Gomez Ivan G, MacKenna Deidre A, Johnson Bryce G, Kaimal Vivek, Roach Allie M, Ren Shuyu, Nakagawa Naoki, Xin Cuiyan, Newitt Rick, Pandya Shweta, Xia Tai-He, Liu Xueqing, Borza Dorin-Bogdan, Grafals Monica, Shankland Stuart J, Himmelfarb Jonathan, Portilla Didier, Liu Shiguang, Chau B Nelson, Duffield Jeremy S
J Clin Invest. 2015 Jan;125(1):141-56. doi: 10.1172/JCI75852. Epub 2014 Nov 21.
MicroRNA-21 (miR-21) contributes to the pathogenesis of fibrogenic diseases in multiple organs, including the kidneys, potentially by silencing metabolic pathways that are critical for cellular ATP generation, ROS production, and inflammatory signaling. Here, we developed highly specific oligonucleotides that distribute to the kidney and inhibit miR-21 function when administered subcutaneously and evaluated the therapeutic potential of these anti-miR-21 oligonucleotides in chronic kidney disease. In a murine model of Alport nephropathy, miR-21 silencing did not produce any adverse effects and resulted in substantially milder kidney disease, with minimal albuminuria and dysfunction, compared with vehicle-treated mice. miR-21 silencing dramatically improved survival of Alport mice and reduced histological end points, including glomerulosclerosis, interstitial fibrosis, tubular injury, and inflammation. Anti-miR-21 enhanced PPARα/retinoid X receptor (PPARα/RXR) activity and downstream signaling pathways in glomerular, tubular, and interstitial cells. Moreover, miR-21 silencing enhanced mitochondrial function, which reduced mitochondrial ROS production and thus preserved tubular functions. Inhibition of miR-21 was protective against TGF-β-induced fibrogenesis and inflammation in glomerular and interstitial cells, likely as the result of enhanced PPARα/RXR activity and improved mitochondrial function. Together, these results demonstrate that inhibition of miR-21 represents a potential therapeutic strategy for chronic kidney diseases including Alport nephropathy.
微小RNA-21(miR-21)在包括肾脏在内的多个器官的纤维化疾病发病机制中起作用,可能是通过使对细胞ATP生成、ROS产生和炎症信号传导至关重要的代谢途径沉默来实现的。在此,我们开发了高度特异性的寡核苷酸,当皮下给药时可分布到肾脏并抑制miR-21功能,并评估了这些抗miR-21寡核苷酸在慢性肾病中的治疗潜力。在阿尔波特肾病的小鼠模型中,与载体处理的小鼠相比,miR-21沉默未产生任何不良反应,并且导致肾病明显减轻,蛋白尿和功能障碍最小。miR-21沉默显著提高了阿尔波特小鼠的存活率,并减少了组织学终点,包括肾小球硬化、间质纤维化、肾小管损伤和炎症。抗miR-21增强了肾小球、肾小管和间质细胞中的PPARα/视黄酸X受体(PPARα/RXR)活性和下游信号通路。此外,miR-21沉默增强了线粒体功能,减少了线粒体ROS的产生,从而保留了肾小管功能。抑制miR-21对TGF-β诱导的肾小球和间质细胞纤维化和炎症具有保护作用,这可能是PPARα/RXR活性增强和线粒体功能改善的结果。总之,这些结果表明,抑制miR-21代表了包括阿尔波特肾病在内的慢性肾病的一种潜在治疗策略。