High uric acid induces phenotypic transition of renal tubular cells via PI3K/Akt signaling pathway
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.issn.1001-7097.2018.02.008
   		
        
        	
        		- VernacularTitle:高尿酸通过PI3K/Akt信号通路促进肾小管上皮细胞转分化
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Xiaoyan XIONG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Shoujun BAI
			        		
			        		;
		        		
		        		
		        		
			        		Yakun WANG
			        		
			        		;
		        		
		        		
		        		
			        		Tingting JI
			        		
			        		;
		        		
		        		
		        		
			        		Hongxiu DU
			        		
			        		;
		        		
		        		
		        		
			        		Xiaoying LI
			        		
			        		;
		        		
		        		
		        		
			        		Congpu GAO
			        		
			        		;
		        		
		        		
		        		
			        		Juan LIU
			        		
			        		;
		        		
		        		
		        		
			        		Yingchun ZHU
			        		
			        		;
		        		
		        		
		        		
			        		Fangfang ZHA
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 复旦大学附属中山医院青浦分院肾内科
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Uric acid;
			        		
			        		
			        		
				        		Kidney tubules;
			        		
			        		
			        		
				        		Epithelial cells;
			        		
			        		
			        		
				        		Epithelial-mesenchymal transition;
			        		
			        		
			        		
				        		PI3K/Akt
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Nephrology
	            		
	            		 2018;34(2):130-135
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To investigate the effect and the mechanism of epithelial-mesenchymal transition (EMT) in renal tubular cells induced by uric acid.Methods Normal rat kidney tubular cell line (NRK-52E) were exposed to different concentrations of uric acid (100,200,400,600,800 μmol/L UA) for 48 hours to induce EMT.Morphological changes of the NRK-52E cells were examined under an inverted phase contrast microscope.The protein expression of E-cadherin,α-SMA,p-Akt and Akt were detected by Western blotting.The distribution of E-cadherin and α-SMA were detected by immunofluorescence.NRK-52E cells were pretreated by different concentrations of LY294002(0,2.5,5,10,15 μmol/L),the inhibitor of PI3K/p-Akt signaling pathway,and then processed by uric acid (400 μmol/L) for 48 hours.Western blotting was used to detect the protein expression of p-Akt and Akt.NRK-52E cells were then divided into four groups:normal group (N),uric acid group (UA),LY294002 group (LY),uric acid with LY294002 group (UA + LY).The protein expression of E-cadherin and α-SMA were detected by Western blotting,the distribution of E-cadherin,α-SMA and p-Akt were detected by immunofluorescence.Results There was abundant cellular expression of E-cadherin in unstimulated renal tubular cells whereas its expression was significantly decreased in uric acidstimulated cells (P < 0.05).In addition,uric acid induced de novo expression of α-SMA in contrast to almost negative staining in untreated cells (P < 0.05).p-Akt were obviously increased in high uric acid group (P < 0.05) and Akt changed not significantly (P > 0.05).NRK-52E cells transformed into elongated fibroblast-like cells from cuboidal clustered epithelial cells.These indicated that uric acid has induced EMT and activated PI3K/p-Akt signaling pathway in NRK-52E cells.However,the above effects of uric acid were abolished when p-Akt was blocked by the PI3K inhibitor (10,15 μmol/L LY294002),indicated that LY294002 has reversed the trend of EMT.Conclusions High uric acid induces phenotypic transition of renal tubular cells probably via activating PI3K/Akt signaling pathway.