PINK1/Parkin-Mediated Mitophagy Plays a Protective Role in Albumin Overload-Induced Renal Tubular Cell Injury

Abstract

Proteinuria is an important symptom of chronic kidney disease irrespective of its initial pathogenesis. Mitochondrial dysfunction is an early pathophysiological event in proteinuria-induced tubular damage. Mitophagy, the selective degradation of damaged mitochondria targeted by autophagy, contributes to mitochondrial homeostasis and is primarily regulated by the PTEN-induced kinase 1 (PINK1)/Parkin pathway. In this study, we evaluated the function of mitophagy in proteinuria-induced tubular injury and mechanism. HK-2 cells were transfected with Parkin siRNA or Parkin overexpression plasmids for 48 h followed by treatment with albumin (8 mg/mL) for 8 h. JC-1 staining, ATP detection, and reactive oxygen species (ROS) detection were used to determine mitochondrial function. Immunoblot, LC3/mitochondria co-localization analyses, and Mito-Keima were employed to detect mitophagy. Immunoblot analysis and TUNEL were used to detect apoptosis. Albumin overload induced mitochondrial dysfunction and mitophagy activation in HK-2 cells. Parkin knockdown inhibited albumin overload induced-mitophagy. Parkin overexpression further upregulated albumin overload induced-mitophagy. Parkin deficiency aggravated albumin overload-induced mitochondrial dysfunction and the overproduction of ROS, resulting in increased cell injury. Contrarily, Parkin overexpression helped maintain mitochondrial function and attenuate ROS generation, contributing to cell protection. Our results suggest that by clearing damaged mitochondria and maintaining mitochondrial function, PINK1/Parkin-mediated mitophagy contributed to tubular cell survival during albumin overload. PINK1/Parkin-mediated mitophagy may be a potential therapeutic target for proteinuria in tubular epithelial cells.