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Erschienen in: International Urology and Nephrology 9/2021

08.03.2021 | Nephrology - Review

The role of Elabela in kidney disease

verfasst von: Qian Zheng, Geng Tian, Feng Xu, Xin Ci, Rumei Luan, Linlin Wu, Xuehong Lu

Erschienen in: International Urology and Nephrology | Ausgabe 9/2021

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Abstract

Elabela, also known as Toddler or Apela, is a recently discovered hormonal peptide containing 32 amino acids. Elabela is a ligand of the apelin receptor (APJ). APJ is a G protein-coupled receptor widely expressed throughout body, and together with its cognate ligand, apelin, it plays an important role in various physiological processes including cardiovascular functions, angiogenesis and fluid homeostasis. Elabela also participates in embryonic development and pathophysiological processes in adulthood. Elabela is highly expressed in undifferentiated embryonic stem cells and regulates endoderm differentiation and cardiovascular system development. During differentiation, Elabela is highly expressed in pluripotent stem cells and in adult renal collecting ducts and loops, where it functions to maintain water and sodium homeostasis. Other studies have also shown that Elabela plays a crucial role in the pathogenesis of kidney diseases. This review addresses the role of Elabela in kidney diseases including renal ischemia/reperfusion injury, hypertensive nephropathy, diabetic nephropathy, and cardiorenal syndrome.
Literatur
1.
Zurück zum Zitat Yu XH et al (2014) Apelin and its receptor APJ in cardiovascular diseases. Clin Chim Acta 428:1–8PubMedCrossRef Yu XH et al (2014) Apelin and its receptor APJ in cardiovascular diseases. Clin Chim Acta 428:1–8PubMedCrossRef
2.
Zurück zum Zitat Hwangbo C et al (2017) Endothelial APLNR regulates tissue fatty acid uptake and is essential for apelin’s glucose-lowering effects. Sci Transl Med 9(407):eaad4000PubMedPubMedCentralCrossRef Hwangbo C et al (2017) Endothelial APLNR regulates tissue fatty acid uptake and is essential for apelin’s glucose-lowering effects. Sci Transl Med 9(407):eaad4000PubMedPubMedCentralCrossRef
3.
Zurück zum Zitat Lv D et al (2016) PAK1-cofilin phosphorylation mediates human lung adenocarcinoma cells migration induced by apelin-13. Clin Exp Pharmacol Physiol 43(5):569–579PubMedCrossRef Lv D et al (2016) PAK1-cofilin phosphorylation mediates human lung adenocarcinoma cells migration induced by apelin-13. Clin Exp Pharmacol Physiol 43(5):569–579PubMedCrossRef
4.
Zurück zum Zitat Wu L, Chen L, Li L (2017) Apelin/APJ system: a novel promising therapy target for pathological angiogenesis. Clin Chim Acta 466:78–84PubMedCrossRef Wu L, Chen L, Li L (2017) Apelin/APJ system: a novel promising therapy target for pathological angiogenesis. Clin Chim Acta 466:78–84PubMedCrossRef
6.
Zurück zum Zitat Chng SC et al (2013) ELABELA: a hormone essential for heart development signals via the apelin receptor. Dev Cell 27(6):672–680PubMedCrossRef Chng SC et al (2013) ELABELA: a hormone essential for heart development signals via the apelin receptor. Dev Cell 27(6):672–680PubMedCrossRef
7.
Zurück zum Zitat Reichman-Fried M, Raz E (2014) Small proteins, big roles: the signaling protein Apela extends the complexity of developmental pathways in the early zebrafish embryo. BioEssays 36(8):741–745PubMedCrossRef Reichman-Fried M, Raz E (2014) Small proteins, big roles: the signaling protein Apela extends the complexity of developmental pathways in the early zebrafish embryo. BioEssays 36(8):741–745PubMedCrossRef
8.
