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Tonnus, Wulf; Maremonti, Francesca; Belavgeni, Alexia; Latk, Markus; Brucker, Anne; Maessenhausen, Anne von; Meyer, Claudia; Locke, Sophie; Gembardt, Florian; Beer, Kristina; Hoppenz, Paul; Hugo, Christian; Anders, Hans-Joachim; Bornstein, Stefan; Shao, Feng; Linkermann, Andreas; Kusunoki, Yoshihiro und Becker, Jan U. (2022): Gasdermin D-deficient mice are hypersensitive to acute kidney injury. In: Cell Death & Disease, Bd. 13, Nr. 9, 792

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Abstract

Signaling pathways of regulated necrosis, such as necroptosis and ferroptosis, contribute to acute kidney injury (AKI), but the role of pyroptosis is unclear. Pyroptosis is mediated by the pore-forming protein gasdermin D (GSDMD). Here, we report a specific pattern of GSDMD-protein expression in the peritubular compartment of mice that underwent bilateral ischemia and reperfusion injury (IRI). Along similar lines, the GSDMD-protein expression in whole kidney lysates increased during the first 84 h following cisplatin-induced AKI. Importantly, unlike whole kidney lysates, no GSDMD-protein expression was detectable in isolated kidney tubules. In IRI and cisplatin-induced AKI, GSDMD-deficient mice exhibited hypersensitivity to injury as assessed by tubular damage, elevated markers of serum urea, and serum creatinine. This hypersensitivity was reversed by a combined deficiency of GSDMD and the necroptosis mediator mixed lineage kinase domain-like (MLKL). In conclusion, we demonstrate a non-cell autonomous role for GSDMD in protecting the tubular compartment from necroptosis-mediated damage in IRI.

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