Inhibition of matrix metalloproteinase-9 attenuates kidney fibrosis and cellular senescence in the transition from acute kidney injury to chronic kidney disease

Background The mechanisms underlying the progression of chronic kidney disease (CKD) following acute kidney injury (AKI) remain poorly understood. Senescent cells induce maladaptive repair have been identified as a significant contributor to CKD subsequent to AKI.Purpose The purpose of this study wa...

Full description

Saved in:
Bibliographic Details
Main Authors: Daoqi Shen, Liyu Lin, Yiqi Su, Jiarui Xu, Wuhua Jiang, Zhen Zhang, Yi Fang, Xiaoqiang Ding, Xialian Xu
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Renal Failure
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/0886022X.2025.2499897
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850231971916021760
author Daoqi Shen
Liyu Lin
Yiqi Su
Jiarui Xu
Wuhua Jiang
Zhen Zhang
Yi Fang
Xiaoqiang Ding
Xialian Xu
author_facet Daoqi Shen
Liyu Lin
Yiqi Su
Jiarui Xu
Wuhua Jiang
Zhen Zhang
Yi Fang
Xiaoqiang Ding
Xialian Xu
author_sort Daoqi Shen
collection DOAJ
description Background The mechanisms underlying the progression of chronic kidney disease (CKD) following acute kidney injury (AKI) remain poorly understood. Senescent cells induce maladaptive repair have been identified as a significant contributor to CKD subsequent to AKI.Purpose The purpose of this study was to investigate the correlations between kidney fibrosis after unilateral ischemia injury and cellular senescence and explored the potential therapeutic effect of GM6001 on AKI to CKD transition.Results The study revealed a progressive increase in both fibrosis and matrix metalloproteinase 9 (MMP9) expression, peaking approximately 14 days following unilateral ischemic injury, indicating a pivotal role of MMP9 in the pathogenesis of renal fibrosis. Additionally, the research identified an elevation in markers of renal senescence over time, including SA-β-gal, P53, P21, and P16. Treatment with GM6001 demonstrated a significant reduction in both fibrosis and senescence, evidenced by decreased MMP9 expression and associated fibrotic markers, alongside improvements in cellular senescence indicators. In vitro studies further substantiated these findings, as GM6001 effectively inhibited MMP9 expression in TGF-β-stimulated HK-2 cells, reinforcing its antifibrotic and antisenescent properties and highlighting its potential as a therapeutic intervention for renal fibrosis.Conclusion The study provided compelling evidence on the role of MMP9 in the progression of renal fibrosis and the transition from AKI to CKD. The early activation of MMP9 and its association with fibrosis highlighted its potential as a therapeutic target. GM6001, through its inhibition of MMP9, offered a promising avenue for reducing both fibrosis and cellular senescence, suggesting its potential utility in ameliorating CKD.
format Article
id doaj-art-e941fbb958a94eeab82bbd639bb5758e
institution OA Journals
issn 0886-022X
1525-6049
language English
publishDate 2025-12-01
publisher Taylor & Francis Group
record_format Article
series Renal Failure
spelling doaj-art-e941fbb958a94eeab82bbd639bb5758e2025-08-20T02:03:20ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492025-12-0147110.1080/0886022X.2025.2499897Inhibition of matrix metalloproteinase-9 attenuates kidney fibrosis and cellular senescence in the transition from acute kidney injury to chronic kidney diseaseDaoqi Shen0Liyu Lin1Yiqi Su2Jiarui Xu3Wuhua Jiang4Zhen Zhang5Yi Fang6Xiaoqiang Ding7Xialian Xu8Department of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Nephrology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, ChinaDepartment of Nephrology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, ChinaDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Nephrology, Zhongshan Hospital, Fudan University, Shanghai, ChinaBackground The mechanisms underlying the progression of chronic kidney disease (CKD) following acute kidney injury (AKI) remain poorly understood. Senescent cells induce maladaptive repair have been identified as a significant contributor to CKD subsequent to AKI.Purpose The purpose of this study was to investigate the correlations between kidney fibrosis after unilateral ischemia injury and cellular senescence and explored the potential therapeutic effect of GM6001 on