Department of Cardiovascular Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, Anhui, China.
Sci Rep. 2021 Jan 18;11(1):1665. doi: 10.1038/s41598-021-81113-x.
The occurrence of cardiac surgery-associated acute kidney injury (CSA-AKI) increases hospital stay and mortality. MicroRNAs has a crucial role in AKI. This objective of the current study is to explore the function of hsa-miR-494-3p in inflammatory response in human kidney tubular epithelial (HK2) cells with hypoxia/reoxygenation. According to KDIGO standard, patients after cardiac surgery with cardiopulmonary bypass were divided into two groups: AKI (n = 10) and non-AKI patients (n = 8). HK2 were raised in the normal and hypoxia/reoxygenation circumstances and mainly treated by overexpression ofmiR-494-3p and HtrA3. The relationship between miR-494-3p and HtrA3 was determined by dual-luciferase reporter assay. Our result showed that Hsa-miR-494-3p was elevated in the serum of patients with CSA-AKI, and also induced in hypoxic reoxygenated HK2 cells. Hsa-miR-494-3p also increased a hypoxia-reoxygenation induced inflammatory response in HK2 cells. Moreover, as a target gene of miR-494-3p, overexpression of HtrA3 downregulated the hypoxia-reoxygenation induced inflammatory response in HK2 cells. Overexpression of hsa-miR-494-3p-induced inflammatory response was inhibited by overexpression of HtrA3. Collectively, we identified that hsa-miR-494-3p, a miRNA induced in both circulation of AKI patients and hypoxia-reoxygenation-treated HK2 cells, enhanced renal inflammation by targeting HtrA3, which may suggest a possible role as a new therapeutic target for CSA-AKI.
心脏手术后急性肾损伤(CSA-AKI)的发生会增加住院时间和死亡率。microRNAs 在 AKI 中起着关键作用。本研究的目的是探讨 hsa-miR-494-3p 在缺氧/复氧人肾小管上皮细胞(HK2)炎症反应中的作用。根据 KDIGO 标准,体外循环心脏手术后的患者分为两组:AKI 组(n=10)和非 AKI 组(n=8)。HK2 在正常和缺氧/复氧条件下培养,主要通过过表达 miR-494-3p 和 HtrA3 进行处理。通过双荧光素酶报告基因检测确定 miR-494-3p 与 HtrA3 之间的关系。结果显示,CSA-AKI 患者血清中 hsa-miR-494-3p 升高,缺氧复氧 HK2 细胞也诱导其表达。hsa-miR-494-3p 还增加了 HK2 细胞缺氧/复氧诱导的炎症反应。此外,作为 miR-494-3p 的靶基因,HtrA3 的过表达下调了 HK2 细胞缺氧/复氧诱导的炎症反应。HtrA3 的过表达抑制了 hsa-miR-494-3p 过表达诱导的炎症反应。综上所述,我们发现 hsa-miR-494-3p 是一种在 AKI 患者循环和缺氧/复氧处理的 HK2 细胞中均诱导表达的 miRNA,通过靶向 HtrA3 增强肾脏炎症反应,这可能提示其作为 CSA-AKI 的一个新的治疗靶点。