Department of Nephrology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, P.R. China.
Int J Mol Med. 2018 Jul;42(1):453-460. doi: 10.3892/ijmm.2018.3579. Epub 2018 Mar 22.
Renal interstitial fibrosis is a necessary step in the progression of chronic kidney to end stage renal disease. MicroRNA-29 (miR-29) has been shown to play essential roles in epithelial-mesenchymal transition (EMT), and thus may contribute to the regulation of renal interstitial fibrosis. However, the role of miR-29 in the regulation of EMT during chronic kidney disease and renal transplantation has been a source of intense debate, and the mechanisms underlying this process are incompletely understood. In this study, we investigated the function of miR-29b in the regulation of EMT and to gain a better understanding of the mechanism by which miR-29b modulates EMT by targeting the phosphatidylinositol 3-kinase/protein kinase B (PI3K/AKT) signaling pathway during the process of renal interstitial fibrosis. The rat proximal tubular epithelial cell line NRK-52E was cultured in DMEM and treated with angiotensin II (Ang II) at various concentrations. RT-PCR was performed to investigate changes in the levels of expression of miR-29b in NRK-52E cells and western blotting was used to analyze the expression of PI3K, p-AKT, vimentin and keratin 18. The result of the study show that treatment of NRK-52E cells with Ang II induced the transition of the cellular phenotype from epithelial to mesenchymal and upregulated the PI3K/AKT signaling pathway; this was also found following treatment with a phosphatase and tensin homolog on chromosome 10 (PTEN)-specific inhibitor. Increased expression of miR-29b was able to reverse the phenotype induced by Ang II in NRK-52E cells and blocking miR-29b activity with an miR-29b inhibitor resulted in enhanced EMT. Additionally, the PI3K/AKT signaling pathway was found to be suppressed in the presence of enhanced expression of miR-29b by direct binding to 3'-untranslated region (3'-UTR) of PIK3R2. We concluded that miR-29b plays an important role in the negative regulation of Ang II-induced EMT via PI3K/AKT signaling pathway and propose that enhancing miR-29b level or blocking PI3K/AKT signaling pathway may be a novel therapeutic target in renal interstitial fibrosis.
肾间质纤维化是慢性肾脏病进展至终末期肾病的必要步骤。MicroRNA-29 (miR-29) 已被证明在上皮-间充质转化 (EMT) 中发挥重要作用,因此可能有助于调节肾间质纤维化。然而,miR-29 在慢性肾脏病和肾移植中调节 EMT 的作用一直是激烈争论的来源,并且这个过程的机制尚不完全清楚。在这项研究中,我们研究了 miR-29b 在调节 EMT 中的功能,并通过靶向磷脂酰肌醇 3-激酶/蛋白激酶 B (PI3K/AKT) 信号通路,更好地了解 miR-29b 调节 EMT 的机制在肾间质纤维化过程中。将大鼠近端肾小管上皮细胞系 NRK-52E 在 DMEM 中培养,并以不同浓度的血管紧张素 II (Ang II) 处理。进行 RT-PCR 以研究 NRK-52E 细胞中 miR-29b 表达水平的变化,并使用 Western blot 分析 PI3K、p-AKT、波形蛋白和角蛋白 18 的表达。研究结果表明,用 Ang II 处理 NRK-52E 细胞诱导细胞表型从上皮向间充质转化,并上调 PI3K/AKT 信号通路;用 10 号染色体磷酸酶和张力蛋白同源物 (PTEN) 特异性抑制剂处理也发现了这种情况。miR-29b 的表达增加能够逆转 Ang II 诱导的 NRK-52E 细胞表型,并使用 miR-29b 抑制剂阻断 miR-29b 的活性导致 EMT 增强。此外,通过直接结合 PIK3R2 的 3'非翻译区 (3'-UTR),发现 PI3K/AKT 信号通路被增强的 miR-29b 表达所抑制。我们得出结论,miR-29b 通过 PI3K/AKT 信号通路在负调控 Ang II 诱导的 EMT 中发挥重要作用,并提出增强 miR-29b 水平或阻断 PI3K/AKT 信号通路可能是肾间质纤维化的新治疗靶点。