Zurück zum Zitat Ho L et al (2015) ELABELA is an endogenous growth factor that sustains hESC self-renewal via the PI3K/AKT pathway. Cell Stem Cell 17(4):435–447PubMedCrossRef Ho L et al (2015) ELABELA is an endogenous growth factor that sustains hESC self-renewal via the PI3K/AKT pathway. Cell Stem Cell 17(4):435–447PubMedCrossRef
10.
11.
12.
Zurück zum Zitat Xu J et al (2018) Biological functions of Elabela, a novel endogenous ligand of APJ receptor. J Cell Physiol 233(9):6472–6482PubMedCrossRef Xu J et al (2018) Biological functions of Elabela, a novel endogenous ligand of APJ receptor. J Cell Physiol 233(9):6472–6482PubMedCrossRef
14.
Zurück zum Zitat O’Dowd BF et al (1993) A human gene that shows identity with the gene encoding the angiotensin receptor is located on chromosome 11. Gene 136(1–2):355–360PubMedCrossRef O’Dowd BF et al (1993) A human gene that shows identity with the gene encoding the angiotensin receptor is located on chromosome 11. Gene 136(1–2):355–360PubMedCrossRef
15.
Zurück zum Zitat Tatemoto K et al (1998) Isolation and characterization of a novel endogenous peptide ligand for the human APJ receptor. Biochem Biophys Res Commun 251(2):471–476PubMedCrossRef Tatemoto K et al (1998) Isolation and characterization of a novel endogenous peptide ligand for the human APJ receptor. Biochem Biophys Res Commun 251(2):471–476PubMedCrossRef
16.
Zurück zum Zitat Hu H et al (2016) Apelin/APJ system as a therapeutic target in diabetes and its complications. Mol Genet Metab 119(1–2):20–27PubMedCrossRef Hu H et al (2016) Apelin/APJ system as a therapeutic target in diabetes and its complications. Mol Genet Metab 119(1–2):20–27PubMedCrossRef
17.
Zurück zum Zitat Kuba K et al (2019) Apelin and Elabela/Toddler; double ligands for APJ/Apelin receptor in heart development, physiology, and pathology. Peptides 111:62–70PubMedCrossRef Kuba K et al (2019) Apelin and Elabela/Toddler; double ligands for APJ/Apelin receptor in heart development, physiology, and pathology. Peptides 111:62–70PubMedCrossRef
19.
Zurück zum Zitat Goidescu CM, Vida-Simiti LA (2015) The apelin-APJ system in the evolution of heart failure. Clujul Med 88(1):3–8PubMedPubMedCentral Goidescu CM, Vida-Simiti LA (2015) The apelin-APJ system in the evolution of heart failure. Clujul Med 88(1):3–8PubMedPubMedCentral
20.
Zurück zum Zitat Tycinska AM et al (2012) Apelin in acute myocardial infarction and heart failure induced by ischemia. Clin Chim Acta 413(3–4):406–410PubMedCrossRef Tycinska AM et al (2012) Apelin in acute myocardial infarction and heart failure induced by ischemia. Clin Chim Acta 413(3–4):406–410PubMedCrossRef
21.
Zurück zum Zitat Barnes G, Japp AG, Newby DE (2010) Translational promise of the apelin-APJ system. Heart 96(13):1011–1016PubMedCrossRef Barnes G, Japp AG, Newby DE (2010) Translational promise of the apelin-APJ system. Heart 96(13):1011–1016PubMedCrossRef
22.
Zurück zum Zitat Wysocka MB, Pietraszek-Gremplewicz K, Nowak D (2018) The role of apelin in cardiovascular diseases. Obesity Cancer Front Physiol 9:557PubMedCrossRef Wysocka MB, Pietraszek-Gremplewicz K, Nowak D (2018) The role of apelin in cardiovascular diseases. Obesity Cancer Front Physiol 9:557PubMedCrossRef
23.
Zurück zum Zitat Adam F et al (2016) Apelin: an antithrombotic factor that inhibits platelet function. Blood 127(7):908–920PubMedCrossRef Adam F et al (2016) Apelin: an antithrombotic factor that inhibits platelet function. Blood 127(7):908–920PubMedCrossRef
24.
