Hepatitis B virus X mediates podocyte pyroptosis by regulating the ROS/NLRP3 signaling pathway in hepatitis B virus-associated glomerulonephritis

Document Type : Original Article

Authors

1 Department of Nephrology, The Affiliated Hospital of Qingdao University, Qingdao 266003, Shandong, China

2 Health Management Center, The Affiliated Hospital of Qingdao University, Qingdao 266003, Shandong, China

Abstract

Objective(s): This study was designed to investigate whether HBx-induced podocyte injury is related to the nucleotide-binding oligomerization domain-like receptor protein 3 (NLRP3) inflammasome and the specific mechanism of the oxidative stress pathway in hepatitis B virus-associated glomerulonephritis (HBV-GN).
Materials and Methods: The HBx gene was overexpressed in renal podocytes to mimic HBV-GN. Podocyte morphology was observed under a scanning electron microscope. Reactive oxygen species (ROS) generation was detected by dichlorodihydrofluorescein diacetate (DCFH-DA) assay. The podocytes in each group were treated with Hoechst 33342 and subjected to immunofluorescence staining. Caspase-1 activity and LDH levels were assessed with a Caspase-1 Activity Assay Kit and an LDH ELISA Kit, respectively. The expression of all pyroptosis-related proteins was examined by Western blot analysis.
Results: Pyroptosis-related proteins, including NLRP3, apoptosis-associated speck-like protein containing card (ASC), caspase-1, IL-1β, and IL-18 (P<0.05), were up-regulated upon HBx overexpression, and caspase-1 enzyme activity and LDH and Desmin expression were also enhanced (P<0.05). NLRP3 knockdown attenuated the increased expression of pyroptosis-related proteins upon HBx overexpression (P<0.05), which was also achieved by the addition of an ROS inhibitor (P<0.05).
Conclusion: HBx regulates podocyte pyroptosis in HBV-GN by targeting the NLRP3 inflammasome, and mitochondrial oxidative stress plays an important role in this process.

