Zhu Qing, Hu Junping, Wang Lei, Wang Weili, Wang Zhengchao, Li Pin-Lan, Boini Krishna M, Li Ningjun
aInstitute of Hypertension, Sun Yat-sen University School of Medicine, Guangzhou, China bDepartment of Pharmacology & Toxicology, Virginia Commonwealth University, Medical College of Virginia Campus, Richmond, Virginia, USA cLaboratory for Developmental Biology and Neurosciences, College of Life Sciences, Fujian Normal University, Fuzhou, China.
J Hypertens. 2017 Sep;35(9):1872-1880. doi: 10.1097/HJH.0000000000001373.
We have previously shown that high salt intake suppresses the expression of prolyl hydroxylase domain-containing protein 2 (PHD2), an enzyme promoting the degradation of hypoxia-inducible factor (HIF)-1α, and increases HIF-1α along with its target genes in the renal medulla, which promotes sodium excretion and regulates salt sensitivity of blood pressure. However, it remains unknown how high salt inhibits the expression of PHD2.
The current study first revealed that high-salt-induced PHD2 inhibition was due to the enhanced decay of mRNA. We then found that high salt significantly increased the expression of miR-429, which was subsequently proven to target the 3'-untranslated region of PHD2 and reduce PHD2 levels, in the renal medulla. To define the functional role of renal medullary miR-429 in the regulation of PHD2/HIF-1α-mediated renal adaptation to high salt intake and salt sensitivity of blood pressure, we locally inhibited miR-429 in the renal medulla by locked nucleic acid anti-miR-429 in uninephrectomized rats. Our results demonstrated that inhibition of miR-429 remarkably increased the levels of PHD2, which disrupted PHD2-associated adaptive activation of HIF-1α-mediated gene expression in response to high salt in the renal medulla and consequently inhibited urinary sodium excretion, enhanced sodium retention in response to chronic sodium overloading, and as a result, produced a salt-sensitive hypertension.
It is concluded that miR-429 is an important upstream mediator in PHD2/HIF-1α-associated renal adaptation to high salt intake and that deficiency in miR-429-mediated PHD2 inhibition in response to high salt in the renal medulla may represent a pathogenic mechanism for salt-sensitive hypertension.
我们之前已经表明,高盐摄入会抑制含脯氨酰羟化酶结构域蛋白2(PHD2)的表达,PHD2是一种促进缺氧诱导因子(HIF)-1α降解的酶,并且会增加肾髓质中HIF-1α及其靶基因的表达,这会促进钠排泄并调节血压的盐敏感性。然而,高盐如何抑制PHD2的表达仍不清楚。
当前研究首先揭示,高盐诱导的PHD2抑制是由于mRNA降解增强所致。然后我们发现,高盐显著增加了miR-429的表达,随后证明miR-429靶向PHD2的3'-非翻译区并降低肾髓质中PHD2的水平。为了确定肾髓质miR-429在调节PHD2/HIF-1α介导的肾脏对高盐摄入的适应性及血压盐敏感性中的功能作用,我们在单侧肾切除的大鼠中通过锁核酸抗miR-429在肾髓质局部抑制miR-429。我们的结果表明,抑制miR-429显著增加了PHD2的水平,这破坏了肾髓质中PHD2相关的对高盐的适应性激活,即HIF-1α介导的基因表达,从而抑制尿钠排泄,增强了对慢性钠超载的钠潴留,结果导致盐敏感性高血压。
得出结论,miR-429是PHD2/HIF-1α相关肾脏对高盐摄入适应性的重要上游介质,并且肾髓质中对高盐反应的miR-429介导的PHD2抑制缺陷可能代表盐敏感性高血压的一种致病机制。