AKI to CKD transition.Results The study revealed a progressive increase in both fibrosis and matrix metalloproteinase 9 (MMP9) expression, peaking approximately 14 days following unilateral ischemic injury, indicating a pivotal role of MMP9 in the pathogenesis of renal fibrosis. Additionally, the research identified an elevation in markers of renal senescence over time, including SA-β-gal, P53, P21, and P16. Treatment with GM6001 demonstrated a significant reduction in both fibrosis and senescence, evidenced by decreased MMP9 expression and associated fibrotic markers, alongside improvements in cellular senescence indicators. In vitro studies further substantiated these findings, as GM6001 effectively inhibited MMP9 expression in TGF-β-stimulated HK-2 cells, reinforcing its antifibrotic and antisenescent properties and highlighting its potential as a therapeutic intervention for renal fibrosis.Conclusion The study provided compelling evidence on the role of MMP9 in the progression of renal fibrosis and the transition from AKI to CKD. The early activation of MMP9 and its association with fibrosis highlighted its potential as a therapeutic target. GM6001, through its inhibition of MMP9, offered a promising avenue for reducing both fibrosis and cellular senescence, suggesting its potential utility in ameliorating CKD.https://www.tandfonline.com/doi/10.1080/0886022X.2025.2499897Acute kidney injuryAKI-to-CKD transitioncell senescencefibrosis
spellingShingle Daoqi Shen
Liyu Lin
Yiqi Su
Jiarui Xu
Wuhua Jiang
Zhen Zhang
Yi Fang
Xiaoqiang Ding
Xialian Xu
Inhibition of matrix metalloproteinase-9 attenuates kidney fibrosis and cellular senescence in the transition from acute kidney injury to chronic kidney disease
Renal Failure
Acute kidney injury
AKI-to-CKD transition
cell senescence
fibrosis
title Inhibition of matrix metalloproteinase-9 attenuates kidney fibrosis and cellular senescence in the transition from acute kidney injury to chronic kidney disease
title_full Inhibition of matrix metalloproteinase-9 attenuates kidney fibrosis and cellular senescence in the transition from acute kidney injury to chronic kidney disease
title_fullStr Inhibition of matrix metalloproteinase-9 attenuates kidney fibrosis and cellular senescence in the transition from acute kidney injury to chronic kidney disease
title_full_unstemmed Inhibition of matrix metalloproteinase-9 attenuates kidney fibrosis and cellular senescence in the transition from acute kidney injury to chronic kidney disease
title_short Inhibition of matrix metalloproteinase-9 attenuates kidney fibrosis and cellular senescence in the transition from acute kidney injury to chronic kidney disease
title_sort inhibition of matrix metalloproteinase 9 attenuates kidney fibrosis and cellular senescence in the transition from acute kidney injury to chronic kidney disease
topic Acute kidney injury
AKI-to-CKD transition
cell senescence
fibrosis
url https://www.tandfonline.com/doi/10.1080/0886022X.2025.2499897
work_keys_str_mv AT daoqishen inhibitionofmatrixmetalloproteinase9attenuateskidneyfibrosisandcellularsenescenceinthetransitionfromacutekidneyinjurytochronickidneydisease
AT liyulin inhibitionofmatrixmetalloproteinase9attenuateskidneyfibrosisandcellularsenescenceinthetransitionfromacutekidneyinjurytochronickidneydisease
AT yiqisu inhibitionofmatrixmetalloproteinase9attenuateskidneyfibrosisandcellularsenescenceinthetransitionfromacutekidneyinjurytochronickidneydisease
AT jiaruixu inhibitionofmatrixmetalloproteinase9attenuateskidneyfibrosisandcellularsenescenceinthetransitionfromacutekidneyinjurytochronickidneydisease
AT wuhuajiang inhibitionofmatrixmetalloproteinase9attenuateskidneyfibrosisandcellularsenescenceinthetransitionfromacutekidneyinjurytochronickidneydisease
AT zhenzhang inhibitionofmatrixmetalloproteinase9attenuateskidneyfibrosisandcellularsenescenceinthetransitionfromacutekidneyinjurytochronickidneydisease
AT yifang inhibitionofmatrixmetalloproteinase9attenuateskidneyfibrosisandcellularsenescenceinthetransitionfromacutekidneyinjurytochronickidneydisease
AT xiaoqiangding inhibitionofmatrixmetalloproteinase9attenuateskidneyfibrosisandcellularsenescenceinthetransitionfromacutekidneyinjurytochronickidneydisease
AT xialianxu inhibitionofmatrixmetalloproteinase9attenuateskidneyfibrosisandcellularsenescenceinthetransitionfromacutekidneyinjurytochronickidneydisease