Cited by 92Renal Diseases and GlomerulopathiesTelomeres, Telomerase, and SenescenceGenetics, Aging, and Longevity in Model Organisms

Age-related GSK3β overexpression drives podocyte senescence and glomerular aging

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Fang, Yudong, Chen, Bohan, Liu, Zhangsuo, Gong, Athena Y., Gunning, William T., Ge, Yan, Malhotra, Deepak, Gohara, Amira F. +2 more·2022·Journal of Clinical Investigation

Abstract

As life expectancy continues to increase, clinicians are challenged by age-related renal impairment that involves podocyte senescence and glomerulosclerosis. There is now compelling evidence that lithium has a potent antiaging activity that ameliorates brain aging and increases longevity in Drosophila and Caenorhabditis elegans. As the major molecular target of lithium action and a multitasking protein kinase recently implicated in a variety of renal diseases, glycogen synthase kinase 3β (GSK3β) is overexpressed and hyperactive with age in glomerular podocytes, correlating with functional and histological signs of kidney aging. Moreover, podocyte-specific ablation of GSK3β substantially attenuated podocyte senescence and glomerular aging in mice. Mechanistically, key mediators of senescence signaling, such as p16INK4A and p53, contain high numbers of GSK3β consensus motifs, physically interact with GSK3β, and act as its putative substrates. In addition, therapeutic targeting of GSK3β by microdose lithium later in life reduced senescence signaling and delayed kidney aging in mice. Furthermore, in psychiatric patients, lithium carbonate therapy inhibited GSK3β activity and mitigated senescence signaling in urinary exfoliated podocytes and was associated with preservation of kidney function. Thus, GSK3β appears to play a key role in podocyte senescence by modulating senescence signaling and may be an actionable senostatic target to delay kidney aging.

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  • Senescent glomerular endothelial cells overexpress CDKN1A, TP53BP1, γH2AX and SERPINE1.

    “Senescent glomerular endothelial cells overexpress CDKN1A, the DNA damage markers TP53BP1 and γH2AX, and SERPINE1140,142,143.”

    From SenNet recommendations for detecting senescent cells in different tissues (2024) · cites this paper as [143]

    The Results section on senescence signaling in glomerular podocytes reports increased p21 (CDKN1A), uses γH2AX staining to assess senescence, and identifies PAI-1 (SERPINE1) as a senescence-associated factor. Those findings concern podocytes, not glomerular endothelial cells; γH2AX is not reported there as overexpressed, and the searched passages do not report TP53BP1 overexpression. (LLM, conf=0.84)