Keywords


1.    Slagle, B. L. et al. Technical standards for hepatitis B virus X protein (HBx) research[J). Hepatology 61, 1416-1424.
2.    He, P. et al. Hepatitis B virus X protein modulates apoptosis in human renal proximal tubular epithelial cells by activating the JAK2/STAT3 signaling pathway[J]. International journal of molecular medicine 31, 1017-1029.
3.    Schroder, K. & Tschopp, J. The inflammasomes[J]. Cell 140, 821-832.
4.    Miller, C. M. et al. The role of the P2X(7) receptor in infectious diseases[J]. PLoS pathogens 7, e1002212
5.    Jiang, W. et al. Activation of the NLRP3/caspase-1 inflammasome in human dental pulp tissue and human dental pulp fibroblasts[J]. Cell and tissue research 361, 541-555.
6.    Zhang C,Boini KM,Xia M,et al.Activation of Nod-like receptor protein 3 inflammasomes turns on podocyte injury and glomerular sclerosis in hyperhomocysteinemia[J]. Hypertension,2012,60(1):154-162.
7.    Wang W,Ding XQ,Gu TT,et al.Pterostilbene and allopurinol reduce fructose-induced podocyte oxidative stress and inflammation via microRNA-377[J]. Free Radical Bio Med,2015,83:214-226.
8.    Singh GB,Kshirasagar N,Patibandla S,et al.Nicotine instigates podocyte injury via NLRP3 inflammasomes activation[J]. Aging (Albany NY),2019,11(24):12810-12821.
9.    Nagata, M., Tomari, S., Kanemoto, K., Usui, J. & Lemley, K. V. Podocytes, parietal cells, and glomerular pathology: the role of cell cycle proteins[J]. Pediatric nephrology 18, 3-8.
10.    Pavenstadt, H., Kriz, W. & Kretzler, M. Cell biology of the glomerular podocyte[J]. Physiological reviews 83, 253-307.
11.    Lin Chun-Liang,Lee Pei-Hsien,Hsu Yung-Chien et al. MicroRNA-29a promotion of nephrin acetylation ameliorates hyperglycemia-induced podocyte dysfunction.[J] .J Am Soc Nephrol, 2014, 25: 1698-709.
12.    Herzer, K., Sprinzl, M. F. & Galle, P. R. Hepatitis viruses: live and let die[J]. Liver international : official journal of the International Association for the Study of the Liver 27, 293-301.
13.    Jiang Wei,Liu Tuo,Dong Hui et al. Relationship Between Serum DNA Replication, Clinicopathological Characteristics and Prognosis of Hepatitis B Virus-associated Glomerulonephritis with Severe Proteinuria by Lamivudine Plus Adefovir Dipivoxil Combination Therapy.[J] .Biomed Environ Sci, 2015, 28: 206-13.
14.    Fu Baohui,Ji Yue,Hu Shouci et al. Efficacy and safety of anti-viral therapy for Hepatitis B virus-associated glomerulonephritis: A meta-analysis.[J] .PLoS One, 2020, 15: e0227532.
15.    Xie Wen-Hui,Ding Jian,Xie Xiao-Xia et al. Hepatitis B virus X protein promotes liver cell pyroptosis under oxidative stress through NLRP3 inflammasome activation.[J] .Inflamm Res, 2020, 69: 683-696.
16.    Diao Zongli,Ding Jiaxiang,Yin Chenghong et al. Purified hepatitis B virus induces human mesangial cell proliferation and extracellular matrix expression in vitro.[J] .Virol J, 2013, 10: 300.
17.    Hui D,Yan X,Wei J et al. Significance of mutations in hepatitis B virus X gene for the pathogenesis of HB-associated glomerulonephritis.[J] .Acta Virol, 2014, 58: 278-81.
18.    Qu Siming,Jin Li,Huang Hanfei et al. A positive-feedback loop between HBx and ALKBH5 promotes hepatocellular carcinogenesis.[J] .BMC Cancer, 2021, 21: 686.
19.    Cho, H. K., Kim, S. Y., Yoo, S. K., Choi, Y. H. & Cheong, J. Fatty acids increase hepatitis B virus X protein stabilization and HBx-induced inflammatory gene expression[J]. The FEBS journal 281, 2228-2239.
20.    Lee, M. O. et al. Hepatitis B virus X protein induced expression of interleukin 18 (IL-18): a potential mechanism for liver injury caused by hepatitis B virus (HBV) infection[J]. J Hepatol 37, 380-386.
21.    He Ping,Zhang Beiru,Liu Dajun et al. Hepatitis B Virus X Protein Modulates Apoptosis in NRK-52E Cells and Activates Fas/FasL Through the MLK3-MKK7-JNK3 Signaling Pathway.[J] .Cell Physiol Biochem, 2016, 39: 1433-43.