Zurück zum Zitat Sabry MM et al (2019) Interactive effects of apelin, renin-angiotensin system and nitric oxide in treatment of obesity-induced type 2 diabetes mellitus in male albino rats. Arch Physiol Biochem 125(3):244–254PubMedCrossRef Sabry MM et al (2019) Interactive effects of apelin, renin-angiotensin system and nitric oxide in treatment of obesity-induced type 2 diabetes mellitus in male albino rats. Arch Physiol Biochem 125(3):244–254PubMedCrossRef
25.
Zurück zum Zitat Huang Z, Wu L, Chen L (2018) Apelin/APJ system: a novel potential therapy target for kidney disease. J Cell Physiol 233(5):3892–3900PubMedCrossRef Huang Z, Wu L, Chen L (2018) Apelin/APJ system: a novel potential therapy target for kidney disease. J Cell Physiol 233(5):3892–3900PubMedCrossRef
26.
Zurück zum Zitat Najafipour H et al (2012) Apelin receptor expression in ischemic and non- ischemic kidneys and cardiovascular responses to apelin in chronic two-kidney-one-clip hypertension in rats. Regul Pept 178(1–3):43–50PubMedCrossRef Najafipour H et al (2012) Apelin receptor expression in ischemic and non- ischemic kidneys and cardiovascular responses to apelin in chronic two-kidney-one-clip hypertension in rats. Regul Pept 178(1–3):43–50PubMedCrossRef
27.
Zurück zum Zitat Flahault A et al (2017) Role of the vasopressin/apelin balance and potential use of metabolically stable apelin analogs in water metabolism disorders. Front Endocrinol (Lausanne) 8:120CrossRef Flahault A et al (2017) Role of the vasopressin/apelin balance and potential use of metabolically stable apelin analogs in water metabolism disorders. Front Endocrinol (Lausanne) 8:120CrossRef
28.
Zurück zum Zitat Quertermous T (2007) Apelin and its g protein-coupled receptor regulate cardiac development as well as cardiac function. Dev Cell 12(3):319–320PubMedCrossRef Quertermous T (2007) Apelin and its g protein-coupled receptor regulate cardiac development as well as cardiac function. Dev Cell 12(3):319–320PubMedCrossRef
29.
Zurück zum Zitat Zeng XX et al (2007) Apelin and its receptor control heart field formation during zebrafish gastrulation. Dev Cell 12(3):391–402PubMedCrossRef Zeng XX et al (2007) Apelin and its receptor control heart field formation during zebrafish gastrulation. Dev Cell 12(3):391–402PubMedCrossRef
30.
31.
Zurück zum Zitat Yang P, Maguire JJ, Davenport AP (2015) Apelin, Elabela/Toddler, and biased agonists as novel therapeutic agents in the cardiovascular system. Trends Pharmacol Sci 36(9):560–567PubMedPubMedCentralCrossRef Yang P, Maguire JJ, Davenport AP (2015) Apelin, Elabela/Toddler, and biased agonists as novel therapeutic agents in the cardiovascular system. Trends Pharmacol Sci 36(9):560–567PubMedPubMedCentralCrossRef
32.
Zurück zum Zitat Schreiber CA et al (2017) Sustained ELABELA gene therapy in high-salt diet-induced hypertensive rats. Curr Gene Ther 16(5):349–360PubMedCrossRef Schreiber CA et al (2017) Sustained ELABELA gene therapy in high-salt diet-induced hypertensive rats. Curr Gene Ther 16(5):349–360PubMedCrossRef
33.
