Müller, Roman-Ulrich - assoc. RG 13

Hypoxia-signaling at the crossroads of cellular stress resistance and tumorigenesis

Prof. Dr. Roman-Ulrich Müller
Prof. Dr. Roman-Ulrich Müller

Medical Faculty, University of Cologne (UoC)

CMMC - PI - assoc. RG 13

Medical Faculty, University of Cologne (UoC)

Kerpener Str. 62

50937 Cologne

Introduction

The cellular response to a lack of oxygen is largely dependent on the activation of hypoxia-inducible transcription factors (HIF). Upon hypoxia, stabilization of these factors and execution of their transcriptional program induces a metabolic adaptation to low oxygen levels, which is required for organ physiology.

This programme is of special importance in the kidney taking into account the low intra-parenchymal oxygen pressure in combination with energy-demanding transport processes in renal epithelial cells. Consequently, it is not surprising that an activation of hypoxia signalling can also protect from acute kidney injury by increasing cellular stress resistance.

The concept of hypoxic preconditioning can be mediated either by direct pharmacological activation of HIF or exposure to low oxygen pressure and is actively studied as a novel tool to prevent acute kidney injury in the clinical setting. However, induction of HIF-signaling is also the key process underlying the pathogenesis of renal cell carcinoma indicating that stress resistance and tumorigenesis are closely related cellular states.

In this project, we combine models of hypoxic preconditioning in mouse and nematode with genetic models of multitumor syndromes associated with renal cell carcinoma (e.g. Von-Hippel-Lindau syndrome, Birt-Hogg-Dube syndrome) to elucidate the mechanistic role of hypoxia signalling. Using these models in combination with state-of-the-art molecular biology we focus on the mechanistic role of RNA-protein interactions involved in cellular stress resistance.

Clinical and Medical Relevance

Acute kidney injury (AKI) is one of the most frequent complications in hospitalized patients and its incidence is rising alongside the demographic changes of our society. AKI is strongly associated with worse clinical outcome including mortality and chronic kidney disease. Despite the clear clinical importance, there are no measures available to treat or prevent AKI in a targeted fashion. A detailed understanding of pathways mediating renal organ protection is urgently required to develop novel approaches to prevent AKI and its consequences.

2024 (up to June)
  • Arjune S, Spath MR, Oehm S, Todorova P, Schunk SJ, Lettenmeier K, Chon SH, Bartram MP, Antczak P, Grundmann F, Fliser D, and Muller RU (2024). DKK3 as a potential novel biomarker in patients with autosomal polycystic kidney disease. Clin Kidney J17, sfad262. doi:10.1093/ckj/sfad262.
     
  • Iqbal S, Schneider TK, Truong TT, Muller RU, Nguyen PH, Ilyas S, and Mathur S (2024). Carriers for hydrophobic drug molecules: lipid-coated hollow mesoporous silica particles, and the influence of shape and size on encapsulation efficiency. Nanoscale16, 11274-11289. doi:10.1039/d4nr01420k.
     
  • Koehler FC, Spath MR, Meyer AM, and Muller RU (2024). Fueling the success of transplantation through nutrition: recent insights into nutritional interventions, their interplay with gut microbiota and cellular mechanisms. Curr Opin Organ Transplant. doi:10.1097/MOT.0000000000001159.
     
  • Mekahli D, Muller RU, Marlais M, Wlodkowski T, Haeberle S, de Argumedo ML, Bergmann C, Breysem L, Fladrowski C, Henske EP, Janssens P, Jouret F, Kingswood JC, Lattouf JB, Lilien M, Maleux G, Rozenberg M, Siemer S, Devuyst O, Schaefer F, Kwiatkowski DJ, Rouviere O, and Bissler J (2024). Clinical practice recommendations for kidney involvement in tuberous sclerosis complex: a consensus statement by the ERKNet Working Group for Autosomal Dominant Structural Kidney Disorders and the ERA Genes & Kidney Working Group. Nat Rev Nephrol. doi:10.1038/s41581-024-00818-0.
2023
  • Abo Zed SED, Hackl A, Bohl K, Ebert L, Kieckhofer E, Muller C, Becker K, Fink G, Nusken KD, Nusken E, Muller RU, Schermer B, and Weber LT (2023). Mycophenolic acid directly protects podocytes by preserving the actin cytoskeleton and increasing cell survival. Sci Rep 13, 4281. doi:10.1038/s41598-023-31326-z.
     
  • Arjune S, Grundmann F, Todorova P, Hendrix C, Pfister R, Ten Freyhaus H, and Muller RU (2023). Cardiac Manifestations in Patients with Autosomal Dominant Polycystic Kidney Disease (ADPKD): A Single-Center Study. Kidney 360 4, 150-161. doi:10.34067/KID.0002942022.
     
  • Arjune S, Oehm S, Todorova P, Gansevoort RT, Bakker SJL, Erger F, Benzing T, Burst V, Grundmann F, Antczak P, and Muller RU (2023). Copeptin in autosomal dominant polycystic kidney disease: real-world experiences from a large prospective cohort study. Clin Kidney J 16, 2194-2204. doi:10.1093/ckj/sfad118.
     
  • Arjune S, Spath MR, Oehm S, Todorova P, Schunk SJ, Lettenmeier K, Chon SH, Bartram MP, Antczak P, Grundmann F, Fliser D, and Muller RU (2024). DKK3 as a potential novel biomarker in patients with autosomal polycystic kidney disease. Clin Kidney J 17, sfad262. doi:10.1093/ckj/sfad262.
     
