Gao Yan, Chen Zhao-Yu, Wang Yan, Liu Yan, Ma Jian-Xia, Li Yu-Kun
Department of Endocrinology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, P.R. China.
Arthritis Clinic and Research Center, Peking University People's Hospital, Beijing 100044, P.R. China.
Exp Ther Med. 2017 Feb;13(2):581-587. doi: 10.3892/etm.2017.4027. Epub 2017 Jan 5.
Diabetic nephropathy (DN) is one of the most frequent complications associated with type I and II diabetes mellitus. Kidneys from patients with DN are characterized by mesangial matrix expansion and increased thickness of the glomerular basement membrane, which are induced by reactive oxygen species (ROS) production. Previous studies have been conducted to investigate this; however, the detailed mechanism of DN progression remains to be elucidated. The present study evaluated the expression of antisense mitochondrial non-coding RNA-2 (ASncmtRNA-2) in an experimental DN model and cultured human mesangial cells. When mice that exhibited genetic type II diabetes developed DN, ASncmtRNA-2 expression was significantly increased (P=0.017) and was positively correlated with pro-fibrotic factor transforming growth factor β1 (TGFβ1) expression and its downstream gene, fibronectin. Inhibition of ROS through administration of the nitric oxide synthase inhibitor, NG-nitro-L-Arginine methylester (L-NAME), significantly reduced (P=0.022) the upregulation of ASncmtRNA-2 in DN. In cultured human renal mesangial cells (HRMCs), ASncmtRNA-2 was upregulated by high glucose stimuli in a time-dependent manner. Glucose-induced upregulation of ASncmtRNA-2 was also reduced by co-incubation of HRMCs with L-NAME. Notably, specific short hairpin RNA against ASncmtRNA-2 significantly downregulated the expression of TGFβ1 in HRMCs. The present study suggests that ASncmtRNA-2 is upregulated by ROS and may promote glomerular fibrosis in DN via positively regulating the expression of pro-fibrotic factors. These findings may provide novel potential therapeutic and preventative treatments for DN.
糖尿病肾病(DN)是与I型和II型糖尿病相关的最常见并发症之一。DN患者的肾脏特征为系膜基质扩张和肾小球基底膜增厚,这是由活性氧(ROS)生成所诱导的。此前已有研究对其进行调查;然而,DN进展的详细机制仍有待阐明。本研究评估了反义线粒体非编码RNA-2(ASncmtRNA-2)在实验性DN模型和培养的人系膜细胞中的表达。当表现出遗传型II型糖尿病的小鼠发生DN时,ASncmtRNA-2表达显著增加(P=0.017),且与促纤维化因子转化生长因子β1(TGFβ1)表达及其下游基因纤连蛋白呈正相关。通过给予一氧化氮合酶抑制剂NG-硝基-L-精氨酸甲酯(L-NAME)抑制ROS,可显著降低(P=0.022)DN中ASncmtRNA-2的上调。在培养的人肾系膜细胞(HRMCs)中,ASncmtRNA-2在高糖刺激下呈时间依赖性上调。HRMCs与L-NAME共同孵育也可降低葡萄糖诱导的ASncmtRNA-2上调。值得注意的是,针对ASncmtRNA-2的特异性短发夹RNA可显著下调HRMCs中TGFβ1的表达。本研究表明,ASncmtRNA-2被ROS上调,并可能通过正向调节促纤维化因子的表达促进DN中的肾小球纤维化。这些发现可能为DN提供新的潜在治疗和预防方法。