Animals and treatment
Mice were provided with a standard diet and housed in a controlled environment with a temperature of 22 to 24°C, air filtration, and light regulation. The room maintained humidity levels between 40% and 70%. The RIRI model was performed on the designated mice according to the established procedure[28], and kidney and serum samples were collected on the basis of experimental requirements. All animal experimental protocols were approved by the Animal Care and Use Committee at the Renmin Hospital of Wuhan University, following the standard guidelines of the Animal Experiment Center of Wuhan University.
Production of DEF6-KO mice
The CRISPR online design tool (http://chopchop.cbu.uib.no/) was used to predict the guiding sequence as follows: guideRNA1 target site: 5′-CCTCTTGCTCCCAGGTAGAGTA − 3′, guideRNA2 target site: 5′- TTGGATGAGCTCCTGGTAGACT-3′, which resulted in a 2 kb deletion in total. The GALNT4-sgRNA expression vector was constructed on the BsaI restriction site of pUC57-sgRNA (Addgene 51132). The products of the Cas9 expression vector pST1374-Cas9 (Addgene 44758) and the sgRNA expression vector were mixed and microinjected into C57BL/6J zygotes with the FemtoJet 5247 microinjection system. F0 generation mice were obtained after 19–21 days, and were identified by PCR and sequencing DNA was extracted from the ear tissue of 2-week-old mice and assessed using the primers below: DEF6-check F1: 5′-TTGCATTTCCTGAAACCGGA-3′, DEF6-check R1: 5′- GCTGAGAATGGCAACCAAGT-3′ .
Cell culture and treatment
HK2 is a cell line originating from human renal tubular epithelial cells obtained from American Type Culture Collection (ATCC, Manassas, VA). The cells were maintained in Dulbecco's Modifed Eagle Medium (DMEM) (Gibco, Rockville, MD) supplemented with 10% fetal bovine serum (FBS) (HyClone, Salt Lake City, UT) and 1% penicillin-streptomycin (Sigma, St. Louis, MO, USA) at 37℃ in a controlled humidifed atmosphere with 5% CO2. 2×105 cells were plated in 6-well plates and incubated. The culture medium was replaced once every 2 days, and the cells were passaged by 1% trypsin when they reached 80–90% confuence. the experimental cells were divided into 2 groups, the control group and the H/R group. For the control group, cells were maintained at 37°C in 5% CO2 and 20% O2. For the H/R group, cells were exposed to hypoxia (1% O2, 5% CO2 and 94% N2) for 24 h, followed by replacement with fresh medium equilibrated at 21% O2, 5% CO2 and 74% N2 and incubation for 4 h.
Histological staining
The kidney was fixed with 4% paraformaldehyde and subse- quently embedded in paraffin. Sections of 4 µm in thickness were prepared, followed by dewaxing, hydration, and staining with hematoxylin and eosin (H&E). The assessment of necrotic area was performed by 2 experienced pathologists and quantified using ImageJ software.
Immunofluorescence
Paraffin sections were subjected to dewaxing and hydration procedures. Subsequently, the sections were permeabilized with 0.5% Triton X-100 for 10 min at room temperature. Following a phosphate-buffered saline wash, the sections were blocked with 10% goat serum for 1 h at room temperature. They were then incubated overnight at 4°C in a refrigerator with primary antibodies against CD11b (53-0112-82, Invitrogen; 1:100). On the following day, the sections were incubated with corresponding secondary antibodies in the dark at room temperature for 1 h. Before observation, cell nuclei were stained with 4′,6-diamidino-2-phenylindole (DAPI) for 5 min.
Terminal-deoxynucleotidyl-transferase-mediated deoxyuridine triphosphate nick end labeling
The assessment of apoptotic cells in renal tissue was performed using a TUNEL Assay Kit (Beyotime, Shanghai, China) following the manufacturer’s instructions. The average count of TUNEL-positive cells was determined in randomly selected fields of view at 400× magnification.
Transfection
In vitro, DEF6 overexpression was induced in HK2 cells by exposing them to an lentivirus carrying human DEF6 (GenePharma, Shanghai) with a multiplicity of infection of 50 for 6 h in serum-free and penicillin–streptomycin-free DMEM. Similarly, knockdown of DEF6 and PARP1 were induced cells by exposing them to lentivirus carrying short hairpin RNA against DEF6 and PARP1. Subsequently, the cells were incubated in DMEM supplemented with 10% fetal bovine serum for 72 h. All carriers were constructed and packaged by GenePharma (Shanghai, China) and were used for cells 1 weeks before inducing H/R. As a control, we exposed cells to a blank vector.
Quantitative real-time PCR
Total RNA was extracted using the RNAiso Plus kit (TaKaRa Biotechnology). Reverse transcriptase reactions were carried out using the SuperScript First-Strand Synthesis System (Invitrogen). Real-time PCR reactions were conducted using glyceraldehyde- 3-phosphate dehydrogenase (GAPDH) as the internal control. The gene expression levels were presented as fold change rela- tive to the control, calculated using the 2 − ΔΔCT method. The primers utilized for quantitative real-time PCR analysis were listed in Supplementary Table.
Western blotting
Radioimmunoprecipitation assay buffer with protease inhibitor cocktail tablet were used to extract the total proteins. Western blotting assay was performed with anti-DEF6(PA5-113458, Invitrogen; 1:1000), anti-p-inhibitor of NF-κBkinase β (IKKβ) (#2697, Cell Signaling Technology; 1:1000), anti-IKKβ(#8943,Cell Signaling Technology; 1:1000), anti-NF-κB inhibitor α (IKBα) (10268- 1-AP, Proteintech; 1:5000), anti-p-p65 (82335-1-RR, Proteintech; 1:2000), anti-p65 (80979-1-RR, Proteintech; 1:5000), anti-Bax (50599-2-Ig, Proteintech; 1:2000), anti-Bcl-2 (26593-1-AP, Proteintech; 1:1000), anti-Caspase 3/C-Caspase 3 (19677-1-AP, Proteintech; 1:1000), anti-PARP1 (PA5-34803, Invitrogen; 1:1000), anti-C-PARP1 (PA5-77850, Invitrogen; 1:1000), anti-GAPDH (10494-1-AP, Proteintech; 1:5000), anti-Flag (GB11938, Servicebio; 1:1000), anti-Myc(PA1-981,Invitrogen; 1:1000), and anti-HA (GB12939, Servicebio; 1:1000).
Immunoprecipitation
Transfected cells were lysed using IP buffer [20 mMtris-HCl (pH 7.4), 150 mM NaCl, 1% Triton X-100, 0.5% sodium deoxycholate, 12 mM glycerophosphate, 10 mM sodium fluoride, 5 mM EGTA, 2 mM sodium vanadate, 1 mM phenylmethylsulfonyl fluroride, aprotinin (2 µg/ml), and leupeptin (2 µg/ml)]. Cell lysates were centrifuged at 12,000g for 10 min at 4°C. The result- inglysates were subjected to overnight IP at 4°C using the des- ignated antibodies. Protein A/G agarose beads were introduced and incubated with agitation for 2 h at 4°C. The proteins bound to the beads were eluted and subsequently analyzed through immunoblotting using the specified antibodies.
Statistical analysis
GraphPad Prism software (version 8.0, USA) was used for sta- tistical analysis. All values are presented as the means ± SD. One-way analysis of variance (ANOVA) and Tukey–Kramer test were used to compare the differences among the groups. Statistical significance was determined at P < 0.05.