  • Cukoski S, Lindemann CH, Arjune S, Todorova P, Brecht T, Kuhn A, Oehm S, Strubl S, Becker I, Kammerer U, Torres JA, Meyer F, Schomig T, Hokamp NG, Siedek F, Gottschalk I, Benzing T, Schmidt J, Antczak P, Weimbs T, Grundmann F, and Muller RU (2023). Feasibility and impact of ketogenic dietary interventions in polycystic kidney disease: KETO-ADPKD-a randomized controlled trial. Cell Rep Med 4, 101283. doi:10.1016/j.xcrm.2023.101283.
     
  • Fuchs A, Dederichs J, Arjune S, Todorova P, Wostmann F, Antczak P, Illerhaus A, Gathof B, Grundmann F, Muller RU, and Annecke T (2023). Microvascular perfusion, perfused boundary region and glycocalyx shedding in patients with autosomal dominant polycystic kidney disease: results from the GlycoScore III study. Clin Kidney J 16, 384-393. doi:10.1093/ckj/sfac229.
     
  • Karner LA, Arjune S, Todorova P, Maintz D, Grundmann F, Persigehl T, and Müller RU (2023). Cyst Fraction as a Biomarker in Autosomal Dominant Polycystic Kidney Disease. Journal of Clinical Medicine 12. doi:Artn 32610.3390/Jcm12010326.
     
  • Oehm S, Steinke K, Schmidt J, Arjune S, Todorova P, Heinrich Lindemann C, Wostmann F, Meyer F, Siedek F, Weimbs T, Muller RU, and Grundmann F (2023). RESET-PKD: a pilot trial on short-term ketogenic interventions in autosomal dominant polycystic kidney disease. Nephrol Dial Transplant 38, 1623-1635. doi:10.1093/ndt/gfac311.
     
  • Ripa R, Ballhysa E, Steiner JD, Laboy R, Annibal A, Hochhard N, Latza C, Dolfi L, Calabrese C, Meyer AM, Polidori MC, Muller RU, and Antebi A (2023). Refeeding-associated AMPK(gamma1) complex activity is a hallmark of health and longevity. Nat Aging 3, 1544-1560. doi:10.1038/s43587-023-00521-y.
     
  • Salgueiro WG, Soares MV, Martins CF, Paula FR, Rios-Anjos RM, Carrazoni T, Mori MA, Muller RU, Aschner M, Dal Belo CA, and Avila DS (2023). Dopaminergic modulation by quercetin: In silico and in vivo evidence using Caenorhabditis elegans as a model. Chem Biol Interact 382, 110610. doi:10.1016/j.cbi.2023.110610.
     
  • Selle J, Bohl K, Hopker K, Wilke R, Dinger K, Kasper P, Abend B, Schermer B, Muller RU, Kurschat C, Nusken KD, Nusken E, Meyer D, Savai Pullamsetti S, Schumacher B, Dotsch J, and Alcazar MAA (2023). Perinatal Obesity Sensitizes for Premature Kidney Aging Signaling. Int J Mol Sci 24. doi:10.3390/ijms24032508.
     
  • Spath MR, Hoyer-Allo KJR, Seufert L, Hohne M, Lucas C, Bock T, Isermann L, Brodesser S, Lackmann JW, Kiefer K, Koehler FC, Bohl K, Ignarski M, Schiller P, Johnsen M, Kubacki T, Grundmann F, Benzing T, Trifunovic A, Kruger M, Schermer B, Burst V, and Muller RU (2023). Organ Protection by Caloric Restriction Depends on Activation of the De Novo NAD+ Synthesis Pathway. J Am Soc Nephrol 34, 772-792. doi:10.1681/ASN.0000000000000087.
     
  • Steiner JD, Annibal A, Laboy R, Braumann M, Gobel H, Laasch V, Muller RU, Spath MR, Antebi A, and Kubacki T (2023). A novel TNFRSF1A mutation associated with TNF-receptor-associated periodic syndrome and its metabolic signature. Rheumatology (Oxford) 62, 3459-3468. doi:10.1093/rheumatology/kead068.
     
  • van Heugten MH, Blijdorp CJ, Arjune S, van Willigenburg H, Bezstarosti K, Demmers JAA, Musterd-Bhaggoe U, Meijer E, Gansevoort RT, Zietse R, Hayat S, Kramann R, Muller RU, Salih M, Hoorn EJ, and Consortium D (2023). Matrix Metalloproteinase-7 in Urinary Extracellular Vesicles Identifies Rapid Disease Progression in Autosomal Dominant Polycystic Kidney Disease. J Am Soc Nephrol. doi:10.1681/ASN.0000000000000277.
     
  • Wahida A, Schmaderer C, Buttner-Herold M, Branca C, Donakonda S, Haberfellner F, Torrez C, Schmitz J, Schulze T, Seibt T, Ollinger R, Engleitner T, Haller B, Steiger K, Gunthner R, Lorenz G, Yabal M, Bachmann Q, Braunisch MC, Moog P, Matevossian E, Assfalg V, Thorban S, Renders L, Spath MR, Muller RU, Stippel DL, Weichert W, Slotta-Huspenina J, von Vietinghoff S, Viklicky O, Green DR, Rad R, Amann K, Linkermann A, Brasen JH, Heemann U, and Kemmner S (2023). High RIPK3 expression is associated with a higher risk of early kidney transplant failure. iScience 26, 107879. doi:10.1016/j.isci.2023.107879.