Loss of the Na+/H+ Exchange Regulatory Factor 1 Increases Susceptibility to Cisplatin-Induced Acute Kidney Injury

Adrienne Bushau-Sprinkle, Michelle Barati, Caryl Conklin, Tess Dupre, Kenneth B. Gagnon, Syed J. Khundmiri, Barbara Clark, Leah Siskind, Mark A. Doll, Madhavi Rane, Michael Brier, Susan Coventry, Eleanor D. Lederer

Research output: Contribution to journalArticle

Abstract

Na+/H+ exchange regulatory cofactor (NHERF)-1, a scaffolding protein, anchors multiple membrane proteins in renal proximal tubules. Cultured proximal tubule cells deficient in Nherf1 and proximal tubules from Nherf1-deficient mice exhibit aberrant trafficking. Nherf1-deficient cells also exhibit an altered transcription pattern and worse survival. These observations suggest that NHERF1 loss increases susceptibility to acute kidney injury (AKI). Male and female wild-type C57BL/6J and Nherf1 knockout mice were treated with saline or cisplatin (20 mg/kg dose i.p.) to induce AKI and were euthanized after 72 hours. Blood and urine were collected for assessments of blood urea nitrogen and neutrophil gelatinase–associated lipocalin, respectively. Kidneys were harvested for histology (hematoxylin and eosin, periodic acid-Schiff) and terminal deoxynucleotidyl transferase dUTP nick end labeling assay, Kim1 mRNA assessment, and Western blot analysis for cleaved caspase 3. Cisplatin treatment was associated with significantly greater severity of AKI in knockout compared with wild-type mice, as demonstrated by semiquantitative injury score (2.8 versus 1.89, P < 0.001), blood urea nitrogen (151.8 ± 17.2 mg/dL versus 97.8 ± 10.1 mg/dL, P < 0.05), and neutrophil gelatinase–associated lipocalin urine protein (55.6 ± 21.3 μg/mL versus 2.7 ± 0.53 μg/mL, P < 0.05). Apoptosis markers were significantly increased in cisplatin-treated Nherf1 knockout and wild-type mice compared to respective controls. These data suggest that NHERF1 loss increases susceptibility to AKI.

Original languageEnglish (US)
Pages (from-to)1190-1200
Number of pages11
JournalAmerican Journal of Pathology
Volume189
Issue number6
DOIs
StatePublished - Jun 2019
Externally publishedYes

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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    Bushau-Sprinkle, A., Barati, M., Conklin, C., Dupre, T., Gagnon, K. B., Khundmiri, S. J., Clark, B., Siskind, L., Doll, M. A., Rane, M., Brier, M., Coventry, S., & Lederer, E. D. (2019). Loss of the Na+/H+ Exchange Regulatory Factor 1 Increases Susceptibility to Cisplatin-Induced Acute Kidney Injury. American Journal of Pathology, 189(6), 1190-1200. https://doi.org/10.1016/j.ajpath.2019.02.010