Endoplasmic Reticulum Stress Inhibition Limits The Progression Of Chronic Kidney Disease In The Dahl Salt Sensitive Rat
Published online on November 09, 2016
Abstract
Proteinuria is one of the primary risk factors for the progression of chronic kidney disease (CKD), and has been implicated in the induction of endoplasmic reticulum (ER) stress. We hypothesized that the suppression of ER stress with a low molecular weight chemical chaperone, 4-phenylbutyric acid (4-PBA), would reduce the severity of CKD and proteinuria in the Dahl salt-sensitive (SS) hypertensive rat. To induce hypertension and CKD, 12-week old male rats were placed on a high salt (HS) diet for 4-weeks with or without 4-PBA treatment. We assessed blood pressure and markers of CKD, including proteinuria, albuminuria, and renal pathology. Further, we determined if HS feeding resulted in an impaired myogenic response, subsequent to ER stress. 4-PBA treatment reduced salt-induced hypertension, proteinuria and albuminuria, and preserved myogenic constriction. Further, renal pathology was reduced with 4-PBA treatment, as indicated by lowered expression of pro-fibrotic markers and fewer intratubular protein casts. In addition, ER stress in the glomerulus was reduced, and the integrity of the glomerular filtration barrier was preserved. These results suggest that 4-PBA treatment protects against proteinuria in the SS rat by preserving the myogenic response, and by preventing ER stress, which led to a breakdown in the glomerular filtration barrier. As such, alleviating ER stress serves as a viable therapeutic strategy to preserve kidney function and to delay the progression of CKD in the animal model under study.