Zurück zum Zitat Li M et al (2015) An apela RNA-containing negative feedback loop regulates p53-mediated apoptosis in embryonic stem cells. Cell Stem Cell 16(6):669–683PubMedPubMedCentralCrossRef Li M et al (2015) An apela RNA-containing negative feedback loop regulates p53-mediated apoptosis in embryonic stem cells. Cell Stem Cell 16(6):669–683PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat Miyazaki T et al (2019) Cell-specific image-guided transcriptomics identifies complex injuries caused by ischemic acute kidney injury in mice. Commun Biol 2:326PubMedPubMedCentralCrossRef Miyazaki T et al (2019) Cell-specific image-guided transcriptomics identifies complex injuries caused by ischemic acute kidney injury in mice. Commun Biol 2:326PubMedPubMedCentralCrossRef
35.
Zurück zum Zitat Bonventre JV, Zuk A (2004) Ischemic acute renal failure: an inflammatory disease? Kidney Int 66(2):480–485PubMedCrossRef Bonventre JV, Zuk A (2004) Ischemic acute renal failure: an inflammatory disease? Kidney Int 66(2):480–485PubMedCrossRef
36.
Zurück zum Zitat Nishikawa H et al (2018) Knockout of the interleukin-36 receptor protects against renal ischemia-reperfusion injury by reduction of proinflammatory cytokines. Kidney Int 93(3):599–614PubMedCrossRef Nishikawa H et al (2018) Knockout of the interleukin-36 receptor protects against renal ischemia-reperfusion injury by reduction of proinflammatory cytokines. Kidney Int 93(3):599–614PubMedCrossRef
37.
Zurück zum Zitat Yoshida T et al (2012) Caspase-3-independent internucleosomal DNA fragmentation in ischemic acute kidney injury. Nephron Exp Nephrol 120(3):e103–e113PubMedCrossRef Yoshida T et al (2012) Caspase-3-independent internucleosomal DNA fragmentation in ischemic acute kidney injury. Nephron Exp Nephrol 120(3):e103–e113PubMedCrossRef
38.
Zurück zum Zitat Ogbadu J, Singh G, Aggarwal D (2019) Factors affecting the transition of acute kidney injury to chronic kidney disease: potential mechanisms and future perspectives. Eur J Pharmacol 865:172711PubMedCrossRef Ogbadu J, Singh G, Aggarwal D (2019) Factors affecting the transition of acute kidney injury to chronic kidney disease: potential mechanisms and future perspectives. Eur J Pharmacol 865:172711PubMedCrossRef
39.
Zurück zum Zitat Munoz-Felix JM et al (2015) TGF-beta/BMP proteins as therapeutic targets in renal fibrosis. Where have we arrived after 25 years of trials and tribulations? Pharmacol Ther 156:44–58PubMedCrossRef Munoz-Felix JM et al (2015) TGF-beta/BMP proteins as therapeutic targets in renal fibrosis. Where have we arrived after 25 years of trials and tribulations? Pharmacol Ther 156:44–58PubMedCrossRef
40.
Zurück zum Zitat Chen L et al (2018) Central role of dysregulation of TGF-beta/Smad in CKD progression and potential targets of its treatment. Biomed Pharmacother 101:670–681PubMedCrossRef Chen L et al (2018) Central role of dysregulation of TGF-beta/Smad in CKD progression and potential targets of its treatment. Biomed Pharmacother 101:670–681PubMedCrossRef
41.
Zurück zum Zitat Sedlakova L et al (2018) 20-Hydroxyeicosatetraenoic acid antagonist attenuates the development of malignant hypertension and reverses it once established: a study in Cyp1a1-Ren-2 transgenic rats. Biosci Rep 38(5):BSR20171496PubMedPubMedCentralCrossRef Sedlakova L et al (2018) 20-Hydroxyeicosatetraenoic acid antagonist attenuates the development of malignant hypertension and reverses it once established: a study in Cyp1a1-Ren-2 transgenic rats. Biosci Rep 38(5):BSR20171496PubMedPubMedCentralCrossRef
42.
