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Table 2 The impact of AhR activation on kidney diseases and complications

From: Uremic toxins mediate kidney diseases: the role of aryl hydrocarbon receptor

Diseases

AhR-expressing cell types

Biological effects

Signaling pathways

References

CKD

Human aortic vascular smooth muscle cell

Accelerate thrombosis

AhR stabilized TF expression by inhibiting TF ubiquitination and degradation.

[41]

HUVEC and PBMC

Accelerate atherogenesis

AhR increased TF expression.

[42]

HUVEC

Accelerate thrombosis

Increased TF expression was regulated by AhR/p38 MAPK/NF-κB pathway.

[93]

HUVEC

N/A

AhR promoted neuronal pentraxin 1 transcription.

[94]

Human dermal microvascular endothelial cell

Suppress postischemic angiogenesis and promote PAD

AhR augmented β-catenin ubiquitination and degradation and then suppressed Wnt/β-catenin signaling pathway.

[98]

Skeletal muscle cell

Exacerbate the ischemic myopathy and PAD

N/A

[99]

HUVEC

Exacerbate vascular inflammation

AhR stimulated the transcriptional activity of activator protein 1 and then upregulated E-selectin expression, leading to the aggravation of leukocyte recruitment to the vascular wall.

[101]

Macrophage

Promote inflammation

AhR increased the transcription of Socs2 and Tnf-α.

[102]

N/A

Promote blood–brain barrier disruption associated with cognitive impairment

N/A

[87]

Astrocyte

Induce anxiety, cognitive impairment, astrocyte reactivation and neuronal activity enhancement

AhR downregulated GLT1 expression and activity and promoted pro-oxidant NOX1 expression.

[44]

RTEC

Enhance IS clearance

Elevated IS levels induced robust increases in the expression and transport activity of OAT1 by activating the AhR/ARNT and EGFR pathways.

[40]

Hepatocyte

Increase hepatic cyclosporine clearance

AhR upregulated P-glycoprotein expression and activity.

[43]

DN

MC and RTEC

Promote MC activation and extracellular matrix production

AhR was bound to the promoters of Cox-2, fibronectin, and collagen IV.

[122]

AKI

RTEC

Inhibit renal inflammation, pathological injury and apoptosis

AhR inhibited NF-κB and JNK pathways.

[128]

RTEC

Promote tubular cell survival against cisplatin toxicity and protect the kidney from cisplatin-induced acute injury

Elevated miR-125b transcriptionally by Nrf2 inhibited AhRR, increasing the transcriptional activity of AhR, promoting MDM2 expression, and then inhibiting p53 activity.

[130]

N/A

Limit renal damage during malaria

N/A

[131]

RTEC

Promote apoptosis and renal damage

AhR induced oxidative stress by increasing ROS.

[132]

RTEC

Accelerate cellular senescence, kidney dysfunction and tubular injury

AhR upregulated EZH2 expression, and EZH2 conversely enhanced AhR expression via weakening H3K27me3 transcriptional inhibition on the AhR promoter.

[133]

RTEC

Do not affect cellular senescence

N/A

[134]

OSA

N/A

Promote the progression of HTN induced by CIH

AhR antagonist CH223191 prevented the increase in systolic blood pressure by 53 ± 12% and diastolic blood pressure by 44 ± 16%.

[136]

  1. AhR aryl hydrocarbon receptor, CKD chronic kidney disease, DN diabetic nephropathy, AKI acute kidney injury, OSA obstructive sleep apnea, HUVEC human umbilical vein endothelial cell, PBMC peripheral blood mononuclear cell, TF tissue factor, PAD peripheral artery disease, MAPK mitogen-activated protein kinase, NF-κB nuclear factor kappa-B, ARNT aryl hydrocarbon receptor nuclear translocator, Socs2 suppressor of cytokine signaling 2, Tnf tumor necrosis factor, GLT1 glutamate transporter 1, NOX1 NADPH oxidase 1, RTEC renal tubular epithelial cell, IS indoxyl sulfate, EGFR epidermal growth factor receptor, OAT1 organic anion transporter 1, MC mesangial cell, Cox2 cyclooxygenase 2, JNK c-Jun N-terminal kinase, AhRR aryl hydrocarbon receptor repressor, MDM2 mouse double minute 2, miR miroRNA, Nrf2 nuclear factor erythroid 2-related factor, ROS reactive oxygen, EZH2 enhancer of zeste homolog 2, CIH chronic intermittent hypoxia, HTN hypertension