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2016 Fiscal Year Final Research Report

Role of NAD metabolism in chronic kidney diseases

Research Project

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Project/Area Number 26461223
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Kidney internal medicine
Research InstitutionShiga University of Medical Science

Principal Investigator

Araki Hisazumi  滋賀医科大学, 医学部, 助教 (00362369)

Co-Investigator(Renkei-kenkyūsha) KUME Shinji  滋賀医科大学, 医学部, 助教 (00452235)
Research Collaborator TANAKA Yuki  
Project Period (FY) 2014-04-01 – 2017-03-31
Keywords慢性腎臓病 / 蛋白尿 / 脂肪毒性 / NAD代謝
Outline of Final Research Achievements

Free fatty acid-bound albumin (FFA-albumin) is involved in the pathogenesis of proteinuric chronic kidney diseases (CKD). Nicotinamide adenine dinucleotide (NAD) metabolism has recently been focused as a novel therapeutic target for several modern diseases. This study was designed to identify a novel molecule in NAD metabolism to protect kidneys from lipotoxicity. Among 19 candidate enzymes involved in mammalian NAD metabolism, the mRNA expression level of nicotinamide n-methyltransferase (NNMT) was significantly increased in both the kidneys of FFA-albumin-overloaded mice and cultured cells stimulated with FFA-albumin. Overexpression of NNMT and 1-MNA, the metabolite of NNMT, inhibited FFA-albumin-induced cell death. Furthermore, oral administration of 1-MNA ameliorated kidney injury in FFA-albumin-overloaded mice. In conclusion, NNMT-derived 1-MNA can reduce renal lipotoxicity. Supplementation of 1-MNA may have potential as a new therapy in CKD patients with refractory proteinuria.

Free Research Field

腎臓内科

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Published: 2018-03-22  

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