Klotho alleviates vancomycin-induced acute kidney injury by upregulating
anti-oxidative capacity via JAK2/STAT3/GPx3 axis
Abstract
Background and Purpose: Emerging studies indicated that Klotho is a
marker of renal injury and owns a protective effect on different kinds
of kidney diseases. However, the role of Klotho in vancomycin
(Van)-induced acute kidney injury (AKI) is largely unclear. Hence this
study aimed to explore the regulatory mechanism of Klotho in Van-AKI.
Experimental Approach: The mRNA expression of Klotho and the
JAK2/STAT3/GPx3 axis was assessed by RNA sequence analysis after the Van
challenging; the mechanism action of Klotho was examined in vitro by
Klotho small interfering RNA and recombinant Klotho. The expression of
reactive oxygen species and antioxidant enzymes was detected by flow
cytometry and spectrophotometry. Transmission electron microscopy was
performed to scan the structural damage of mitochondria. Western blot,
qPCR, and immunofluorescence were applied to further explore the
function of the JAK2/STAT3/GPx3 axis in Van-AKI. Key Results: RNA
sequence analysis indicated that Van challenging reduced the expression
of Klotho and GPx3, but increased JAK2/STAT3. In vitro, Klotho siRNA
enhanced the production of reactive oxygen species and the cell
apoptosis ratio by regulating the JAK2/STAT3/GPx3 axis, while the
decrease of GPx3 was prevented by specific inhibitors of JAK2/STAT3. In
contrast, recombinant human Klotho showed the opposite function to
Klotho siRNA. In vivo, recombinant mouse Klotho improved the
anti-oxidative enzyme level and mitochondria damage as well as renal
dysfunction and histological damage via upregulating anti-oxidative
ability. Conclusion and Implications: To conclude, the study evidenced
that recombinant Klotho ameliorated Van-induced AKI via the
JAK2/STAT3/GPx3 signaling axis by upregulating anti-oxidative ability.