Human proximal tubular epithelial cell interleukin-1 receptor signalling triggers G2/M arrest and cellular senescence during hypoxic kidney injury

Abstract Hypoxia and interleukin (IL)-1β are independent mediators of tubulointerstitial fibrosis, the histological hallmark of chronic kidney disease (CKD). Here, we examine how hypoxia and IL-1β act in synergy to augment maladaptive proximal tubular epithelial cell (PTEC) repair in human CKD. Ex v...

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Main Authors: Kurt T. K. Giuliani, Purba Nag, Benjamin C. Adams, Xiangju Wang, Seokchan Hong, Anca Grivei, Rebecca L. Johnston, Nicola Waddell, Kenneth K. C. Ho, Yilin Tian, Muhammad Ali Khan, Chang Seong Kim, Monica S. Y. Ng, Glenda Gobe, Jacobus P. J. Ungerer, Josephine M. Forbes, Helen G. Healy, Andrew J. Kassianos
Format: Article
Language:English
Published: Nature Publishing Group 2025-01-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-025-07386-6
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author Kurt T. K. Giuliani
Purba Nag
Benjamin C. Adams
Xiangju Wang
Seokchan Hong
Anca Grivei
Rebecca L. Johnston
Nicola Waddell
Kenneth K. C. Ho
Yilin Tian
Muhammad Ali Khan
Chang Seong Kim
Monica S. Y. Ng
Glenda Gobe
Jacobus P. J. Ungerer
Josephine M. Forbes
Helen G. Healy
Andrew J. Kassianos
author_facet Kurt T. K. Giuliani
Purba Nag
Benjamin C. Adams
Xiangju Wang
Seokchan Hong
Anca Grivei
Rebecca L. Johnston
Nicola Waddell
Kenneth K. C. Ho
Yilin Tian
Muhammad Ali Khan
Chang Seong Kim
Monica S. Y. Ng
Glenda Gobe
Jacobus P. J. Ungerer
Josephine M. Forbes
Helen G. Healy
Andrew J. Kassianos
author_sort Kurt T. K. Giuliani
collection DOAJ
description Abstract Hypoxia and interleukin (IL)-1β are independent mediators of tubulointerstitial fibrosis, the histological hallmark of chronic kidney disease (CKD). Here, we examine how hypoxia and IL-1β act in synergy to augment maladaptive proximal tubular epithelial cell (PTEC) repair in human CKD. Ex vivo patient-derived PTECs were cultured under normoxic (21% O2) or hypoxic (1% O2) conditions in the absence or presence of IL-1β and examined for maladaptive repair signatures. Hypoxic PTECs incubated with IL-1β displayed a discrete transcriptomic profile distinct from PTECs cultured under hypoxia alone, IL-1β alone or under normoxia. Hypoxia+IL-1β-treated PTECs had 692 ‘unique’ differentially expressed genes (DEGs) compared to normoxic PTECs, with ‘cell cycle’ the most significantly enriched KEGG pathway based on ‘unique’ down-regulated DEGs (including CCNA2, CCNB1 and CCNB2). Hypoxia+IL-1β-treated PTECs displayed signatures of cellular senescence, with reduced proliferation, G2/M cell cycle arrest, increased p21 expression, elevated senescence-associated β-galactosidase (SA-β-gal) activity and increased production of pro-inflammatory/fibrotic senescence-associated secretory phenotype (SASP) factors compared to normoxic conditions. Treatment of Hypoxia+IL-1β-treated PTECs with either a type I IL-1 receptor (IL-1RI) neutralizing antibody or a senolytic drug combination, quercetin+dasatinib, attenuated senescent cell burden. In vitro findings were validated in human CKD bio-specimens (kidney tissue, urine), with elevated PTEC IL-1RI expression and senescence (SA-β-gal activity) detected in fibrotic kidneys and numbers of senescent (SA-β-gal+) urinary PTECs correlating with urinary IL-1β levels and severity of interstitial fibrosis. Our data identify a mechanism whereby hypoxia in combination with IL-1β/IL-1RI signalling trigger PTEC senescence, providing novel therapeutic and diagnostic check-points for restoring tubular regeneration in human CKD.
