Chronic high glucose causes podocyte epithelial-mesenchymal transition
through lactate-induced histone lactylation
Abstract
Background and Purpose: Diabetic nephropathy (DN) closely relates to
morphological and functional changes in podocytes, and anaerobic
glycolysis represents the predominant energy source of podocytes.
However, it is unknown whether lactate accumulation in chronic high
glucose caused epithelial-mesenchymal transition (EMT) of podocytes
through lactate-derived histone lactylation. Experimental Approach: We
examined biomarkers of podocytes and mesenchymal cells as well as
lactylation of histone lysine residues (HKla) in mouse MPC cells
cultured with high glucose (HG) or lactate (LA). Moreover, these indices
were observed in MPCs after HG co-culture with multiple interventions of
lactate levels, and differently expressed genes (DEGs) were screened
using RNA sequencing. Finally, renal pathological characteristics and
histone lactylation were investigated in diabetic mice with
lactate-lowering treatments. Key Results: Both HG and LA decreased
nephrin levels while increased collagen IV levels in MPCs, and HG and LA
stimulation synchronously elevated HKla levels. However, co-treatment
with oxamate or dichloroacetate reducing lactate levels alleviated
decreases in nephrin and ZO-1 levels and increases in collagen IV and α
smooth muscle actin levels as well as HKla levels in HG-cultured MPCs,
but co-treatment with rotenone diversely affected these indices. RNA
sequencing found eleven DEGs in HG-cultured MPCs after oxamate or
dichloroacetate intervention and qPCR experiments validated four of
them. Importantly, oxamate or dichloroacetate treatment attenuated renal
functions, EMT, and histone lactylation in kidney of diabetic mice.
Conclusion and Implications: This study clarified that lactate mediated
chronic high glucose-caused podocyte EMT through lactate-induced histone
lactylation, and then promoted the pathological process of DN.