Evidence map›Paper›PMID 42153196›Full record

ArticleIranian journal of pharmaceutical research : IJPR

Acylglycerol Kinase 2-mediated Inhibition of Sirtuin 2 Restores AMPK/AKT/mTOR Signaling Balance in Podocytes: A Pharmacological Strategy for Diabetic Nephropathy.

Zahra Zahid Piracha, Umar Saeed, Syed Muhammad Aun Raza, Zia Ashraf, Bazaid Muhammad, Mehedi Tubaishi Rubab, Aqsa Talib, Roshan Nadeem, Syed Shayan Gilani, Ayesha Yar Khan and 4 more

Abstract read
In one paragraph

Article in Iranian journal of pharmaceutical research : IJPR. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Zahra Zahid Piracha *Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, Islamabad, Pakistan.
Umar Saeed *Korea University College of Health Sciences, Korea University, Seongbuk-gu, Seoul, South Korea.
Syed Muhammad Aun RazaAkhtar Saeed Medical and Dental College, Lahore, Pakistan.
Zia AshrafCollege of Allied Health Professionals, Government College University, Faisalabad, Pakistan.
Bazaid MuhammadAkhtar Saeed Medical and Dental College, Lahore, Pakistan.
Mehedi Tubaishi RubabUniversity of Dhaka, Dhaka, Bangladesh.
Aqsa TalibFoundation University Islamabad, Islamabad, Pakistan.
Roshan NadeemPak Red Crescent Medical College, Lahore, Pakistan.
Syed Shayan GilaniAkhtar Saeed Medical and Dental College, Lahore, Pakistan.
Ayesha Yar KhanInternational Center of Medical Sciences Research, Islamabad, Pakistan.
Muhammad Usama KhanCentral Park Medical College, Lahore, Pakistan.
Dilber Uzun OzsahinDepartment of Medical Diagnostic Imaging, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
Andromeda M NauliDepartment of Biomedical Sciences, School of Medicine, Western Michigan University Homer Stryker M.D., Kalamazoo, USA.
Surya M NauliDepartment of Biomedical and Pharmaceutical Sciences, Chapman University, Irvine, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetic nephropathy is a major cause of end-stage renal disease, driven in part by molecular dysfunctions in podocytes. Sirtuin 2 (Sirt2), a cytoplasmic NAD⁺-dependent deacetylase, has emerged as a potential regulator of key metabolic pathways, but its specific role in podocyte biology remains poorly defined. Objectives: This study aimed to investigate the function of Sirt2 in human podocytes (hPodo), delineate its interaction with histone deacetylase 6 (HDAC6), and evaluate the therapeutic potential of Sirt2 inhibition in restoring metabolic balance and protecting against diabetic nephropathy-associated podocyte stress. Methods: Comparative expression analysis was performed between hPodo and HEK293T kidney cells. Pharmacological inhibition of Sirt2 was carried out using acylglycerol kinase 2 (AGK2), alongside siRNA-mediated Sirt2 knockdown. AMPK/AKT/mTOR signaling activity was assessed by Western blotting and functional assays to determine metabolic and growth responses. Results: Human podocytes exhibited significantly elevated Sirt2 expression and high levels of HDAC6, forming a unique Sirt2-HDAC6 regulatory complex. Inhibition or silencing of Sirt2 induced robust AMPK activation while suppressing AKT/mTOR signaling. This signaling reprogramming restored energy sensing and attenuated hyperactive growth pathways, alleviating podocyte stress. Acylglycerol kinase 2 treatment reestablished metabolic homeostasis by disrupting Sirt2-mediated repression of AMPK. Conclusions: Sirtuin 2 inhibition, particularly through AGK2, emerges as a novel pharmacological strategy to protect podocytes, restore metabolic regulation, and potentially slow the progression of diabetic nephropathy. Significance Statement By inhibiting one of the important intracellular signaling pathways in human kidney cells, we could reduce the cellular stress that is commonly observed in diabetic kidney injury. This could serve as a drug target to slow the progression of kidney disease associated with diabetes mellitus.

Indexed as

DiabetesDrug TargetEnergy SensingHistone DeacetylaseIntracellular SignalingKidney Injury

Identifiers

PMID42153196
PMCPMC13180335

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.