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  1. [1]O’Sullivan ED et al Renal aging: causes and consequences J Am Soc Nephrol 2017 28 2 407 420 10.1681/ASN.2015121308 28143966 PMC5280008 · DOI · Paper page
  2. [2]Hommos MS et al Structural and functional changes in human kidneys with healthy aging J Am Soc Nephrol 2017 28 10 2838 2844 10.1681/ASN.2017040421 28790143 PMC5619977 · DOI
  3. [3]Zhou XJ et al The aging kidney Kidney Int 2008 74 6 710 720 10.1038/ki.2008.319 18614996 · DOI
  4. [4]Fang Y et al The ageing kidney: molecular mechanisms and clinical implications Ageing Res Rev 2020 63 101151 10.1016/j.arr.2020.101151 32835891 PMC7595250 · DOI
  5. [6]Verzola D et al Accelerated senescence in the kidneys of patients with type 2 diabetic nephropathy Am J Physiol Renal Physiol 2008 295 5 F1563 F1573 10.1152/ajprenal.90302.2008 18768588 · DOI · Paper page
  6. [7]Zarse K et al Low-dose lithium uptake promotes longevity in humans and metazoans Eur J Nutr 2011 50 5 387 389 10.1007/s00394-011-0171-x 21301855 PMC3151375 · DOI
  7. [8]Castillo-Quan JI et al Lithium promotes longevity through GSK3/NRF2-dependent hormesis Cell Rep 2016 15 3 638 650 10.1016/j.celrep.2016.03.041 27068460 PMC4850359 · DOI
  8. [10]Shorter E The history of lithium therapy Bipolar Disord 2009 11 suppl 2 suppl 2 4 9 19538681 PMC3712976
  9. [11]Fajardo VA et al Trace lithium in Texas tap water is negatively associated with all-cause mortality and premature death Appl Physiol Nutr Metab 2018 43 4 412 414 10.1139/apnm-2017-0653 29206474 · DOI
  10. [12]Sofola-Adesakin O et al Lithium suppresses Aβ pathology by inhibiting translation in an adult Drosophila model of Alzheimer’s disease Front Aging Neurosci 2014 6 190 25126078 PMC4115666
  11. [13]Wilson EN et al NP03, a microdose lithium formulation, blunts early amyloid post-plaque neuropathology in McGill-R-Thy1-APP Alzheimer-like transgenic rats J Alzheimers Dis 2020 73 2 723 739 10.3233/JAD-190862 31868669 · DOI
  12. [14]Martinsson L et al Long-term lithium treatment in bipolar disorder is associated with longer leukocyte telomeres Transl Psychiatry 2013 3 5 e261 10.1038/tp.2013.37 23695236 PMC3669924 · DOI · Paper page
  13. [15]Coutts F et al The polygenic nature of telomere length and the anti-ageing properties of lithium Neuropsychopharmacology 2019 44 4 757 765 10.1038/s41386-018-0289-0 30559463 PMC6372618 · DOI
  14. [16]Henriques CM Ferreira MG Consequences of telomere shortening during lifespan Curr Opin Cell Biol 2012 24 6 804 808 10.1016/j.ceb.2012.09.007 23127607 · DOI
  15. [17]Bendz H et al Renal failure occurs in chronic lithium treatment but is uncommon Kidney Int 2010 77 3 219 224 10.1038/ki.2009.433 19940841 · DOI
  16. [18]Gong R et al What we need to know about the effect of lithium on the kidney Am J Physiol Renal Physiol 2016 311 6 F1168 F1171 10.1152/ajprenal.00145.2016 27122541 PMC5210210 · DOI
  17. [19]O’Brien WT Klein PS Validating GSK3 as an in vivo target of lithium action Biochem Soc Trans 2009 37 pt 5 1133 1138 19754466 PMC2747042
  18. [20]Beurel E et al Glycogen synthase kinase-3 (gsk3): regulation, actions, and diseases Pharmacol Ther 2015 148 114 131 25435019 PMC4340754
  19. [21]Li C et al The β isoform of GSK3 mediates podocyte autonomous injury in proteinuric glomerulopathy J Pathol 2016 239 1 23 35 10.1002/path.4692 26876299 PMC4833638 · DOI
  20. [22]Hurcombe JA et al Podocyte GSK3 is an evolutionarily conserved critical regulator of kidney function Nat Commun 2019 10 1 403 10.1038/s41467-018-08235-1 30679422 PMC6345761 · DOI
  21. [23]Zhou S et al Genetic and pharmacologic targeting of glycogen synthase kinase 3β reinforces the Nrf2 antioxidant defense against podocytopathy J Am Soc Nephrol 2016 27 8 2289 2308 10.1681/ASN.2015050565 26647425 PMC4978041 · DOI
  22. [24]Bao H et al Delayed administration of a single dose of lithium promotes recovery from AKI J Am Soc Nephrol 2014 25 3 488 500 10.1681/ASN.2013040350 24408869 PMC3935583 · DOI
  23. [25]Howard C et al Specific deletion of glycogen synthase kinase-3β in the renal proximal tubule protects against acute nephrotoxic injury in mice Kidney Int 2012 82 9 1000 1009 10.1038/ki.2012.239 22785175 PMC3472082 · DOI
  24. [26]Liang X et al Glycogen synthase kinase 3β hyperactivity in urinary exfoliated cells predicts progression of diabetic kidney disease Kidney Int 2020 97 1 175 192 10.1016/j.kint.2019.08.036 31791666 · DOI
  25. [27]Chen B et al Permissive effect of GSK3β on profibrogenic plasticity of renal tubular cells in progressive chronic kidney disease Cell Death Dis 2021 12 5 432 10.1038/s41419-021-03709-5 33931588 PMC8087712 · DOI
  26. [28]Tao S et al Glycogen synthase kinase-3β promotes cyst expansion in polycystic kidney disease Kidney Int 2015 87 6 1164 1175 10.1038/ki.2014.427 25629553 PMC4449797 · DOI
  27. [30]Ju W et al Defining cell-type specificity at the transcriptional level in human disease Genome Res 2013 23 11 1862 1873 10.1101/gr.155697.113 23950145 PMC3814886 · DOI
  28. [32]Lim JH et al Age-associated molecular changes in the kidney in aged mice Oxid Med Cell Longev 2012 2012 171383 23326623 PMC3544311
  29. [33]Lasagni L et al Podocyte mitosis — a catastrophe Curr Mol Med 2013 13 1 13 23 10.2174/156652413804486250 23176147 PMC3624791 · DOI
  30. [34]Sturmlechner I et al Cellular senescence in renal ageing and disease Nat Rev Nephrol 2017 13 2 77 89 10.1038/nrneph.2016.183 28029153 · DOI · Paper page
  31. [35]Yang H Fogo AB Cell senescence in the aging kidney J Am Soc Nephrol 2010 21 9 1436 1439 10.1681/ASN.2010020205 20705707 · DOI
