Division of Nephrology, Nanfang Hospital, Southern Medical University, State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Guangdong Provincial Key Laboratory of Renal Failure Research, Guangzhou Regenerative Medicine and Health Guangdong Laboratory, Guangzhou 510515, China.
Division of Nephrology, Nanfang Hospital, Southern Medical University, State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Guangdong Provincial Key Laboratory of Renal Failure Research, Guangzhou Regenerative Medicine and Health Guangdong Laboratory, Guangzhou 510515, China.
Mol Ther. 2021 Jul 7;29(7):2308-2320. doi: 10.1016/j.ymthe.2021.03.012. Epub 2021 Mar 17.
NLRP3 (NOD-, LRR-, and pyrin domain-containing protein 3) inflammasome activation has emerged as a central mediator of kidney inflammation in diabetic kidney disease (DKD). However, the mechanism underlying this activation in DKD remains poorly defined. In this study, we found that kidney-enriched microRNA-10a and -10b (miR-10a/b), predominantly expressed in podocytes and tubular epithelial cells, were downregulated in kidney from diabetic mice and patients with DKD. High glucose decreased miR-10a/b expression in vitro in an osmolarity-independent manner. miR-10a/b functioned as negative regulators of the NLRP3 inflammasome through targeting the 3'untranslated region of NLRP3 mRNA, inhibiting assembly of the NLRP3 inflammasome and decreasing caspase-1-dependent release of pro-inflammatory cytokines. Delivery of miR-10a/b into kidney prevented NLRP3 inflammasome activation and renal inflammation, and it reduced albuminuria in streptozotocin (STZ)-treated mice, whereas knocking down miR-10a/b increased NLRP3 inflammasome activation. Restoration of miR-10a/b expression in established DKD ameliorated kidney inflammation and mitigated albuminuria in both db/db and STZ-treated mice. These results suggest a novel intervention strategy for inhibiting kidney inflammation in DKD by targeting the NLRP3 inflammasome.
NLRP3(NOD、LRR 和 pyrin 结构域蛋白 3)炎性小体的激活已成为糖尿病肾病(DKD)中肾脏炎症的主要介质。然而,DKD 中这种激活的机制仍未得到明确定义。在这项研究中,我们发现肾脏丰富的 microRNA-10a 和 -10b(miR-10a/b),主要在足细胞和肾小管上皮细胞中表达,在糖尿病小鼠和 DKD 患者的肾脏中下调。高葡萄糖以渗透压非依赖的方式降低体外 miR-10a/b 的表达。miR-10a/b 通过靶向 NLRP3 mRNA 的 3'非翻译区,作为 NLRP3 炎性小体的负调控因子,抑制 NLRP3 炎性小体的组装并减少 caspase-1 依赖性促炎细胞因子的释放。miR-10a/b 递送至肾脏可防止 NLRP3 炎性小体的激活和肾脏炎症,并减少链脲佐菌素(STZ)处理小鼠的蛋白尿,而敲低 miR-10a/b 则增加 NLRP3 炎性小体的激活。在已建立的 DKD 中恢复 miR-10a/b 的表达可改善 db/db 和 STZ 处理小鼠的肾脏炎症并减轻蛋白尿。这些结果表明,通过靶向 NLRP3 炎性小体,为抑制 DKD 中的肾脏炎症提供了一种新的干预策略。