Comparison of Endoplasmic Reticulum Stress and Pyroptosis Induced by Pathogenic Calcium Oxalate Monohydrate and Physiologic Calcium Oxalate Dihydrate Crystals in HK-2 Cells: Insights into Kidney Stone Formation
2024

How Calcium Oxalate Crystals Cause Kidney Stones

publication 10 minutes Evidence: moderate

Author Information

Author(s): Nong Wei-Jian, Tong Xin-Yi, Ouyang Jian-Ming

Primary Institution: Institute of Biomineralization and Lithiasis Research, College of Chemistry and Materials Science, Jinan University, Guangzhou 510632, China

Hypothesis

The study investigates the effects of calcium oxalate monohydrate (COM) and calcium oxalate dihydrate (COD) on endoplasmic reticulum stress (ERS) and pyroptosis in HK-2 cells.

Conclusion

COM induces more severe endoplasmic reticulum stress and pyroptosis in kidney cells compared to COD, suggesting that COM is more dangerous for kidney stone formation.

Supporting Evidence

  • COM and COD significantly upregulated the expression levels of GRP78, CHOP, TXNIP, and pyroptosis-related proteins.
  • COM induced pyroptosis by promoting the interaction between TXNIP and NLRP3.
  • COM was found to be more cytotoxic and had a higher ability to promote crystal adhesion and aggregation than COD.

Takeaway

This study shows that certain types of kidney stones can hurt kidney cells and cause them to die, which might help explain how these stones form.

Methodology

HK-2 cells were exposed to COM and COD crystals to assess their effects on ERS and pyroptosis through various assays including Western blot and immunofluorescence.

Limitations

The study is limited to a single cell line and requires further clinical verification.

Digital Object Identifier (DOI)

10.3390/cells13242070

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