Hypoxia-induced thyroid hormone receptor expression regulates cell-cycle progression in renal tubule epithelial cells

• Published in: ENDOCRINE JOURNAL Vol. 68; no. 11; pp. 1309 - 1320
• Main Authors: Uchimura, Kohei, Mitsui, Takahiko, Ishii, Toshihisa, Furuya, Fumihiko, Hanai, Shunichiro, Takahashi, Kazuya
• Format: Journal Article
• Language: English
• Published: Japan The Japan Endocrine Society 01.01.2021; Japan Science and Technology Agency
• Subjects: Adult; Aged; Aged, 80 and over; Apoptosis; Cell Cycle - physiology; Cell death; Cell Line; Cell Proliferation; Chronic kidney disease; Cyclin-dependent kinase inhibitor p21; Diabetes mellitus; Epithelial cells; Epithelial Cells - metabolism; Epithelial Cells - pathology; Female; Fibrosis; Humans; Hypoxia; Hypoxia - genetics; Hypoxia - metabolism; Hypoxia - pathology; Hypoxia-inducible factors; IgA nephropathy; Immunoglobulin A; Kidney diseases; Kidney Tubules, Proximal - metabolism; Kidney Tubules, Proximal - pathology; Kidneys; Male; Middle Aged; Paraffin; Receptors, Thyroid Hormone - genetics; Receptors, Thyroid Hormone - metabolism; Thyroid; Thyroid gland; Thyroid hormone receptor; Transcription; Young Adult; Hypoxia; Thyroid hormone receptor; Chronic kidney disease
• ISSN: 0918-8959; 1348-4540; 1348-4540
• DOI: 10.1507/endocrj.EJ21-0245

Hypoxia occurs in the kidneys of chronic kidney disease (CKD) patients, inducing interstitial fibrosis and tubule cell death. Renal tubule cell death is an important determinant of mortality in CKD. We focused on the regulation of cell-cycle-mediated protein expression to prevent cell death under chronic hypoxia in the kidneys of CKD patients. Paraffin-embedded kidney sections from patients with CKD (diabetes nephropathy, nephrosclerosis, or IgA nephropathy) were analyzed for the expression of hypoxia-inducible factor (HIF), thyroid hormone receptor (TR) β, or p21 and levels of interstitial fibrosis. Human renal proximal tubule cells were exposed to hypoxia and analyzed for the expression of HIF, TRβ, or p21 and the cell-cycle stage. TRβ expression was enhanced early on when fibrosis was not fully developed in the tubule cells of CKD patients. HIF1α bound to the TRβ promoter and directly induced its transcription. Further, HIF1α expression induced the expression of TRβ and inhibited cell-cycle progression. In the early stage of kidney injury, TRβ might act as a guardian to prepare and organize cell-cycle proliferation and prevent cell death. While the molecular mechanism that regulates the expression of cell-cycle regulators in renal tubule cells remains controversial, TRβ has strong potential as a new therapeutic target.