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ALKBH1 去甲基化 DNA N6-甲基腺嘌呤修饰通过慢性肾脏病中的成骨重编程触发血管钙化。

ALKBH1-demethylated DNA N6-methyladenine modification triggers vascular calcification via osteogenic reprogramming in chronic kidney disease.

机构信息

Department of Cardiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

Department of Cardiology, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.

出版信息

J Clin Invest. 2021 Jul 15;131(14). doi: 10.1172/JCI146985.


DOI:10.1172/JCI146985
PMID:34003800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8279589/
Abstract

Vascular calcification (VC) predicts cardiovascular morbidity and mortality in chronic kidney disease (CKD). To date, the underlying mechanisms remain unclear. We detected leukocyte DNA N6-methyladenine (6mA) levels in patients with CKD with or without aortic arch calcification. We used arteries from CKD mice infected with vascular smooth muscle cell-targeted (VSMC-targeted) adeno-associated virus encoding alkB homolog 1 (Alkbh1) gene or Alkbh1 shRNA to evaluate features of calcification. We identified that leukocyte 6mA levels were significantly reduced as the severity of VC increased in patients with CKD. Decreased 6mA demethylation resulted from the upregulation of ALKBH1. Here, ALKBH1 overexpression aggravated whereas its depletion blunted VC progression and osteogenic reprogramming in vivo and in vitro. Mechanistically, ALKBH1-demethylated DNA 6mA modification could facilitate the binding of octamer-binding transcription factor 4 (Oct4) to bone morphogenetic protein 2 (BMP2) promoter and activate BMP2 transcription. This resulted in osteogenic reprogramming of VSMCs and subsequent VC progression. Either BMP2 or Oct4 depletion alleviated the procalcifying effects of ALKBH1. This suggests that targeting ALKBH1 might be a therapeutic method to reduce the burden of VC in CKD.

摘要

血管钙化 (VC) 可预测慢性肾脏病 (CKD) 患者的心血管发病率和死亡率。迄今为止,其潜在机制尚不清楚。我们检测了伴有或不伴有主动脉弓钙化的 CKD 患者的白细胞 DNA N6-甲基腺嘌呤 (6mA) 水平。我们使用靶向血管平滑肌细胞 (VSMC) 的腺相关病毒 (AAV) 感染 CKD 小鼠,该病毒编码 AlkB 同源物 1 (Alkbh1) 基因或 Alkbh1 shRNA,以评估钙化的特征。我们发现,随着 CKD 患者 VC 严重程度的增加,白细胞 6mA 水平显著降低。6mA 去甲基化减少是由于 ALKBH1 的上调。在这里,ALKBH1 的过表达加重了 VC 进展和体内体外成骨重编程,而其耗竭则减轻了 VC 进展和体内体外成骨重编程。从机制上讲,ALKBH1 去甲基化 DNA 6mA 修饰可以促进八聚体结合转录因子 4 (Oct4) 与骨形态发生蛋白 2 (BMP2) 启动子结合,并激活 BMP2 转录。这导致 VSMC 成骨重编程和随后的 VC 进展。BMP2 或 Oct4 的耗竭减轻了 ALKBH1 的促钙化作用。这表明靶向 ALKBH1 可能是一种减轻 CKD 患者 VC 负担的治疗方法。

相似文献

[1]
ALKBH1-demethylated DNA N6-methyladenine modification triggers vascular calcification via osteogenic reprogramming in chronic kidney disease.

J Clin Invest. 2021-7-15

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[2]
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Sci Rep. 2025-7-1

[3]
N6-Methyladenosine Modification of the Three Components "Writers", "Erasers", and "Readers" in Relation to Osteogenesis.

Int J Mol Sci. 2025-6-12

[4]
Cross-Kingdom DNA Methylation Dynamics: Comparative Mechanisms of 5mC/6mA Regulation and Their Implications in Epigenetic Disorders.

Biology (Basel). 2025-4-24

[5]
From bone marrow mesenchymal stem cells to diseases: the crucial role of mA methylation in orthopedics.

Stem Cell Res Ther. 2025-5-6

[6]
GLS1-Mediated Redundancy in Glutamate Accelerates Arterial Calcification via Activating NMDAR/Ca/β-Catenin Pathway.

Adv Sci (Weinh). 2025-6

[7]
METTL3 obstructs vascular smooth muscle cells osteogenic reprogramming by methylating Runx2 in chronic kidney disease.

Commun Biol. 2025-4-8

[8]
TET2 suppresses vascular calcification by forming an inhibitory complex with HDAC1/2 and SNIP1 independent of demethylation.

J Clin Invest. 2025-3-11

[9]
Recent advances of traditional Chinese medicine against cardiovascular disease: overview and potential mechanisms.

Front Endocrinol (Lausanne). 2024

[10]
Key regulators of vascular calcification in chronic kidney disease: Hyperphosphatemia, BMP2, and RUNX2.

PeerJ. 2024

本文引用的文献

[1]
Soluble Urokinase Receptor (SuPAR) in COVID-19-Related AKI.

J Am Soc Nephrol. 2020-9-22

[2]
Statins ameliorate cholesterol-induced inflammation and improve AQP2 expression by inhibiting NLRP3 activation in the kidney.

Theranostics. 2020

[3]
DNA N-methyladenine modification in hypertension.

Aging (Albany NY). 2020-4-13

[4]
Soluble Urokinase Receptor and Acute Kidney Injury.

N Engl J Med. 2020-1-30

[5]
Association of N-methyladenine DNA with plaque progression in atherosclerosis via myocardial infarction-associated transcripts.

Cell Death Dis. 2019-12-4

[6]
Epigenetic Methylations on N6-Adenine and N6-Adenosine with the same Input but Different Output.

Int J Mol Sci. 2019-6-15

[7]
Indoxyl Sulfate and p-Cresyl Sulfate Promote Vascular Calcification and Associate with Glucose Intolerance.

J Am Soc Nephrol. 2019-4-2

[8]
Increased FGF23 protects against detrimental cardio-renal consequences during elevated blood phosphate in CKD.

JCI Insight. 2019-2-21

[9]
AT2 receptor stimulation inhibits phosphate-induced vascular calcification.

Kidney Int. 2018-11-12

[10]
N-methyladenine DNA Modification in Glioblastoma.

Cell. 2018-11-1

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