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Introduction: Renal tubulointerstitial inflammation represents an effective indicator for predicting the progression of diabetic kidney disease (DKD). Mitophagy abnormality is 1 of the most important factors involved in tubule injury. However, the exact molecular mechanism underlying mitophagy abnormality-mediated tubulointerstitial inflammation in DKD remains poorly understood.
Methods: In this study, a streptozotocin-induced DKD mouse model was established and HK-2 cells treated with high glucose (HG) served as an model. Tubular mitophagy was regulated through pharmacological urolithin A (UA) administration. The functional effect of the transient receptor potential cation channel, subfamily C, member 6 (TRPC6) was explored using genetic interventions and .
Results: We found that renal tubulointerstitial inflammation in DKD was closely associated with mitophagy inhibition, which was mediated by disturbance of PINK1/Parkin pathway. Mitophagy activation significantly attenuated tubular injury and tubulointerstitial inflammation. Further, it was found that TRPC6 was markedly increased in DKD and played an essential role in mitophagy inhibition by activating calpain-1. Knockdown of partially reversed mitophagy abnormality and consequently attenuated tubular injury and tubulointerstitial inflammation and . Finally, we found that tubular TRPC6-mediated mitophagy inhibition was blocked with BAPTA (a specific Ca chelator) or calpeptin (a specific calpain-1 inhibitor).
Conclusion: Our study reveals that TRPC6-calpain-1 axis promotes tubulointerstitial inflammation in DKD by inhibiting mitophagy.
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http://dx.doi.org/10.1016/j.ekir.2024.08.019 | DOI Listing |
J Clin Invest
September 2025
Section of Rheumatology and Gwen and Jules Knapp Center for Immunology and , University of Chicago, Chicago, United States of America.
Background: In human lupus nephritis (LuN), tubulointerstitial inflammation (TII) is prognostically more important than glomerular inflammation. However, a comprehensive understanding of both TII complexity and heterogeneity is lacking.
Methods: Herein, we used high-dimensional confocal microscopy, spatial transcriptomics and specialized computer vision techniques to quantify immune cell populations and localize these within normal and diseased renal cortex structures.
Front Immunol
September 2025
Department of Nephrology, Ningbo No.2 Hospital, Ningbo, Zhejiang, China.
Background: Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a systemic autoimmune disease characterized by necrotizing small-vessel inflammation, frequently complicated by severe anemia and progressive renal injury. Anemia, affecting 73-92% of AAV patients, arises from multifactorial mechanisms including renal dysfunction, chronic inflammation, and iron dysregulation. Despite conventional immunosuppressive therapies, refractory anemia remains a significant challenge, with limited strategies targeting inflammation-driven hepcidin dysregulation.
View Article and Find Full Text PDFCase Rep Nephrol
August 2025
Department of Nephrology, Faculty of Medicine, Damascus University, Damascus, Syria.
Autosomal dominant polycystic kidney disease (ADPKD) is characterized by diffuse renal cysts that secrete cytokines, which induce interstitial inflammation and fibrosis. Meanwhile, acute tubulointerstitial nephritis (ATIN) is characterized by inflammatory infiltrates in the interstitium, where kidney biopsy remains the mainstay for diagnosis. An 85-year-old male complained of fatigue, loss of appetite, and low-grade fever for a week.
View Article and Find Full Text PDFKidney Med
September 2025
UCLA Health, Department of Pathology and Laboratory Medicine, Los Angeles, CA.
Rationale & Objective: Pathological connection between the kidney tubules and veins is known as a microscopic tubulovenous communication we refer to as a tubulovenous fistula (TVF). This finding has been reported in a few small case reports, but no systematic examination of cases across various clinical settings detailing their histologic spectrum and associated clinical/pathologic findings has been performed.
Study Design: Case series and literature review.
J Am Soc Nephrol
September 2025
Division of Nephrology, Department of Medicine, Stony Brook University, Stony Brook, NY.
Background: Podocyte loss and parietal epithelial cell activation are features of subtypes of glomerulonephritis and focal segmental glomerulosclerosis (FSGS). We recently reported that the podocyte-specific loss of Krüppel-like factor 4 (Klf4ΔPod ) triggers dysregulated glomerular STAT3 activation, podocyte loss with parietal epithelial cell activation and proliferation, leading to FSGS. While pharmacological systemic STAT3 inhibition attenuated this phenotype, it remains unclear whether the detrimental effects of Klf4 loss is primarily a result of dysregulated STAT3 activation intrinsically in podocytes.
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