Cellular senescence is a program that induces a stable growth arrest accompanied by metabolic reprogramming, phenotypic changes, increased senescence-associated β-galactosidase (SA-β-gal) activity, and secretion of senescence-associated secretory phenotype. It has been demonstrated that cellular senescence is associated with epithelial-mesenchymal transition (EMT) and chronic kidney disease, and higher SA-β-gal activity were found in proximal and distal tubules of feline chronic kidney disease (CKD). Studies showed that elimination of senescent cells by FOXO4 DRI, a peptide antagonist to block the interaction of forkhead box O 4 (FOXO4) and p53, improved kidney function in aging mice. The represent study tested the hypothesis that inhibition of cellular senescence alleviates TGF-β1-induced EMT in human renal epithelial (HK-2) cells. Cultured HK-2 cells were divided into 3 groups: Ctrl, TGF-β1 and FOXO4 DRI+TGF-β1. Western blot analysis showed that a senescent biomarker, p16, was significantly higher in TGF-β1 group than that in Ctrl and F+ TGF-β1 groups (1±0.15, 2±0.1, 0.96±0.15 in Ctrl, TGF-β1, F+ TGF-β1 group, respectively, p<0.05). Another important senescent indicator, SA-β-gal staining, was also significantly increased in TGF-β1 group than that in Ctrl and F+ TGF-β1 groups(1±0.27, 7.2±0.39, 4.6±0.38 in Ctrl, TGF-β1, F+ TGF-β1 group, respectively, p<0.05). Meanwhile, Western blot analysis showed that the EMT markers, α-SMA and collagen I/III, were significantly higher in TGF-β1 group than that in Ctrl and F+ TGF-β1 groups (α-SMA:1±0.05, 1.4±0.05, 0.96±0.1 in Ctrl, TGF-β1, F+ TGF-β1 group, respectively, p<0.05; and collagen I/III: 1±0.03, 1.49±0.06, 0.91±0.1 in Ctrl, TGF-β1, F+ TGF-β1 group, respectively, p<0.05). These results suggest that targeting cellular senescence might be a potential therapeutic strategy for CKD.
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