Why the study?
Endoplasmic reticulum regulation during ischemia-reperfusion in aged kidneys is unclear, prompting investigation into whether the hydrogen sulfide donor diallyl trisulfide mitigates acute kidney injury in aged female kidneys.
Does diallyl trisulfide mitigate ischemia-reperfusion-induced ER stress and kidney dysfunction in aged female mice?
Does diallyl trisulfide mitigate ischemia-reperfusion-induced ER stress and kidney dysfunction in aged female mice?
Diallyl trisulfide (DATS) protects against ischemia-reperfusion-induced acute kidney injury in aged female mice by reducing ER stress and promoting angiogenesis.
DATS may protect aged female kidneys from IRI via ER stress modulation; leaves open whether H2S donors merit human trials in elderly AKI.
Ischemia-reperfusion injury (IRI) is a common cause of acute kidney injury (AKI) in the aging population. Gender studies show that aging is associated with loss of protection from AKI in the female population. While ER stress contributes to IRI-induced AKI in the young, ER regulation during IR in the aged kidney is unclear. Because current evidence suggests hydrogen sulfide (H2S) modulates ER stress, we investigated whether exogenous supplementation of diallyl trisulfide (DATS), an H2S donor, mitigates AKI in aged female kidneys. Wild-type (WT, C57BL/6J) mice aged 75–78 weeks were treated with or without DATS before and after renal IRI. IRI increased ER stress proteins, inflammation, and fibrosis markers in the IRI kidney compared to the control. DATS mitigated ER stress, and reduced inflammation and fibrosis markers in the IRI kidney. Further, IRI kidneys demonstrated reduced blood flow, vascularity, angiogenesis, increased resistive index (RI), and reduced function. DATS treatment upregulated PI3K, AKT, p-mTOR, and pMAPK signaling to stimulate angiogenesis, which improved vascular density, blood flow, and renal function. Together, our results suggest that DATS rescues the aged female kidney IRI by modulating ER stress and upregulation of angiogenesis.
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Pushpakumar et al. (2025) studied this question.
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