Zurück zum Zitat Shirai A et al (2014) Angiotensin II dose-dependently stimulates human renal proximal tubule transport by the nitric oxide/guanosine 3′,5′-cyclic monophosphate pathway. J Am Soc Nephrol 25(7):1523–1532PubMedPubMedCentralCrossRef Shirai A et al (2014) Angiotensin II dose-dependently stimulates human renal proximal tubule transport by the nitric oxide/guanosine 3′,5′-cyclic monophosphate pathway. J Am Soc Nephrol 25(7):1523–1532PubMedPubMedCentralCrossRef
43.
Zurück zum Zitat Li Y et al (2019) Declined circulating Elabela levels in patients with essential hypertension and its association with impaired vascular function: a preliminary study. Clin Exp Hypertens 42(3):239–243PubMedCrossRef Li Y et al (2019) Declined circulating Elabela levels in patients with essential hypertension and its association with impaired vascular function: a preliminary study. Clin Exp Hypertens 42(3):239–243PubMedCrossRef
44.
Zurück zum Zitat Zheng Y, Ley SH, Hu FB (2018) Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nat Rev Endocrinol 14(2):88–98PubMedCrossRef Zheng Y, Ley SH, Hu FB (2018) Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nat Rev Endocrinol 14(2):88–98PubMedCrossRef
45.
Zurück zum Zitat Zhang Y et al (2019) Elabela protects against podocyte injury in mice with streptozocin-induced diabetes by associating with the PI3K/Akt/mTOR pathway. Peptides 114:29–37PubMedCrossRef Zhang Y et al (2019) Elabela protects against podocyte injury in mice with streptozocin-induced diabetes by associating with the PI3K/Akt/mTOR pathway. Peptides 114:29–37PubMedCrossRef
46.
Zurück zum Zitat Wang G et al (2019) The analysis of risk factors for diabetic nephropathy progression and the construction of a prognostic database for chronic kidney diseases. J Transl Med 17(1):264PubMedPubMedCentralCrossRef Wang G et al (2019) The analysis of risk factors for diabetic nephropathy progression and the construction of a prognostic database for chronic kidney diseases. J Transl Med 17(1):264PubMedPubMedCentralCrossRef
47.
Zurück zum Zitat Demirpence M et al (2019) Apelin: a potential novel serum biomarker for early detection of diabetic nephropathy in patients with type 2 diabetes. North Clin Istanb 6(2):151–155PubMed Demirpence M et al (2019) Apelin: a potential novel serum biomarker for early detection of diabetic nephropathy in patients with type 2 diabetes. North Clin Istanb 6(2):151–155PubMed
48.
Zurück zum Zitat Zhang H et al (2018) Serum Elabela/toddler levels are associated with albuminuria in patients with type 2 diabetes. Cell Physiol Biochem 48(3):1347–1354PubMedCrossRef Zhang H et al (2018) Serum Elabela/toddler levels are associated with albuminuria in patients with type 2 diabetes. Cell Physiol Biochem 48(3):1347–1354PubMedCrossRef
49.
Zurück zum Zitat Fu Q et al (2014) Cardiorenal syndrome: pathophysiological mechanism, preclinical models, novel contributors and potential therapies. Chin Med J (Engl) 127(16):3011–3018 Fu Q et al (2014) Cardiorenal syndrome: pathophysiological mechanism, preclinical models, novel contributors and potential therapies. Chin Med J (Engl) 127(16):3011–3018
50.
Zurück zum Zitat Marsault E et al (2019) The apelinergic system: a perspective on challenges and opportunities in cardiovascular and metabolic disorders. Ann N Y Acad Sci 1455(1):12–33PubMedPubMedCentralCrossRef Marsault E et al (2019) The apelinergic system: a perspective on challenges and opportunities in cardiovascular and metabolic disorders. Ann N Y Acad Sci 1455(1):12–33PubMedPubMedCentralCrossRef
51.
Zurück zum Zitat Sato T et al (2017) ELABELA-APJ axis protects from pressure overload heart failure and angiotensin II-induced cardiac damage. Cardiovasc Res 113(7):760–769PubMedCrossRef Sato T et al (2017) ELABELA-APJ axis protects from pressure overload heart failure and angiotensin II-induced cardiac damage. Cardiovasc Res 113(7):760–769PubMedCrossRef
52.