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spelling doaj-art-6d7db26e00ce4c0d8780988853b664432025-02-02T12:44:52ZengNature Publishing GroupCell Death and Disease2041-48892025-01-0116111210.1038/s41419-025-07386-6Human proximal tubular epithelial cell interleukin-1 receptor signalling triggers G2/M arrest and cellular senescence during hypoxic kidney injuryKurt T. K. Giuliani0Purba Nag1Benjamin C. Adams2Xiangju Wang3Seokchan Hong4Anca Grivei5Rebecca L. Johnston6Nicola Waddell7Kenneth K. C. Ho8Yilin Tian9Muhammad Ali Khan10Chang Seong Kim11Monica S. Y. Ng12Glenda Gobe13Jacobus P. J. Ungerer14Josephine M. Forbes15Helen G. Healy16Andrew J. Kassianos17Conjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandQIMR Berghofer Medical Research InstituteFaculty of Medicine, University of QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandFaculty of Medicine, University of QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandFaculty of Medicine, University of QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandConjoint Internal Medicine Laboratory, Chemical Pathology, Pathology QueenslandAbstract Hypoxia and interleukin (IL)-1β are independent mediators of tubulointerstitial fibrosis, the histological hallmark of chronic kidney disease (CKD). Here, we examine how hypoxia and IL-1β act in synergy to augment maladaptive proximal tubular epithelial cell (PTEC) repair in human CKD. Ex vivo patient-derived PTECs were cultured under normoxic (21% O2) or hypoxic (1% O2) conditions in the absence or presence of IL-1β and examined for maladaptive repair signatures. Hypoxic PTECs incubated with IL-1β displayed a discrete transcriptomic profile distinct from PTECs cultured under hypoxia alone, IL-1β alone or under normoxia. Hypoxia+IL-1β-treated PTECs had 692 ‘unique’ differentially expressed genes (DEGs) compared to normoxic PTECs, with ‘cell cycle’ the most significantly enriched KEGG pathway based on ‘unique’ down-regulated DEGs (including CCNA2, CCNB1 and CCNB2). Hypoxia+IL-1β-treated PTECs displayed signatures of cellular senescence, with reduced proliferation, G2/M cell cycle arrest, increased p21 expression, elevated senescence-associated β-galactosidase (SA-β-gal) activity and increased production of pro-inflammatory/fibrotic senescence-associated secretory phenotype (SASP) factors compared to normoxic conditions. Treatment of Hypoxia+IL-1β-treated PTECs with either a type I IL-1 receptor (IL-1RI) neutralizing antibody or a senolytic drug combination, quercetin+dasatinib, attenuated senescent cell burden. In vitro findings were validated in human CKD bio-specimens (kidney tissue, urine), with elevated PTEC IL-1RI expression and senescence (SA-β-gal activity) detected in fibrotic kidneys and numbers of senescent (SA-β-gal+) urinary PTECs correlating with urinary IL-1β levels and severity of interstitial fibrosis. Our data identify a mechanism whereby hypoxia in combination with IL-1β/IL-1RI signalling trigger PTEC senescence, providing novel therapeutic and diagnostic check-points for restoring tubular regeneration in human CKD.https://doi.org/10.1038/s41419-025-07386-6
spellingShingle Kurt T. K. Giuliani
Purba Nag
Benjamin C. Adams
Xiangju Wang
Seokchan Hong
Anca Grivei
Rebecca L. Johnston
Nicola Waddell
Kenneth K. C. Ho
Yilin Tian
Muhammad Ali Khan
Chang Seong Kim
Monica S. Y. Ng
Glenda Gobe
Jacobus P. J. Ungerer
Josephine M. Forbes
Helen G. Healy
Andrew J. Kassianos
Human proximal tubular epithelial cell interleukin-1 receptor signalling triggers G2/M arrest and cellular senescence during hypoxic kidney injury
Cell Death and Disease
title Human proximal tubular epithelial cell interleukin-1 receptor signalling triggers G2/M arrest and cellular senescence during hypoxic kidney injury
title_full Human proximal tubular epithelial cell interleukin-1 receptor signalling triggers G2/M arrest and cellular senescence during hypoxic kidney injury
title_fullStr Human proximal tubular epithelial cell interleukin-1 receptor signalling triggers G2/M arrest and cellular senescence during hypoxic kidney injury
title_full_unstemmed Human proximal tubular epithelial cell interleukin-1 receptor signalling triggers G2/M arrest and cellular senescence during hypoxic kidney injury
title_short Human proximal tubular epithelial cell interleukin-1 receptor signalling triggers G2/M arrest and cellular senescence during hypoxic kidney injury
title_sort human proximal tubular epithelial cell interleukin 1 receptor signalling triggers g2 m arrest and cellular senescence during hypoxic kidney injury
url https://doi.org/10.1038/s41419-025-07386-6
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