  32. [36]Turenne GA Price BD Glycogen synthase kinase3 beta phosphorylates serine 33 of p53 and activates p53’s transcriptional activity BMC Cell Biol 2001 2 12 10.1186/1471-2121-2-12 11483158 PMC35361 · DOI
  33. [37]Watcharasit P et al Glycogen synthase kinase-3beta (GSK3beta) binds to and promotes the actions of p53 J Biol Chem 2003 278 49 48872 48879 10.1074/jbc.M305870200 14523002 PMC1361697 · DOI
  34. [38]Gump J et al Phosphorylation of p16INK4A correlates with Cdk4 association J Biol Chem 2003 278 9 6619 6622 10.1074/jbc.C200622200 12529334 · DOI
  35. [39]Ma WL et al Effect of phosphorylation and methylation on the function of the p16(INK4a) protein in non-small cell lung cancer A549 cells Oncol Lett 2015 10 4 2277 2282 10.3892/ol.2015.3617 26622834 PMC4579901 · DOI
  36. [40]Sandhu C et al p16INK4A mediates cyclin dependent kinase 4 and 6 inhibition in senescent prostatic epithelial cells Cancer Res 2000 60 10 2616 2622 10825132
  37. [41]Dohoney KM et al Phosphorylation of p53 at serine 37 is important for transcriptional activity and regulation in response to DNA damage Oncogene 2004 23 1 49 57 10.1038/sj.onc.1207005 14712210 · DOI
  38. [42]Oliveira Arcolino F et al Human urine as a noninvasive source of kidney cells Stem Cells Int 2015 2015 362562 26089913 PMC4451513
  39. [43]Ivanova EA et al Cystinosin deficiency causes podocyte damage and loss associated with increased cell motility Kidney Int 2016 89 5 1037 1048 10.1016/j.kint.2016.01.013 27083281 · DOI
  40. [44]Plotnikov EY et al Nephroprotective effect of GSK-3β inhibition by lithium ions and δ-opioid receptor agonist dalargin on gentamicin-induced nephrotoxicity Toxicol Lett 2013 220 3 303 308 10.1016/j.toxlet.2013.04.023 23651617 · DOI
  41. [45]Wang Y et al Inhibiting glycogen synthase kinase-3 reduces endotoxaemic acute renal failure by down-regulating inflammation and renal cell apoptosis Br J Pharmacol 2009 157 6 1004 1013 10.1111/j.1476-5381.2009.00284.x 19508392 PMC2737659 · DOI
  42. [46]Bao H et al Lithium targeting of AMPK protects against cisplatin-induced acute kidney injury by enhancing autophagy in renal proximal tubular epithelial cells FASEB J 2019 33 12 14370 14381 10.1096/fj.201901712R 31661633 · DOI
  43. [47]Xu J et al Low-dose lithium combined with captopril prevents stroke and improves survival in salt-loaded, stroke-prone spontaneously hypertensive rats J Hypertens 2005 23 12 2277 2285 10.1097/01.hjh.0000189868.48290.d8 16269970 · DOI
  44. [48]Hart DA et al Partial characterization of the enhanced survival of female NZB/W mice treated with lithium chloride Int J Immunopharmacol 1994 16 10 825 833 10.1016/0192-0561(94)90056-6 7843854 · DOI
  45. [49]Xu W et al Glycogen synthase kinase 3β dictates podocyte motility and focal adhesion turnover by modulating paxillin activity: implications for the protective effect of low-dose lithium in podocytopathy Am J Pathol 2014 184 10 2742 2756 10.1016/j.ajpath.2014.06.027 25239564 PMC4188873 · DOI
  46. [50]Grünfeld JP Rossier BC Lithium nephrotoxicity revisited Nat Rev Nephrol 2009 5 5 270 276 10.1038/nrneph.2009.43 19384328 · DOI
  47. [51]Alsady M et al Lithium in the kidney: friend and foe? J Am Soc Nephrol 2016 27 6 1587 1595 10.1681/ASN.2015080907 26577775 PMC4884121 · DOI
  48. [52]Forlenza OV et al Neuroprotective effects of lithium: implications for the treatment of Alzheimer’s disease and related neurodegenerative disorders ACS Chem Neurosci 2014 5 6 443 450 10.1021/cn5000309 24766396 PMC4063497 · DOI
  49. [53]Kato H et al Wnt/β-catenin pathway in podocytes integrates cell adhesion, differentiation, and survival J Biol Chem 2011 286 29 26003 26015 10.1074/jbc.M111.223164 21613219 PMC3138306 · DOI
  50. [54]Kato H Susztak K Repair problems in podocytes: Wnt, Notch, and glomerulosclerosis Semin Nephrol 2012 32 4 350 356 10.1016/j.semnephrol.2012.06.006 22958489 PMC3466477 · DOI
  51. [55]Doble BW et al Functional redundancy of GSK-3alpha and GSK-3beta in Wnt/beta-catenin signaling shown by using an allelic series of embryonic stem cell lines Dev Cell 2007 12 6 957 971 10.1016/j.devcel.2007.04.001 17543867 PMC4485918 · DOI
  52. [56]Wiggins JE et al Podocyte hypertrophy, “adaptation,” and “decompensation” associated with glomerular enlargement and glomerulosclerosis in the aging rat: prevention by calorie restriction J Am Soc Nephrol 2005 16 10 2953 2966 10.1681/ASN.2005050488 16120818 · DOI
  53. [57]Puelles VG et al Human podocyte depletion in association with older age and hypertension Am J Physiol Renal Physiol 2016 310 7 F656 F668 10.1152/ajprenal.00497.2015 26792066 · DOI
  54. [58]Ronconi E et al Regeneration of glomerular podocytes by human renal progenitors J Am Soc Nephrol 2009 20 2 322 332 10.1681/ASN.2008070709 19092120 PMC2637058 · DOI
  55. [59]Lindgren D et al Isolation and characterization of progenitor-like cells from human renal proximal tubules Am J Pathol 2011 178 2 828 837 10.1016/j.ajpath.2010.10.026 21281815 PMC3070548 · DOI
  56. [60]Tian X et al Podocyte-associated talin1 is critical for glomerular filtration barrier maintenance J Clin Invest 2014 124 3 1098 1113 10.1172/JCI69778 24531545 PMC3934159 · DOI
  57. [61]Gong R et al Glycogen synthase kinase 3beta: a novel marker and modulator of inflammatory injury in chronic renal allograft disease Am J Transplant 2008 8 9 1852 1863 10.1111/j.1600-6143.2008.02319.x 18786229 · DOI
  58. [62]Koop K et al Expression of podocyte-associated molecules in acquired human kidney diseases J Am Soc Nephrol 2003 14 8 2063 2071 10.1097/01.ASN.0000078803.53165.C9 12874460 · DOI

