging to the basic region leucine zipper (bZIP) family of proteins. They are widely expressed in liver, fat, and hematopoietic cells and other terminally differentiated cells[3]. The effects of C/EBPα in podocyte senescence and kidney aging remain unknown

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