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SM Journal of Nephrology and Kidney Diseases

HIF-1 Prolyl Hydroxylase Inhibitors Attenuate X-Ray-Induced Radiation Nephropathy through Improving Ferroptosis

[ ISSN : 2576-5450 ]

Abstract
Details

Received: 06-Sep-2025

Accepted: 04-Nov-2025

Published: 05-Nov-2025

Xingli Leng1,2, Peng Yao3, Lin Deng4, Yinyuan Du1, Xia Feng5, Minglin Liu6, and Shaoqing Wang2,7*

1Chengdu Medical College, China

2Division of Nephrology, Sichuan Second Hospital of Traditional Chinese Medicine, China

3Division of Nephrology, The Second Affiliated Hospital of Chengdu Medical College (China National Corporation 416 Hospital), China

4Division of Nephrology, West China Fourth Hospital, China

5Health Management Centre, Luzhou Longmatan District People’s Hospital, China

6Division of Nephrology, Deyang People’s Hospital, China

7Chengdu High-tech Tianfu Hunter Rehabilitation Medical Center, China

Corresponding Author:

Shaoqing Wang, Sichuan Second Hospital of Traditional Chinese Medicine, Chengdu High-tech Tianfu Hunter Rehabilitation Medical Center, China

Keywords

Radiation; Oxidative Reaction; Lipid Peroxidation; Radiation Nephropathy; Ferroptosis

Abstract

Radiation nephropathy is the damage to the renal parenchyma and blood vessels caused by ionizing radiation, and its mechanism of injury involves oxidative stress, DNA damage, cellular senescence, and other processes, among which oxidative stress plays an obvious role. In the case of excessive accumulation of oxidative stress products, it can lead to lipid peroxidation and iron distribution abnormalities caused by ferroptosis; the latter is involved in a variety of pathophysiological processes, while currently there is no role in radiation nephropathy. The present study sought to investigate the role of ferroptosis in radiation nephropathy, and the mechanism of FG-4592 in relieviating radiation nephropathy, C57BL/6 mice and TCMK-1 cell are separately irradiated with 12GY, 10GY X-ray to construct radiation nephropathy models in vivo and in vitro. Compared with the control group, X-rays promoted the occurrence of lipid peroxidation and ferroptosis, and oxidative stress and lipid peroxidation products were increased and antioxidant products were decreased in the X-rays-induced radionephropathy model; intervention in ferroptosis could alleviate radiation nephropathy, and FG-4592 could regulate lipid metabolism and oxidative reactions to ameliorate feroptosis and attenuate kidney injury through the modulation of HIF activity. In conclusion, in this study, transcriptome analysis was utilized to screen out the pathways involved in the regulation of radiation nephropathy, which provided the basis for the subsequent study of drug intervention in radioactive kidney injury. And FG-4592 had a certain anti-radiation effect in this experiment, which had a protective effect in radiation nephropathy. This study provides new ideas for the development of novel low toxicity, effective radiation-resistant agents.