ACSS2 gene variants determine kidney disease risk by controlling de novo lipogenesis in kidney tubules

Worldwide, over 800 million people are affected by kidney disease, yet its pathogenesis remains elusive, hindering the development of novel therapeutics. In this study, we used kidney-specific expression of quantitative traits and single-nucleus open chromatin analysis to show that genetic variants...

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Veröffentlicht in:The Journal of clinical investigation 2024-02, Vol.134 (4), p.1-16
Hauptverfasser: Mukhi, Dhanunjay, Li, Lingzhi, Liu, Hongbo, Doke, Tomohito, Kolligundla, Lakshmi P, Ha, Eunji, Kloetzer, Konstantin, Abedini, Amin, Mukherjee, Sarmistha, Wu, Junnan, Dhillon, Poonam, Hu, Hailong, Guan, Dongyin, Funai, Katsuhiko, Uehara, Kahealani, Titchenell, Paul M, Baur, Joseph A, Wellen, Kathryn E, Susztak, Katalin
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container_issue 4
container_start_page 1
container_title The Journal of clinical investigation
container_volume 134
creator Mukhi, Dhanunjay
Li, Lingzhi
Liu, Hongbo
Doke, Tomohito
Kolligundla, Lakshmi P
Ha, Eunji
Kloetzer, Konstantin
Abedini, Amin
Mukherjee, Sarmistha
Wu, Junnan
Dhillon, Poonam
Hu, Hailong
Guan, Dongyin
Funai, Katsuhiko
Uehara, Kahealani
Titchenell, Paul M
Baur, Joseph A
Wellen, Kathryn E
Susztak, Katalin
description Worldwide, over 800 million people are affected by kidney disease, yet its pathogenesis remains elusive, hindering the development of novel therapeutics. In this study, we used kidney-specific expression of quantitative traits and single-nucleus open chromatin analysis to show that genetic variants linked to kidney dysfunction on chromosome 20 target the acyl-CoA synthetase short-chain family 2 (ACSS2). By generating ACSS2-KO mice, we demonstrated their protection from kidney fibrosis in multiple disease models. Our analysis of primary tubular cells revealed that ACSS2 regulated de novo lipogenesis (DNL), causing NADPH depletion and increasing ROS levels, ultimately leading to NLRP3-dependent pyroptosis. Additionally, we discovered that pharmacological inhibition or genetic ablation of fatty acid synthase safeguarded kidney cells against profibrotic gene expression and prevented kidney disease in mice. Lipid accumulation and the expression of genes related to DNL were elevated in the kidneys of patients with fibrosis. Our findings pinpoint ACSS2 as a critical kidney disease gene and reveal the role of DNL in kidney disease.
doi_str_mv 10.1172/JCI172963
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In this study, we used kidney-specific expression of quantitative traits and single-nucleus open chromatin analysis to show that genetic variants linked to kidney dysfunction on chromosome 20 target the acyl-CoA synthetase short-chain family 2 (ACSS2). By generating ACSS2-KO mice, we demonstrated their protection from kidney fibrosis in multiple disease models. Our analysis of primary tubular cells revealed that ACSS2 regulated de novo lipogenesis (DNL), causing NADPH depletion and increasing ROS levels, ultimately leading to NLRP3-dependent pyroptosis. Additionally, we discovered that pharmacological inhibition or genetic ablation of fatty acid synthase safeguarded kidney cells against profibrotic gene expression and prevented kidney disease in mice. Lipid accumulation and the expression of genes related to DNL were elevated in the kidneys of patients with fibrosis. 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Li, Lingzhi ; Liu, Hongbo ; Doke, Tomohito ; Kolligundla, Lakshmi P ; Ha, Eunji ; Kloetzer, Konstantin ; Abedini, Amin ; Mukherjee, Sarmistha ; Wu, Junnan ; Dhillon, Poonam ; Hu, Hailong ; Guan, Dongyin ; Funai, Katsuhiko ; Uehara, Kahealani ; Titchenell, Paul M ; Baur, Joseph A ; Wellen, Kathryn E ; Susztak, Katalin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c608t-86ea1e590a8e711cb8ac144d376be833098bd6d75098a671ac3d04df256975c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Acetate-CoA Ligase - genetics</topic><topic>Acetyl coenzyme A synthetase</topic><topic>Animals</topic><topic>Chromatin</topic><topic>Chromosome 20</topic><topic>Chromosomes</topic><topic>CRISPR</topic><topic>Drug development</topic><topic>Fatalities</topic><topic>Fatty acids</topic><topic>Fatty-acid synthase</topic><topic>Fibrosis</topic><topic>Gene expression</topic><topic>Gene loci</topic><topic>Genes</topic><topic>Genetic aspects</topic><topic>Genetic diversity</topic><topic>Genetic research</topic><topic>Genetic variation</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Infection control</topic><topic>Kidney - metabolism</topic><topic>Kidney diseases</topic><topic>Kidney Diseases - genetics</topic><topic>Kidney Diseases - metabolism</topic><topic>Kidney Tubules - metabolism</topic><topic>Lipids</topic><topic>Lipogenesis</topic><topic>Lipogenesis - genetics</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Mice</topic><topic>Pathogenesis</topic><topic>Physiological aspects</topic><topic>Prevention</topic><topic>Protein expression</topic><topic>Proteins</topic><topic>Pyroptosis</topic><topic>Risk factors</topic><topic>Synthesis</topic><topic>Tubules</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mukhi, Dhanunjay</creatorcontrib><creatorcontrib>Li, Lingzhi</creatorcontrib><creatorcontrib>Liu, Hongbo</creatorcontrib><creatorcontrib>Doke, Tomohito</creatorcontrib><creatorcontrib>Kolligundla, Lakshmi P</creatorcontrib><creatorcontrib>Ha, Eunji</creatorcontrib><creatorcontrib>Kloetzer, Konstantin</creatorcontrib><creatorcontrib>Abedini, Amin</creatorcontrib><creatorcontrib>Mukherjee, Sarmistha</creatorcontrib><creatorcontrib>Wu, Junnan</creatorcontrib><creatorcontrib>Dhillon, Poonam</creatorcontrib><creatorcontrib>Hu, Hailong</creatorcontrib><creatorcontrib>Guan, Dongyin</creatorcontrib><creatorcontrib>Funai, Katsuhiko</creatorcontrib><creatorcontrib>Uehara, Kahealani</creatorcontrib><creatorcontrib>Titchenell, Paul M</creatorcontrib><creatorcontrib>Baur, Joseph A</creatorcontrib><creatorcontrib>Wellen, Kathryn E</creatorcontrib><creatorcontrib>Susztak, Katalin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection
subjects Acetate-CoA Ligase - genetics
Acetyl coenzyme A synthetase
Animals
Chromatin
Chromosome 20
Chromosomes
CRISPR
Drug development
Fatalities
Fatty acids
Fatty-acid synthase
Fibrosis
Gene expression
Gene loci
Genes
Genetic aspects
Genetic diversity
Genetic research
Genetic variation
Health aspects
Humans
Infection control
Kidney - metabolism
Kidney diseases
Kidney Diseases - genetics
Kidney Diseases - metabolism
Kidney Tubules - metabolism
Lipids
Lipogenesis
Lipogenesis - genetics
Medical research
Medicine, Experimental
Mice
Pathogenesis
Physiological aspects
Prevention
Protein expression
Proteins
Pyroptosis
Risk factors
Synthesis
Tubules
title ACSS2 gene variants determine kidney disease risk by controlling de novo lipogenesis in kidney tubules
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