Targeting a Braf/Mapk pathway rescues podocyte lipid peroxidation in CoQ-deficiency kidney disease.

Autor: Sidhom EH; Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Kim C; Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Kost-Alimova M; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Ting MT; Department of Neurology, Columbia University Medical Center, New York, New York, USA., Keller K; Department of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA., Avila-Pacheco J; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Watts AJ; Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Vernon KA; Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Marshall JL; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Reyes-Bricio E; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Racette M; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Wieder N; Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Kleiner G; Department of Neurology, Columbia University Medical Center, New York, New York, USA., Grinkevich EJ; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Chen F; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Weins A; Department of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA., Clish CB; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Shaw JL; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA., Quinzii CM; Department of Neurology, Columbia University Medical Center, New York, New York, USA., Greka A; Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.; Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA.
Jazyk: angličtina
Zdroj: The Journal of clinical investigation [J Clin Invest] 2021 Mar 01; Vol. 131 (5).
DOI: 10.1172/JCI141380
Abstrakt: Mutations affecting mitochondrial coenzyme Q (CoQ) biosynthesis lead to kidney failure due to selective loss of podocytes, essential cells of the kidney filter. Curiously, neighboring tubular epithelial cells are spared early in disease despite higher mitochondrial content. We sought to illuminate noncanonical, cell-specific roles for CoQ, independently of the electron transport chain (ETC). Here, we demonstrate that CoQ depletion caused by Pdss2 enzyme deficiency in podocytes results in perturbations in polyunsaturated fatty acid (PUFA) metabolism and the Braf/Mapk pathway rather than ETC dysfunction. Single-nucleus RNA-Seq from kidneys of Pdss2kd/kd mice with nephrotic syndrome and global CoQ deficiency identified a podocyte-specific perturbation of the Braf/Mapk pathway. Treatment with GDC-0879, a Braf/Mapk-targeting compound, ameliorated kidney disease in Pdss2kd/kd mice. Mechanistic studies in Pdss2-depleted podocytes revealed a previously unknown perturbation in PUFA metabolism that was confirmed in vivo. Gpx4, an enzyme that protects against PUFA-mediated lipid peroxidation, was elevated in disease and restored after GDC-0879 treatment. We demonstrate broader human disease relevance by uncovering patterns of GPX4 and Braf/Mapk pathway gene expression in tissue from patients with kidney diseases. Our studies reveal ETC-independent roles for CoQ in podocytes and point to Braf/Mapk as a candidate pathway for the treatment of kidney diseases.
Databáze: MEDLINE