Xin Cuiyan, Lei Jiahui, Wang Qian, Yin Yixia, Yang Xiaoqian, Moran Guerrero Jose Alberto, Sabbisetti Venkata, Sun Xiaoming, Vaidya Vishal S, Bonventre Joseph V
Division of Renal Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Department of Pathogen Biology, School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
iScience. 2021 Sep 29;24(10):103193. doi: 10.1016/j.isci.2021.103193. eCollection 2021 Oct 22.
Chronic kidney disease (CKD) is associated with substantial morbidity and mortality. We developed a mouse model that mimics human CKD with inflammation, extracellular matrix deposition, tubulointerstitial fibrosis, increased proteinuria, and associated reduction in glomerular filtration rate over time. Using this model, we show that genetic deficiency of SMOC2 or therapeutic silencing of SMOC2 with small interfering RNAs (siRNAs) after disease onset significantly ameliorates inflammation, fibrosis, and kidney function loss. Mechanistically, we found that SMOC2 promotes fibroblast to myofibroblast differentiation by activation of diverse cellular signaling pathways including MAPKs, Smad, and Akt. Thus, targeting SMOC2 therapeutically offers an approach to prevent fibrosis progression and CKD after injury.
慢性肾脏病(CKD)与高发病率和死亡率相关。我们构建了一种小鼠模型,该模型可模拟人类CKD,伴有炎症、细胞外基质沉积、肾小管间质纤维化、蛋白尿增加以及随着时间推移肾小球滤过率相应降低。利用该模型,我们发现疾病发生后SMOC2基因缺陷或用小干扰RNA(siRNA)对SMOC2进行治疗性沉默可显著改善炎症、纤维化和肾功能丧失。从机制上讲,我们发现SMOC2通过激活包括丝裂原活化蛋白激酶(MAPK)、Smad和Akt在内的多种细胞信号通路来促进成纤维细胞向肌成纤维细胞分化。因此,以SMOC2为治疗靶点提供了一种预防损伤后纤维化进展和CKD的方法。