1. Impairment of PPAR α and the Fatty Acid Oxidation Pathway Aggravates Renal Fibrosis during Aging.
- Author
-
Chung KW, Lee EK, Lee MK, Oh GT, Yu BP, and Chung HY
- Subjects
- Aging pathology, Animals, Caloric Restriction, Cell Line, Epithelial Cells drug effects, Epithelial Cells metabolism, Extracellular Matrix Proteins biosynthesis, Extracellular Matrix Proteins genetics, Fibrosis, Gene Expression Regulation, Kidney metabolism, Mice, Mice, Knockout, MicroRNAs genetics, MicroRNAs pharmacology, Oleic Acid pharmacology, Oxidation-Reduction, PPAR alpha deficiency, PPAR alpha genetics, Rats, Rats, Sprague-Dawley, Transforming Growth Factor beta pharmacology, Transforming Growth Factor beta physiology, Aging metabolism, Fatty Acids metabolism, Kidney pathology, PPAR alpha metabolism
- Abstract
Defects in the renal fatty acid oxidation (FAO) pathway have been implicated in the development of renal fibrosis. Although, compared with young kidneys, aged kidneys show significantly increased fibrosis with impaired kidney function, the mechanisms underlying the effects of aging on renal fibrosis have not been investigated. In this study, we investigated peroxisome proliferator-activated receptor α (PPAR α ) and the FAO pathway as regulators of age-associated renal fibrosis. The expression of PPAR α and the FAO pathway-associated proteins significantly decreased with the accumulation of lipids in the renal tubular epithelial region during aging in rats. In particular, decreased PPAR α protein expression associated with increased expression of PPAR α -targeting microRNAs. Among the microRNAs with increased expression during aging, miR-21 efficiently decreased PPAR α expression and impaired FAO when ectopically expressed in renal epithelial cells. In cells pretreated with oleic acid to induce lipid stress, miR-21 treatment further enhanced lipid accumulation. Furthermore, treatment with miR-21 significantly exacerbated the TGF- β -induced fibroblast phenotype of epithelial cells. We verified the physiologic importance of our findings in a calorie restriction model. Calorie restriction rescued the impaired FAO pathway during aging and slowed fibrosis development. Finally, compared with kidneys of aged littermate controls, kidneys of aged PPAR α
-/- mice showed exaggerated lipid accumulation, with decreased activity of the FAO pathway and a severe fibrosis phenotype. Our results suggest that impaired renal PPAR α signaling during aging aggravates renal fibrosis development, and targeting PPAR α is useful for preventing age-associated CKD., (Copyright © 2018 by the American Society of Nephrology.)- Published
- 2018
- Full Text
- View/download PDF