Abstract
Adult autosomal dominant polycystic kidney disease (ADPKD) has been shown to be related as a “third hit” to the occurrence of acute or chronic kidney injury. Here, we examined whether dehydration, as a common kidney risk factor, could cause cystogenesis in chronic-onset Pkd1−/− mice by regulating macrophage activation. First, we confirmed that dehydration accelerated cytogenesis in Pkd1−/− mice and that macrophages infiltrated the kidney tissues even earlier than macroscopic cyst formation. Then, microarray analysis suggested that glycolysis pathway may be involved in macrophage activation in Pkd1−/− kidneys under conditions of dehydration. Further, we confirmed glycolysis pathway was activated and lactic acid (L-LA) was overproduced in the Pkd1−/− kidney under conditions of dehydration. We have already proved that L-LA strongly stimulated M2 macrophage polarization and overproduction of polyamine in macrophage in vitro, and in the present study, we further discovered that M2 polarization-induced polyamine production shortened the primary cilia length by disrupting the PC1/PC2 complex. Finally, the activation of L-LA–arginase 1–polyamine pathway contributed to cystogenesis and progressive cyst growth in Pkd1−/− mice recurrently exposed to dehydration.
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Microarray data have been deposited in the Array Express database at EMBL-EBI (www.ebi.ac.uk/arrayexpress) under the accession number E-MTAB-10449.
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Funding
The present work was supported by the following grants: (1) The National Natural Science Foundation of China (81700579, 81670612); (2) The Three-year Project of Action for Shanghai Public Health System (GWIV‒18); (3) The National Key Research and Development Program of China (2016YFC0901502); (4) Shanghai Top Priority Key Clinical Disciplines Construction Project (2017ZZ02009); and (5) the 13th Five-Year Key Plan for the Military Medical Scientific Research Project (CBJ14L016). No authors have any financial conflicts of interest.
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Yang Yang and Changlin Mei designed the study; Yang Yang, Jie Zhou, Dongjuan Zhang, Jiayi Lv, Meihan Chen, Chao Wang, Minghui Song, Fagui He, and Shuwei Song carried out experiments; Yang Yang, Dongjuan Zhang, and Chao Wang analyzed the data; Yang Yang, Dongjuan Zhang, and Fagui He made the figures; Yang Yang drafted the paper; all authors approved the final version of the manuscript.
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Yang, Y., Zhou, J., Zhang, D. et al. Dehydration Accelerates Cytogenesis and Cyst Growth in Pkd1−/− Mice by Regulating Macrophage M2 Polarization. Inflammation 46, 1272–1289 (2023). https://doi.org/10.1007/s10753-023-01806-5
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DOI: https://doi.org/10.1007/s10753-023-01806-5