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Publication : Increased mitochondrial fragmentation in polycystic kidney disease acts as a modifier of disease progression.

First Author  Cassina L Year  2020
Journal  FASEB J Volume  34
Issue  5 Pages  6493-6507
PubMed ID  32239723 Mgi Jnum  J:307491
Mgi Id  MGI:6707242 Doi  10.1096/fj.201901739RR
Citation  Cassina L, et al. (2020) Increased mitochondrial fragmentation in polycystic kidney disease acts as a modifier of disease progression. FASEB J 34(5):6493-6507
abstractText  Autosomal dominant polycystic kidney disease (ADPKD) is a common monogenic disorder, characterized by bilateral renal cyst formation. Multiple pathways are de-regulated in cystic epithelia offering good opportunities for therapy. Others and we have previously reported that metabolic reprogramming, including alterations of the TCA cycle, are prominent features of ADPKD. Several lines of evidence suggest that mitochondrial impairment might be responsible for the metabolic alterations. Here, we performed morphologic and morphometric evaluation of mitochondria by TEM in an orthologous mouse model of PKD caused by mutations in the Pkd1 gene (Ksp-Cre;Pkd1(flox/-) ). Furthermore, we measured mitochondrial respiration by COX and SDH enzymatic activity in situ. We found several alterations including reduced mitochondrial mass, altered structure and fragmentation of the mitochondrial network in cystic epithelia of Ksp-Cre;Pkd1(flox/-) mice. At the molecular level, we found reduced expression of the pro-fusion proteins OPA1 and MFN1 and up-regulation of the pro-fission protein DRP1. Importantly, administration of Mdivi-1, which interferes with DRP1 rescuing mitochondrial fragmentation, significantly reduced kidney/body weight, cyst formation, and improved renal function in Ksp-Cre;Pkd1(flox/-) mice. Our data indicate that impaired mitochondrial structure and function play a role in disease progression, and that their improvement can significantly modify the course of the disease.
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