GPX4 expression changes in proximal tubule cells highlight the role of ferroptosis in IgAN

Abstract As an important mechanism of renal injury, oxidative stress (OS) is inseparable from the occurrence of renal fibrosis and the rapid progression of renal failure. However, the contribution of OS to IgA nephropathy (IgAN), the primary driver of chronic kidney disease remains uncertain. To inv...

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Main Authors: Jianbo Qing, Lijuan Zhang, Ru Fan, Huiwen Zhi, Changqun Li, Yaheng Li, Junnan Wu, Chongyang Han, Yafeng Li
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-87228-9
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author Jianbo Qing
Lijuan Zhang
Ru Fan
Huiwen Zhi
Changqun Li
Yaheng Li
Junnan Wu
Chongyang Han
Yafeng Li
author_facet Jianbo Qing
Lijuan Zhang
Ru Fan
Huiwen Zhi
Changqun Li
Yaheng Li
Junnan Wu
Chongyang Han
Yafeng Li
author_sort Jianbo Qing
collection DOAJ
description Abstract As an important mechanism of renal injury, oxidative stress (OS) is inseparable from the occurrence of renal fibrosis and the rapid progression of renal failure. However, the contribution of OS to IgA nephropathy (IgAN), the primary driver of chronic kidney disease remains uncertain. To investigate the effects of OS in IgAN, and identify the mechanisms of cell and tissue injury and protection, single-cell RNA sequencing (scRNA-seq) data and microarray data of IgAN were collected and analyzed. Through gene set variation analysis (GSVA), we identified significant alterations in the activity of multiple OS pathways within the proximal tubule cells (PTCs) of IgAN patients. Subsequent enrichment analysis revealed that the differentially expressed genes associated with OS in PTCs were primarily linked to the process of ferroptosis. Therefore, regulators of ferroptosis were collected to define the ferroptosis activity of PTCs in IgAN, and we found that the activity of suppressing ferroptosis was significantly enhanced. Moreover, being the central controller of ferroptosis, the expression of GPX4 in the PTCs of IgAN is extremely significant, which has been further verified by immunohistochemistry in kidney tissues of IgAN patients. Additionally, the GSVA of microarray data of IgAN indicated that the activity of driving ferroptosis and suppressing ferroptosis in tubulointerstitium were markedly decreased, however, the inhibition of ferroptosis in the tubulointerstitium of IgAN is relatively stronger. These findings demonstrate that ferroptosis inhibition may be a potential mechanism to alleviate OS injury in IgAN, and GPX4 could not only function as a specific marker for PTCs in IgAN but also represent a potential therapeutic target to halt the progression of the disease.
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spelling doaj-art-d99d97d08f7a49a99c465af386e19a002025-02-02T12:20:22ZengNature PortfolioScientific Reports2045-23222025-01-0115111410.1038/s41598-025-87228-9GPX4 expression changes in proximal tubule cells highlight the role of ferroptosis in IgANJianbo Qing0Lijuan Zhang1Ru Fan2Huiwen Zhi3Changqun Li4Yaheng Li5Junnan Wu6Chongyang Han7Yafeng Li8Department of Nephrology, Shanxi Provincial People’s Hospital (Fifth Hospital), Shanxi Medical UniversityDepartment of Nephrology, Shanxi Provincial People’s Hospital (Fifth Hospital), Shanxi Medical UniversityDepartment of Nephrology, Shanxi Provincial People’s Hospital (Fifth Hospital), Shanxi Medical UniversityDepartment of Nephrology, Shanxi Provincial People’s Hospital (Fifth Hospital), Shanxi Medical UniversityDepartment of Nephrology, Shanxi Provincial People’s Hospital (Fifth Hospital), Shanxi Medical UniversityLaboratory for Molecular Diagnosis and Treatment of Kidney Disease, Shanxi Provincial People’s Hospital (Fifth Hospital), Shanxi Medical UniversityDepartment of Nephrology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Nephrology, Shanxi Provincial People’s Hospital (Fifth Hospital), Shanxi Medical UniversityDepartment of Nephrology, Shanxi Provincial People’s Hospital (Fifth Hospital), Shanxi Medical UniversityAbstract As an important mechanism of renal injury, oxidative stress (OS) is inseparable from the occurrence of renal fibrosis and the rapid progression of renal failure. However, the contribution of OS to IgA nephropathy (IgAN), the primary driver of chronic kidney disease remains uncertain. To investigate the effects of OS in IgAN, and identify the mechanisms of cell and tissue injury and protection, single-cell RNA sequencing (scRNA-seq) data and microarray data of IgAN were collected and analyzed. Through gene set variation analysis (GSVA), we identified significant alterations in the activity of multiple OS pathways within the proximal tubule cells (PTCs) of IgAN patients. Subsequent enrichment analysis revealed that the differentially expressed genes associated with OS in PTCs were primarily linked to the process of ferroptosis. Therefore, regulators of ferroptosis were collected to define the ferroptosis activity of PTCs in IgAN, and we found that the activity of suppressing ferroptosis was significantly enhanced. Moreover, being the central controller of ferroptosis, the expression of GPX4 in the PTCs of IgAN is extremely significant, which has been further verified by immunohistochemistry in kidney tissues of IgAN patients. Additionally, the GSVA of microarray data of IgAN indicated that the activity of driving ferroptosis and suppressing ferroptosis in tubulointerstitium were markedly decreased, however, the inhibition of ferroptosis in the tubulointerstitium of IgAN is relatively stronger. These findings demonstrate that ferroptosis inhibition may be a potential mechanism to alleviate OS injury in IgAN, and GPX4 could not only function as a specific marker for PTCs in IgAN but also represent a potential therapeutic target to halt the progression of the disease.https://doi.org/10.1038/s41598-025-87228-9IgA nephropathyProximal tubule cellTubulointerstitiumOxidative stressFerroptosis
spellingShingle Jianbo Qing
Lijuan Zhang
Ru Fan
Huiwen Zhi
Changqun Li
Yaheng Li
Junnan Wu
Chongyang Han
Yafeng Li
GPX4 expression changes in proximal tubule cells highlight the role of ferroptosis in IgAN
Scientific Reports
IgA nephropathy
Proximal tubule cell
Tubulointerstitium
Oxidative stress
Ferroptosis
title GPX4 expression changes in proximal tubule cells highlight the role of ferroptosis in IgAN
title_full GPX4 expression changes in proximal tubule cells highlight the role of ferroptosis in IgAN
title_fullStr GPX4 expression changes in proximal tubule cells highlight the role of ferroptosis in IgAN
title_full_unstemmed GPX4 expression changes in proximal tubule cells highlight the role of ferroptosis in IgAN
title_short GPX4 expression changes in proximal tubule cells highlight the role of ferroptosis in IgAN
title_sort gpx4 expression changes in proximal tubule cells highlight the role of ferroptosis in igan
topic IgA nephropathy
Proximal tubule cell
Tubulointerstitium
Oxidative stress
Ferroptosis
url https://doi.org/10.1038/s41598-025-87228-9
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