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Publication : Hypoxia-inducible transcription factors stabilization in the thick ascending limb protects against ischemic acute kidney injury.

First Author  Schley G Year  2011
Journal  J Am Soc Nephrol Volume  22
Issue  11 Pages  2004-15
PubMed ID  21921145 Mgi Jnum  J:234596
Mgi Id  MGI:5790304 Doi  10.1681/ASN.2010121249
Citation  Schley G, et al. (2011) Hypoxia-inducible transcription factors stabilization in the thick ascending limb protects against ischemic acute kidney injury. J Am Soc Nephrol 22(11):2004-15
abstractText  Hypoxia-inducible transcription factors (HIF) protect cells against oxygen deprivation, and HIF stabilization before ischemia mitigates tissue injury. Because ischemic acute kidney injury (AKI) often involves the thick ascending limb (TAL), modulation of HIF in this segment may be protective. Here, we generated mice with targeted TAL deletion of the von Hippel-Lindau protein (Vhl), which mediates HIF degradation under normoxia, using Tamm-Horsfall protein (Thp)-driven Cre expression. These mice showed strong expression of HIF-1alpha in TALs but no changes in kidney morphology or function under control conditions. Deficiency of Vhl in the TAL markedly attenuated proximal tubular injury and preserved TAL function following ischemia-reperfusion, which may be partially a result of enhanced expression of glycolytic enzymes and lactate metabolism. These results highlight the importance of the thick ascending limb in the pathogenesis of AKI and suggest that pharmacologically targeting the HIF system may have potential to prevent and mitigate AKI.
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