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From the Department of Internal Medicine,*
Division of
Nephrology, University of Michigan and the Veterans Administration
Medical Center, Ann Arbor, Michigan; the Departments of Pathology and
Medicine,
The University of Texas Health
Science Center at San Antonio, San Antonio, Texas; and the Division of
Child Development,
Childrens Hospital of
Philadelphia, and the Department of Pediatrics, University of
Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Anaerobic mitochondrial metabolism of
-ketoglutarate and
aspartate or
-ketoglutarate and malate can prevent and reverse
severe mitochondrial dysfunction during reoxygenation after 60 minutes
of hypoxia in kidney proximal tubules.34
The present
studies demonstrate that, during hypoxia,
paxillin, focal adhesion kinase, and
p130cas migrated faster by sodium dodecyl
sulfate-polyacrylamide gel electrophoresis, their
phosphotyrosine (pY) content decreased to
5% of that in oxygenated
tubules without changes in total protein, and the normally
basal immunostaining of ß1 and
6 integrin subunits,
pY, and paxillin was lost or markedly decreased. During
reoxygenation without supplemental substrates, recovery of pY
and basal localization of the focal adhesion proteins was poor.
-Ketoglutarate and aspartate, which maintained slightly
higher levels of ATP during hypoxia, also maintained 2.5-fold
higher levels of pY during this period, and promoted full
recovery of pY content and basal localization of focal adhesion
proteins during subsequent reoxygenation. Similarly complete recovery
was made possible by provision of
-ketoglutarate and aspartate or
-ketoglutarate and malate only during reoxygenation. These data
emphasize the importance of very low energy thresholds for maintaining
the integrity of key structural and biochemical components required for
cellular survival and reaffirm the value of approaches aimed at
conserving or generating energy in cells injured by hypoxia or
ischemia.
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