Cited by

Sorted by citations

Authors
Fang, Y., Chen, B., Liu, Z., Gong, A. Y., Gunning, W. T., Ge, Y., Malhotra, D., Gohara, A. F., Dworkin, L. D., & Gong, R.
Affiliations
  • First Affiliated Hospital of Zhengzhou University (CN)
  • Brown University (US)
Corresponding author
Gong, Rujun
Venue
Journal of Clinical Investigation
Published
2022-02-15
Volume
132
Issue
4
ISSN
  • 0021-9738 (ISSN-L)
  • 1558-8238
OpenAlex
W4213021225
Cited by
92
References
4
Citations by year
2026: 9 · 2025: 24 · 2024: 26 · 2023: 20 · 2022: 12 · 2020: 1
FWCI
13.01
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
the U.S. National Institutes of Health (R01DK114006)
Topics
  • Health Sciences › Medicine › Nephrology › Renal Diseases and Glomerulopathies
  • Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
Keywords
GSK3β, kidney aging, lithium, glomerulosclerosis, p16INK4a, p53
MeSH terms
Glycogen Synthase Kinase 3 beta, Adult, Aging, Animals, Female, Humans, Male, Middle Aged, Gene Expression Regulation, Enzymologic, Cellular Senescence, Mice, Knockout, Podocytes, Mice

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