22.    Kim Yang Gyun,Kim Su-Mi,Kim Ki-Pyo et al. The Role of Inflammasome-Dependent and Inflammasome-Independent NLRP3 in the Kidney.[J] .Cells, 2019, 8: undefined.
23.    Patel Seema,Inflammasomes, the cardinal pathology mediators are activated by pathogens, allergens and mutagens: A critical review with focus on NLRP3.[J] .Biomed Pharmacother, 2017, 92: 819-825.
24.    Zhivaki Dania,Kagan Jonathan C,NLRP3 inflammasomes that induce antitumor immunity.[J] .Trends Immunol, 2021, 42: 575-589.
25.    Wang Yao,Li Xun,Chen Qian et al. The relationship between liver pathological inflammation degree and pyroptosis in chronic hepatitis B patients.[J] .J Med Virol, 2021, undefined: undefined.
26.    Franklin, B. S. et al. The adaptor ASC has extracellular and ‘prionoid’ activities that propagate inflammation[J]. Nature immunology 15, 727-737.
27.    Zhang Ke-Jia,Wu Qi,Jiang Shi-Min et al. Pyroptosis: A New Frontier in Kidney Diseases.[J] .Oxid Med Cell Longev, 2021, 2021: 6686617.
28.    Jiang Chunxia,Wang Yuping,Guo Man et al. PCB118 Induces Inflammation of Islet Beta Cells via Activating ROS-NLRP3 Inflammasome Signaling.[J] .Biomed Res Int, 2021, 2021: 5522578.
29.    Xu Qingxue,Zhao Bo,Ye Yingze et al. Relevant mediators involved in and therapies targeting the inflammatory response induced by activation of the NLRP3 inflammasome in ischemic stroke.[J] .J Neuroinflammation, 2021, 18: 123.
30.    Wang Yue,Zhao Yan,Wang Zhecheng et al. Peroxiredoxin 3 Inhibits Acetaminophen-Induced Liver Pyroptosis Through the Regulation of Mitochondrial ROS.[J] .Front Immunol, 2021, 12: 652782.
31.    Zheng Tong,Tan Yuqin,Qiu Jiang et al. Alternative polyadenylation trans-factor FIP1 exacerbates UUO/IRI-induced kidney injury and contributes to AKI-CKD transition via ROS-NLRP3 axis.[J] .Cell Death Dis, 2021, 12: 512.
32.    Abais Justine M,Zhang Chun,Xia Min et al. NADPH oxidase-mediated triggering of inflammasome activation in mouse podocytes and glomeruli during hyperhomocysteinemia.[J] .Antioxid Redox Signal, 2013, 18: 1537-48.
33.    Conley Sabena M,Abais-Battad Justine M,Yuan Xinxu et al. Contribution of guanine nucleotide exchange factor Vav2 to NLRP3 inflammasome activation in mouse podocytes during hyperhomocysteinemia.[J] .Free Radic Biol Med, 2017, 106: 236-244.
34.    Abais Justine M,Xia Min,Li Guangbi et al. Contribution of endogenously produced reactive oxygen species to the activation of podocyte NLRP3 inflammasomes in hyperhomocysteinemia.[J] .Free Radic Biol Med, 2014, 67: 211-20.
35.    Fu Rong,Guo Chaohuan,Wang Shuang et al. Podocyte Activation of NLRP3 Inflammasomes Contributes to the Development of Proteinuria in Lupus Nephritis.[J] .Arthritis Rheumatol, 2017, 69: 1636-1646.
36.    Yan J,Li Y,Yang H et al. Interleukin-17A participates in podocyte injury by inducing IL-1β secretion through ROS-NLRP3 inflammasome-caspase-1 pathway.[J] .Scand J Immunol, 2018, 87: e12645.
37.    Li Xue,Zou Yu,Fu Yuan-Yuan et al. Ibudilast Attenuates Folic Acid-Induced Acute Kidney Injury by Blocking Pyroptosis Through TLR4-Mediated NF-κB and MAPK Signaling Pathways.[J] .Front Pharmacol, 2021, 12: 650283.
38.    Hua Kuo-Feng,Yang Shun-Min,Kao Tzu-Yang et al. Osthole mitigates progressive IgA nephropathy by inhibiting reactive oxygen species generation and NF-κB/NLRP3 pathway.[J] .PLoS One, 2013, 8: e77794.
39.    Ding Tao,Wang Shaofei,Zhang Xuyao et al. Kidney protection effects of dihydroquercetin on diabetic nephropathy through suppressing ROS and NLRP3 inflammasome.[J] .Phytomedicine, 2018, 41: 45-53.
40.    Liu Xuemei,Liu Hui,Lu Xiaoxiao et al. N-acetylcysteine alleviates ocular surface damage in STZ-induced diabetic mice by inhibiting the ROS/NLRP3/Caspase-1/IL-1β signaling pathway.[J] .Exp Eye Res, 2021, undefined: 108654.
41.    Shahzad Khurrum,Bock Fabian,Al-Dabet Moh’d Mohanad et al. Stabilization of endogenous Nrf2 by minocycline protects against Nlrp3-inflammasome induced diabetic nephropathy.[J] .Sci Rep, 2016, 6: 34228.