Saito Suguru, Ohno Shin-Ichiro, Harada Yuichirou, Oikawa Keiki, Fujita Koji, Mineo Shouichirou, Gondo Asako, Kanno Yoshihiko, Kuroda Masahiko
Department of Nephrology, Tokyo Medical University, Tokyo, Japan.
Deparatment of Molecular Pathology, Tokyo Medical University, 6-1-1 Shinjyuku, Shinjyuku-ku, Tokyo, 160-8402, Japan.
Clin Exp Nephrol. 2019 Dec;23(12):1345-1356. doi: 10.1007/s10157-019-01783-w. Epub 2019 Sep 3.
Previous studies showed that microRNA-29b (miR-29b) inhibits renal fibrosis. Therefore, miR-29b replacement therapy represents a promising approach for treating renal fibrosis. However, an efficient method of kidney-targeted miRNA delivery has yet to be established. Recombinant adeno-associated virus (rAAV) vectors have great potential for clinical application. For kidney-targeted gene delivery, the most suitable AAV serotype has yet to be established. Here, we identified the most suitable AAV serotype for kidney-targeted gene delivery and determined that AAV-mediated miR-29b delivery can suppress renal fibrosis in vivo.
To determine which AAV serotype is suitable for kidney cells, GFP-positive cells were identified by flow cytometry after the infection of rAAV serotype 1-9 vectors containing the EGFP gene. Next, we injected rAAV vectors into the renal pelvis to determine transduction efficiency in vivo. GFP expression was measured seven days after injecting rAAV serotype 1-9 vectors carrying the EGFP gene. Finally, we investigated whether rAAV6-mediated miR-29b delivery can suppress renal fibrosis in UUO mouse model.
We found that rAAV6 vector is the most suitable for targeting kidney cells regardless of animal species in vitro and rAAV6 is the most suitable vector for kidney-targeted in vivo gene delivery in mice. Intra-renal pelvic injection of rAAV vectors can transduce genes into kidney TECs. Furthermore, rAAV6-mediated miR-29b delivery attenuated renal fibrosis in UUO model by suppressing Snail1 expression.
Our study has revealed that rAAV6 is the most suitable serotype for kidney-targeted gene delivery and rAAV6-mediated miR-29b delivery into kidney TECs can suppress established renal fibrosis.
先前的研究表明,微小RNA-29b(miR-29b)可抑制肾纤维化。因此,miR-29b替代疗法是治疗肾纤维化的一种有前景的方法。然而,尚未建立一种有效的肾脏靶向性微小RNA递送方法。重组腺相关病毒(rAAV)载体具有巨大的临床应用潜力。对于肾脏靶向性基因递送,最合适的AAV血清型尚未确定。在此,我们确定了用于肾脏靶向性基因递送的最合适AAV血清型,并确定AAV介导的miR-29b递送可在体内抑制肾纤维化。
为了确定哪种AAV血清型适合肾细胞,在感染含增强绿色荧光蛋白(EGFP)基因的rAAV血清型1-9载体后,通过流式细胞术鉴定GFP阳性细胞。接下来,我们将rAAV载体注入肾盂以确定体内转导效率。在注射携带EGFP基因的rAAV血清型1-9载体7天后测量GFP表达。最后,我们研究了rAAV6介导的miR-29b递送是否能在单侧输尿管梗阻(UUO)小鼠模型中抑制肾纤维化。
我们发现,无论动物物种如何,rAAV6载体在体外最适合靶向肾细胞,并且rAAV6是小鼠体内肾脏靶向性基因递送的最合适载体。肾内肾盂注射rAAV载体可将基因转导至肾肾小管上皮细胞(TECs)。此外,rAAV6介导的miR-29b递送通过抑制Snail1表达减轻了UUO模型中的肾纤维化。
我们的研究表明,rAAV6是肾脏靶向性基因递送的最合适血清型,并且rAAV6介导的miR-29b递送至肾TECs可抑制已形成的肾纤维化。