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A PTBA class small molecule enhances recovery and reduces post injury fibrosis after aristolochic acid-induced kidney injury

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Renal Physiology

Published online on

Abstract

PTBAs are a new class of HDAC inhibitors that accelerate recovery and reduce post-injury fibrosis after ischemia-reperfusion-induced acute kidney injury. However, unlike the more common scenario in which patients present with protracted and less clearly defined onset of renal injury, this model of acute kidney injury gives rise to a clearly defined injury that begins to resolve over a short period of time. In these studies we show for the first time that treatment with the PTBA analogue, 4-methyl-thiobutanate (M4PTB), accelerates recovery and reduces post-injury fibrosis in a progressive model of acute kidney injury and renal fibrosis that occurs after aristolochic acid ingestion in mice. These effects are apparent when M4PTB treatment is delayed 4 days after the initiating injury and are associated with increased proliferation and decreased G2/M arrest of regenerating renal tubular epithelial cells. In addition, there is reduced peri-tubular macrophage infiltration and decreased expression of the macrophage chemokines CX3Cl1 and CCL2. Since macrophage infiltration plays a role in promoting kidney injury, and since renal tubular epithelial cells show defective repair and a marked increase in maladaptive G2/M arrest after aristolochic acid injury, these findings suggest M4PTB may be particularly beneficial in reducing injury and enhancing intrinsic cellular repair even when administered days after aristolochic acid ingestion.