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Indoxyl sulfate down-regulates SLCO4C1 transporter through up-regulation of GATA3

The accumulated uremic toxins inhibit the expression of various renal transporters and this inhibition may further reduce renal function and subsequently cause the accumulation of uremic toxins. However, the precise mechanism of the nephrotoxicity of uremic toxins on renal transport has been poorly...

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Published in:PloS one 2013-07, Vol.8 (7), p.e66518
Main Authors: Akiyama, Yasutoshi, Kikuchi, Koichi, Saigusa, Daisuke, Suzuki, Takehiro, Takeuchi, Yoichi, Mishima, Eikan, Yamamoto, Yasuaki, Ishida, Ayako, Sugawara, Daiki, Jinno, Daisuke, Shima, Hisato, Toyohara, Takafumi, Suzuki, Chitose, Souma, Tomokazu, Moriguchi, Takashi, Tomioka, Yoshihisa, Ito, Sadayoshi, Abe, Takaaki
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cited_by cdi_FETCH-LOGICAL-c758t-ebb75d70470e2978933d8c94eb9378c5998b2fbc9d91a184182f50fe7755e7543
cites cdi_FETCH-LOGICAL-c758t-ebb75d70470e2978933d8c94eb9378c5998b2fbc9d91a184182f50fe7755e7543
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container_issue 7
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creator Akiyama, Yasutoshi
Kikuchi, Koichi
Saigusa, Daisuke
Suzuki, Takehiro
Takeuchi, Yoichi
Mishima, Eikan
Yamamoto, Yasuaki
Ishida, Ayako
Sugawara, Daiki
Jinno, Daisuke
Shima, Hisato
Toyohara, Takafumi
Suzuki, Chitose
Souma, Tomokazu
Moriguchi, Takashi
Tomioka, Yoshihisa
Ito, Sadayoshi
Abe, Takaaki
description The accumulated uremic toxins inhibit the expression of various renal transporters and this inhibition may further reduce renal function and subsequently cause the accumulation of uremic toxins. However, the precise mechanism of the nephrotoxicity of uremic toxins on renal transport has been poorly understood. Here we report that indoxyl sulfate, one of the potent uremic toxins, directly suppresses the renal-specific organic anion transporter SLCO4C1 expression through a transcription factor GATA3. The promoter region of SLCO4C1 gene has several GATA motifs, and indoxyl sulfate up-regulated GATA3 mRNA and subsequently down-regulated SLCO4C1 mRNA. Overexpression of GATA3 significantly reduced SLCO4C1 expression, and silencing of GATA3 increased SLCO4C1 expression vice versa. Administration of indoxyl sulfate in rats reduced renal expression of slco4c1 and under this condition, plasma level of guanidinosuccinate, one of the preferable substrates of slco4c1, was significantly increased without changing plasma creatinine. Furthermore, in 5/6 nephrectomized rats, treatment with oral adsorbent AST-120 significantly decreased plasma indoxyl sulfate level and conversely increased the expression of slco4c1, following the reduction of plasma level of guanidinosuccinate. These data suggest that the removal of indoxyl sulfate and blocking its signal pathway may help to restore the SLCO4C1-mediated renal excretion of uremic toxins in CKD.
doi_str_mv 10.1371/journal.pone.0066518
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However, the precise mechanism of the nephrotoxicity of uremic toxins on renal transport has been poorly understood. Here we report that indoxyl sulfate, one of the potent uremic toxins, directly suppresses the renal-specific organic anion transporter SLCO4C1 expression through a transcription factor GATA3. The promoter region of SLCO4C1 gene has several GATA motifs, and indoxyl sulfate up-regulated GATA3 mRNA and subsequently down-regulated SLCO4C1 mRNA. Overexpression of GATA3 significantly reduced SLCO4C1 expression, and silencing of GATA3 increased SLCO4C1 expression vice versa. Administration of indoxyl sulfate in rats reduced renal expression of slco4c1 and under this condition, plasma level of guanidinosuccinate, one of the preferable substrates of slco4c1, was significantly increased without changing plasma creatinine. Furthermore, in 5/6 nephrectomized rats, treatment with oral adsorbent AST-120 significantly decreased plasma indoxyl sulfate level and conversely increased the expression of slco4c1, following the reduction of plasma level of guanidinosuccinate. These data suggest that the removal of indoxyl sulfate and blocking its signal pathway may help to restore the SLCO4C1-mediated renal excretion of uremic toxins in CKD.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23874392</pmid><doi>10.1371/journal.pone.0066518</doi><tpages>e66518</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
ispartof PloS one, 2013-07, Vol.8 (7), p.e66518
issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_1974583909
source Publicly Available Content (ProQuest); PubMed Central
subjects Animals
Biological Transport
Biology
Carbon - administration & dosage
Carbon - pharmacology
Cell Line
Creatinine
Disease Models, Animal
Down-Regulation - drug effects
Endocrinology
Excretion
GATA-3 protein
GATA3 Transcription Factor - genetics
GATA3 Transcription Factor - metabolism
Gene expression
Gene Expression Regulation - drug effects
Genes
Health promotion
Humans
Indican - pharmacology
Kidney diseases
Kidney Failure, Chronic - genetics
Kidney Failure, Chronic - metabolism
Kidney Failure, Chronic - physiopathology
Laboratories
Medicine
Nephrology
Oncology
Organic Anion Transporters - genetics
Organic Anion Transporters - metabolism
Oxidative stress
Oxides - administration & dosage
Oxides - pharmacology
Pharmaceutical sciences
Pharmacy
Proteins
Rats
Renal function
RNA
Rodents
Substrates
Sulfates
Toxins
Toxins, Biological - pharmacology
Transcription (Genetics)
University graduates
title Indoxyl sulfate down-regulates SLCO4C1 transporter through up-regulation of GATA3
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