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Recent epidemiological studies have highlighted the link between exposure to fine particulate matter (PM<jats:sub>2.5<\/jats:sub>) and a decline in renal function. PM<jats:sub>2.5<\/jats:sub> exerts harmful effects on various organs through oxidative stress and inflammation. Acute kidney injury (AKI) resulting from ischaemia\u2013reperfusion injury (IRI) involves biological processes similar to those involved in PM<jats:sub>2.5<\/jats:sub> toxicity and is a known risk factor for CKD. The objective of this study was to investigate the impact of PM<jats:sub>2.5<\/jats:sub> exposure on IRI\u2010induced AKI. Through a unique environmentally controlled setup, mice were exposed to urban PM<jats:sub>2.5<\/jats:sub> or filtered air for 12\u2009weeks before IRI followed by euthanasia 48\u2009h after surgery. Animals exposed to PM<jats:sub>2.5<\/jats:sub> and IRI exhibited reduced glomerular filtration, impaired urine concentration ability, and significant tubular damage. Further, PM<jats:sub>2.5<\/jats:sub> aggravated local innate immune responses and mitochondrial dysfunction, as well as enhancing cyclic GMP\u2013AMP synthase\u2010stimulator of interferon genes (cGAS\u2013STING) pathway activation. This increased renal senescence and suppressed the anti\u2010ageing protein klotho, leading to early fibrotic changes. <jats:italic>In vitro<\/jats:italic> studies using proximal tubular epithelial cells exposed to PM<jats:sub>2.5<\/jats:sub> and hypoxia\/reoxygenation revealed heightened activation of the STING pathway triggered by cytoplasmic mitochondrial DNA, resulting in increased tubular damage and a pro\u2010inflammatory phenotype. In summary, our findings imply a role for PM<jats:sub>2.5<\/jats:sub> in sensitising proximal tubular epithelial cells to IRI\u2010induced damage, suggesting a plausible association between PM<jats:sub>2.5<\/jats:sub> exposure and heightened susceptibility to CKD in individuals experiencing AKI. Strategies aimed at reducing PM<jats:sub>2.5<\/jats:sub> concentrations and implementing preventive measures may improve outcomes for AKI patients and mitigate the progression from AKI to CKD. \u00a9 2024 The Authors. <jats:italic>The Journal of Pathology<\/jats:italic> published by John Wiley &amp; Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.<\/jats:p>","DOI":"10.1002\/path.6302","type":"journal-article","created":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T06:10:38Z","timestamp":1719468638000},"page":"496-507","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Air pollution aggravates renal ischaemia\u2013reperfusion\u2010induced acute kidney injury"],"prefix":"10.1002","volume":"263","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7533-859X","authenticated-orcid":false,"given":"Talita Rojas","family":"Sanches","sequence":"first","affiliation":[{"name":"Laboratory of Basic 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