(A) ELISA showed CNN2 levels in the conditioned medium (CM) collected from the cultured fibroblasts after knockdown of CNN2 under hypoxic stress. *P < 0.05 (n = 6). (B) Schematic diagram. (C) Western blot assay demonstrated that CNN2-deprived CM enhanced sirt5 and Hmgcs2 expression in NRK-52E cells stimulated with CoCl2 (400 µM). (D and F) Western blot assay demonstrated CNN2-deprived CM decreased the abundance of succinyl-lysine motif (Succ-K) in NRK-52E cells under hypoxia stress (D), but they were increased after knockdown of sirt5 (F). (E and G) Co-immunoprecipitation of endogenous Hmgcs2 from cell lysates of normal control (NC) CM and CNN2-deprived CM. Immunoprecipitation revealed that lysine succinylation on Hmgcs2 is less in CNN2-deprived CM under hypoxia stress (E) but increased after knockdown of sirt5 (G), compared with controls. (H) Western blot assay demonstrated decreased Bax and NGAL levels after incubation with CNN2-deprived CM under hypoxic stress, compared with vehicles. (I–K) After stimulation with staurosporine (STS, 1 μM) for 3 hours, Western blot assay demonstrated the reduced abundance of cleaved caspase-3 (CCP3) in cultured NRK-52E cells incubated with CNN2-deprived CM (I) and immunofluorescence staining showed fewer CCP3+ tubular cells after treatment with CNN2-deprived CM (J). Quantitative data are presented (K). Scale bar, 25 μm. *P < 0.05 (n = 3). (L) Western blot assay demonstrated that CNN2-deprived CM reduced abundance of CCP3 in cultured NRK-52E cells, but they were increased after knockdown of Hmgcs2, compared with scramble controls. (M) Western blot assay demonstrated CNN2-deprived CM repressed Bax and NGAL inductions in cultured NRK-52E cells under hypoxia stress, but they were increased after knockdown of sirt5. Graphs are presented as means ± SEM. Differences between groups were analyzed using unpaired t tests or ANOVA followed by the Student-Newman-Keuls test.