Rac1 promotes proximal tubule kidney repair by coupling the actin cytoskeleton to mitochondrial function

O Olga M. Viquez (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) M Meiling Melzer (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) S Shensen Li (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) M Matthew Tantengco (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) X Xinyu Dong (Key Laboratory of Photochemistry) E Eric Sha (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) J Jeffery Huang (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) E Evan S. Krystofiak (Department of Cell and Developmental Biology, Vanderbilt University) R Rachel C. Hart (Department of Cell and Developmental Biology, Vanderbilt University) W Wentian Luo (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) C Christian Warren (Research and Medical Services, United States Department of Veterans Affairs, Tennessee Valley Healthcare System) A Al-Borhan Bayazid (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) R Richard Zhang (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) R Ryoichi Bessho (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) V Volker H. Haase (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) C Cord Brakebusch T Takanari Inoue (Department of Cell Biology, Johns Hopkins University School of Medicine) C Craig Brooks (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) M Matthew H. Wilson (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) A Andrew S. Terker (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) J Juan P. Arroyo (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) A Ambra Pozzi R Roy Zent (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center) F Fabian Bock (Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center)

Abstract

The kidney proximal tubule (PT) is a specialized polarized epithelium that functions as a high capacity resorptive machine. PT cells are exquisitely sensitive to ischemia due to their high metabolic rate. The small GTPase Rac1 regulates epithelial function by promoting polarity through its effects on the actin cytoskeleton. We show that Rac1, in the setting of the recovery of the PT from ischemic injury, plays a critical role in reconstituting cellular bioenergetics by promoting actin cytoskeleton formation around damaged mitochondria. This mechanism removes damaged mitochondria through mitophagy and preserves PT metabolic capacity and reabsorption function. Loss of Rac1 causes intracellular lipid accumulation, energy depletion, and PT cell atrophy. Thus, Rac1 promotes the repair of PT cells by enhancing mitochondrial bioenergetics, rather than by regulating cell polarity via a mechanism that links the actin cytoskeleton to metabolic demands and cell morphology.

Article Details

Volume / Issue Vol. 122, Issue 47
Published November 25, 2025
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (24)

O

Olga M. Viquez

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

M

Meiling Melzer

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

S

Shensen Li

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

M

Matthew Tantengco

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

X

Xinyu Dong

Key Laboratory of Photochemistry

E

Eric Sha

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

J

Jeffery Huang

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

E

Evan S. Krystofiak

Department of Cell and Developmental Biology, Vanderbilt University

R

Rachel C. Hart

Department of Cell and Developmental Biology, Vanderbilt University

W

Wentian Luo

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

C

Christian Warren

Research and Medical Services, United States Department of Veterans Affairs, Tennessee Valley Healthcare System

A

Al-Borhan Bayazid

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

R

Richard Zhang

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

R

Ryoichi Bessho

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

V

Volker H. Haase

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

C

Cord Brakebusch

T

Takanari Inoue

Department of Cell Biology, Johns Hopkins University School of Medicine

C

Craig Brooks

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

M

Matthew H. Wilson

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

A

Andrew S. Terker

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

J

Juan P. Arroyo

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

A

Ambra Pozzi

R

Roy Zent

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center

F

Fabian Bock

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center