A positional isomer of 39,59-cAMP, 29,39-cAMP, is produced by kidneys in response to energy depletion, and renal 29,39-cyclic nucleotide 39-phosphodiesterase (CNPase) metabolizes 29,39-cAMP to 29-AMP; 29,39-cAMP is a potent opener of mitochondrial permeability transition pores (mPTPs), which can stimulate autophagy. Because autophagy protects against AKI, it is conceivable that inhibition of CNPase protects against ischemia-reperfusion (IR) -induced AKI. Therefore, we investigated renal outcomes, mitochondrial function, number, area, and autophagy in CNPase-knockout (CNPase 2/2 ) versus wild-type (WT) mice using a unique two-kidney, hanging-weight model of renal bilateral IR (20 minutes of ischemia followed by 48 hours of reperfusion). Analysis of urinary purines showed attenuated metabolism of 29,39-cAMP to 29-AMP in CNPase 2/2 mice. Neither genotype nor IR affected BP, heart rate, urine volume, or albumin excretion. In WT mice, renal IR reduced 14 C-inulin clearance (index of GFR) and increased renal vascular resistance (measured by transit time nanoprobes) and urinary excretion of kidney injury molecule-1 and neutrophil gelatinase-associated lipocalin. IR did not affect these parameters in CNPase 2/2 mice. Histologic analysis revealed that IR induced severe damage in kidneys from WT mice, whereas histologic changes were minimal after IR in CNPase 2/2 mice. Measurements of renal cardiolipin levels, citrate synthase activity, rotenone-sensitive NADH oxidase activity, and proximal tubular mitochondrial and autophagosome area and number (by transmission electron microscopy) indicted accelerated autophagy/ mitophagy in injured CNPase 2/2 mice. We conclude that CNPase deletion attenuates IR-induced AKI, in part by accelerating autophagy with targeted removal of damaged mitochondria. In response to energy depletion, rat 1,2 and mouse 3 kidneys produce 29,39-cAMP, a positional isomer of 39,59-cAMP that is generated when mRNA is enzymatically degraded. 2 A study by Azarashvili et al. 4 shows that 29,39-cAMP is a potent opener of mitochondrial permeability transition pores (mPTPs).Opening of mPTPs causes mitochondria damage, 5 and mitochondrial damage is a stimulus for autophagy. [6][7][8] Renal autophagy protects against AKI, [9][10][11][12][13][14][15][16] and insufficient autophagy contributes to organ failure. 17 Therefore, it is conceivable that 29,39-cAMP, by increasing autophagy, protects against AKI. Our recent studies identify 29,39-cyclic nucleotide 39-phosphodiesterase (CNPase) as an important enzyme mediating the renal metabolism of