A multi-hierarchical approach reveals D-serine as a hidden substrate of sodium-coupled monocarboxylate transporters

Reviewer #1 (Public Review):

Most amino acids are stereoisomers in the L-enantiomer, but natural D-serine has also been detected in mammals and its levels shown to be connected to a number of different pathologies. Here, the authors convincingly show that D-serine is transported in the kidney by the neutral amino acid transporter ASCT2 and as a non-canonical substrate for the sodium-coupled monocarboxylate transporter SMCTs. Although both transport D-serine, this important study further shows in a mouse model for acute kidney injury that ASCT2 has the dominant role.

Strengths:
The paper combines proteomics, animal models, ex vivo transport analyses, and in vitro transport assays using purified components. The exhaustive methods employed provide compelling evidence that both transporters can translocate D-serine in the kidney.

Weakness:
In the model for acute kidney injury, the SMCTs proteins were not showing a significant change in expression levels and were rather analysed based on other, circumstantial evidence. Although its clear SMCTs can transport D-serine its physiological role is less obvious compared to ASCT2.

Reviewer #2 (Public Review):

Summary:
The manuscript "A multi-hierarchical approach reveals D-1 serine as a hidden substrate of sodium-coupled monocarboxylate transporters" by Wiriyasermkul et al. is a resubmission of a manuscript, which focused first on the proteomic analysis of apical membrane isolated from mouse kidney with early Ischemia-Reperfusion Injury (IRI), a well-known acute kidney injury (AKI) model. In the second part, the transport of D-serine by Asct2, Smct1, and Smct2 has been characterized in detail in different model systems, such as transfected cells and proteoliposomes.

Strengths:
A major problem with the first submission was the explanation of the link between the two parts of the manuscript: it was not very clear why the focus on Asct2, Smct1, and Smct2 was a consequence of the proteomic analysis. In the present version of the manuscript, the authors have focused on the expression of membrane transporters in the proteome analysis, thus making the reason for studying Asct2, Smct1, and Smct2 transporters more clear. In addition, the authors used 2D-HPLC to measure plasma and urinary enantiomers of 20 amino acids in plasma and urine samples from sham and Ischemia-Reperfusion Injury (IRI) mice. The results of this analysis demonstrated the value of D-serine as a potential marker of renal injury. These changes have greatly improved the manuscript and made it more convincing.

Reviewer #3 (Public Review):

Summary:
The main objective of this work has been to delve into the mechanisms underlying the increment of D-serine in serum, as a marker of renal injury.

Strengths:
With a multi-hierarchical approach, the work shows that Ischemia-Reperfusion Injury in the kidney causes a specific increment in renal reabsorption of D-serine that, at least in part, is due to the increased expression of the apical transporter ASCT2. In this way, the authors revealed that SMCT1 also transports D-serine.

The manuscript also supports that increased expression of ASCT2, even together with the parallel decreased expression of SMCT1, in renal proximal tubules underlies the increased reabsorption of D-serine responsible for the increment of this enantiomer in serum in a murine model of Ischemia-Reperfusion Injury.

Weaknesses:
Remains to be clarified whether ASCT2 has substantial stereospecificity in favor of D- versus L-serine to sustain a ~10-fold decrease in the ratio D-serine/L-serine in the urine of mice under Ischemia-Reperfusion Injury (IRI).
It is not clear how the increment in the expression of ASCT2, in parallel with the decreased expression of SMCT1, results in increased renal reabsorption of D-serine in IRI.