論文

国際誌
2022年6月1日

Protective effect of d-alanine against acute kidney injury.

American journal of physiology. Renal physiology
  • Yasunori Iwata
  • Yusuke Nakade
  • Shinji Kitajima
  • Shiori Yoneda-Nakagawa
  • Megumi Oshima
  • Norihiko Sakai
  • Hisayuki Ogura
  • Koichi Sato
  • Tadashi Toyama
  • Yuta Yamamura
  • Taro Miyagawa
  • Hiroka Yamazaki
  • Akinori Hara
  • Miho Shimizu
  • Kengo Furuichi
  • Masashi Mita
  • Kenji Hamase
  • Tomohiro Tanaka
  • Motohiro Nishida
  • Wataru Muramatsu
  • Hisashi Yamamoto
  • Shigeyuki Shichino
  • Satoshi Ueha
  • Kouji Matsushima
  • Takashi Wada
  • 全て表示

322
6
開始ページ
F667-F679
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1152/ajprenal.00198.2021

Recent studies have revealed the connection between amino acid chirality and diseases. We have previously reported that the gut microbiota produces various d-amino acids in a murine acute kidney injury (AKI) model. Here, we further explored the pathophysiological role of d-alanine (d-Ala) in AKI. Levels of d-Ala were evaluated in a murine AKI model. We analyzed transcripts of the N-methyl-d-aspartate (NMDA) receptor, a receptor for d-Ala, in tubular epithelial cells (TECs). The therapeutic effect of d-Ala was then assessed in vivo and in vitro. Finally, the plasma level of d-Ala was evaluated in patients with AKI. The Grin genes encoding NMDA receptor subtypes were expressed in TECs. Hypoxic conditions change the gene expression of Grin1, Grin2A, and Grin2B. d-Ala protected TECs from hypoxia-related cell injury and induced proliferation after hypoxia. These protective effects are associated with the chirality of d-Ala. d-Ala inhibits reactive oxygen species (ROS) production and improves mitochondrial membrane potential, through NMDA receptor signaling. The ratio of d-Ala to l-Ala was increased in feces, plasma, and urine after the induction of ischemia-reperfusion (I/R). Moreover, Enterobacteriaceae, such as Escherichia coli and Klebsiella oxytoca, produce d-Ala. Oral administration of d-Ala ameliorated kidney injury after the induction of I/R in mice. Deficiency of NMDA subunit NR1 in tubular cells worsened kidney damage in AKI. In addition, the plasma level of d-Ala was increased and reflected the level of renal function in patients with AKI. In conclusion, d-Ala has protective effects on I/R-induced kidney injury. Moreover, the plasma level of d-Ala reflects the estimated glomerular filtration rate in patients with AKI. d-Ala could be a promising therapeutic target and potential biomarker for AKI.NEW & NOTEWORTHY d-Alanine has protective effects on I/R-induced kidney injury. d-Ala inhibits ROS production and improves mitochondrial membrane potential, resulting in reduced TEC necrosis by hypoxic stimulation. The administration of d-Ala protects the tubules from I/R injury in mice. Moreover, the plasma level of d-Ala is conversely associated with eGFR in patients with AKI. Our data suggest that d-Ala is an appealing therapeutic target and a potential biomarker for AKI.

リンク情報
DOI
https://doi.org/10.1152/ajprenal.00198.2021
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35435002
ID情報
  • DOI : 10.1152/ajprenal.00198.2021
  • PubMed ID : 35435002

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