CKD-Mineral Bone Disorder (CKD-MBD) Chronic Kidney Disease (CKD) cardiac mitochondrial function cardiorenal syndromes vascular calcification

Journal

American journal of physiology. Renal physiology
ISSN: 1522-1466
Titre abrégé: Am J Physiol Renal Physiol
Pays: United States
ID NLM: 100901990

Informations de publication

Date de publication:
22 Feb 2024
Historique:
medline: 22 2 2024
pubmed: 22 2 2024
entrez: 22 2 2024
Statut: aheadofprint

Résumé

Conduit arterial disease in CKD is an important cause of cardiac complications. Cardiac function in CKD has not been studied in the absence of arterial disease. In an Alport syndrome model bred not to have conduit arterial disease, mice at 225 days of life (dol) had CKD equivalent to human stage 4-5 CKD. PTH and FGF23 levels were one log order elevated, circulating sclerostin was elevated, and renal activin A was strongly induced. Aortic Ca levels were not increased and VSMC transdifferentiation was absent. The CKD mice were not hypertensive, and cardiac hypertrophy was absent. Freshly excised cardiac tissue respirometry (Oroboros) showed ADP-stimulated O2 flux was diminished from 52 to 22 pmol/mg (p=0.044). RNAseq of cardiac tissue from CKD mice revealed significantly decreased levels of cardiac mitochondrial oxidative phosphorylation genes. To examine the effect of activin A signaling, some Alport mice were treated with a monoclonal Ab to activin A or an isotype matched IgG beginning at 75 days of life until euthanasia. Treatment with the Activin A Ab did not affect cardiac oxidative phosphorylation. However, the Activin A antibody was active in the skeleton, disrupting the effect of CKD to stimulate osteoclast number, eroded surfaces and the stimulation of osteoclast-driven remodeling. The data reported here show that cardiac mitochondrial respiration is impaired in CKD in the absence of conduit arterial disease. This is the first report of the direct effect of CKD on cardiac respiration.

Identifiants

pubmed: 38385175
doi: 10.1152/ajprenal.00416.2023
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NIDDK NIH HHS
ID : P30 DK056341
Pays : United States

Auteurs

Matthew J Williams (MJ)

Pediatrics, Washington University in St. Louis, Saint Louis, Missouri, United States.

Carmen M Halabi (CM)

Pediatrics, Washington University in St. Louis, St. Louis, MO, United States.

Hiral M Patel (HM)

Pediatrics, Washington University in St. Louis, St Louis, United States.

Zachary Joseph (Z)

Pediatrics, Washington University in St. Louis, St. Louis, United States.

Kyle McCommis (K)

Department of Biochemistry & Molecular Biology, Saint Louis University, St. Louis, MO, United States.

Carla Weinheimer (C)

Medicine, Washington University in St. Louis, St. Louis, MO, United States.

Attila Kovacs (A)

Department of Medicine, Washington University in St. Louis, St. Louis, United States.

Florence Lima (F)

Medicine, University of Kentucky, LEXINGTON, KY, United States.

Brian Finck (B)

Geriatrics and Nutritional Science, Washington University in St. Louis, St. Louis, Missouri, United States.

Hartmut Malluche (H)

Department of Medicine, University of Kentucky, Lexington, KY, United States.

Keith A Hruska (KA)

Pediatrics - Nephrology, Washington University in St. Louis, St. Louis, Missouri, United States.

Classifications MeSH