Zurück zum Zitat Yang P et al (2017) Elabela/toddler is an endogenous agonist of the apelin APJ receptor in the adult cardiovascular system, and exogenous administration of the peptide compensates for the downregulation of its expression in pulmonary arterial hypertension. Circulation 135(12):1160–1173PubMedPubMedCentralCrossRef Yang P et al (2017) Elabela/toddler is an endogenous agonist of the apelin APJ receptor in the adult cardiovascular system, and exogenous administration of the peptide compensates for the downregulation of its expression in pulmonary arterial hypertension. Circulation 135(12):1160–1173PubMedPubMedCentralCrossRef
53.
Zurück zum Zitat Coquerel D et al (2017) ELABELA improves cardio-renal outcome in fatal experimental septic shock. Crit Care Med 45(11):e1139–e1148PubMedCrossRef Coquerel D et al (2017) ELABELA improves cardio-renal outcome in fatal experimental septic shock. Crit Care Med 45(11):e1139–e1148PubMedCrossRef
54.
Zurück zum Zitat Lu L et al (2017) Elabela, a new endogenous ligand of APJ, functions in embryos and adults organisms. Acta Biochim Biophys Sin (Shanghai) 49(4):378–381CrossRef Lu L et al (2017) Elabela, a new endogenous ligand of APJ, functions in embryos and adults organisms. Acta Biochim Biophys Sin (Shanghai) 49(4):378–381CrossRef
55.
Zurück zum Zitat Warren AY, Harrison D (2018) WHO/ISUP classification, grading and pathological staging of renal cell carcinoma: standards and controversies. World J Urol 36(12):1913–1926PubMedPubMedCentralCrossRef Warren AY, Harrison D (2018) WHO/ISUP classification, grading and pathological staging of renal cell carcinoma: standards and controversies. World J Urol 36(12):1913–1926PubMedPubMedCentralCrossRef
56.
Zurück zum Zitat Moch H et al (2016) The 2016 WHO classification of tumours of the urinary system and male genital organs-part a: renal, penile, and testicular tumours. Eur Urol 70(1):93–105PubMedCrossRef Moch H et al (2016) The 2016 WHO classification of tumours of the urinary system and male genital organs-part a: renal, penile, and testicular tumours. Eur Urol 70(1):93–105PubMedCrossRef
57.
Zurück zum Zitat Williamson SR et al (2017) Diagnostic criteria for oncocytic renal neoplasms: a survey of urologic pathologists. Hum Pathol 63:149–156PubMedCrossRef Williamson SR et al (2017) Diagnostic criteria for oncocytic renal neoplasms: a survey of urologic pathologists. Hum Pathol 63:149–156PubMedCrossRef
58.
Zurück zum Zitat Cirone P et al (2014) Patient-derived xenografts reveal limits to PI3K/mTOR- and MEK-mediated inhibition of bladder cancer. Cancer Chemother Pharmacol 73(3):525–538PubMedCrossRef Cirone P et al (2014) Patient-derived xenografts reveal limits to PI3K/mTOR- and MEK-mediated inhibition of bladder cancer. Cancer Chemother Pharmacol 73(3):525–538PubMedCrossRef
59.
Zurück zum Zitat Artas G et al (2019) A promising biomarker to distinguish benign and malignant renal tumors: ELABELA. Niger J Clin Pract 22(3):386–392PubMed Artas G et al (2019) A promising biomarker to distinguish benign and malignant renal tumors: ELABELA. Niger J Clin Pract 22(3):386–392PubMed
Metadaten
Titel
The role of Elabela in kidney disease
verfasst von
Qian Zheng
Geng Tian
Feng Xu
Xin Ci
Rumei Luan
Linlin Wu
Xuehong Lu
Publikationsdatum
08.03.2021
Verlag
Springer Netherlands
Erschienen in
International Urology and Nephrology / Ausgabe 9/2021
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-021-02790-1

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