Niu Ben, Yao Lixuan, Zhang Yating, Xia Xueshan, Su Heng
Department of Endocrinology and Metabolism, The First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, China.
Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, China.
Ann Transl Med. 2021 Sep;9(17):1387. doi: 10.21037/atm-21-3862.
Type 2 diabetes is a well described extra-hepatic manifestation of hepatitis C virus (HCV) infection. This study aimed to explore the potential mechanism of KCNQ1 overlapping transcript 1 (KCNQ1OT1) in type 2 diabetes mellitus (T2DM) caused by HCV infection.
Min6 cells were infected with HCV to establish a vitro model, and the HCV copy number was detected by real-time quantitative PCR (RT-qPCR). The mRNA and protein expressions of IL-1β, IL-18, NLRP3, caspase-1, and GSDMD were analyzed by RT-qPCR and Western blot. Flow cytometry and TUNEL assay were used to evaluate the pyroptosis of cells and enzyme-linked immunosorbent assay (ELISA) detected the secretion of insulin. A dual luciferase reporter gene assay then verified the targeting relationship of KCNQ1OT1, miRNA-223-3p, and NLRP3.
KCNQ1OT1 was highly expressed in HCV-infected T2DM patients and HCV-infected β-cells. Silencing KCNQ1OT1 inhibited β-cell pyroptosis by regulating miR-223-3p/NLRP3, and inhibition of miR-223-3p or overexpression of NLRP3 reversed the pyroptosis by silencing KCNQ1OT1.
Our findings indicate KCNQ1OT1 promotes HCV-infected β-cell pyroptosis through the miRNA-223-3p/NLRP3 axis, effecting the production of insulin and accelerating the occurrence and development of T2DM.Regulating KCNQ1OT1 and its target genes will help to better understand the pathogenesis of T2DM induced by HCV infection and provide new theoretical foundations and therapeutic targets.
2型糖尿病是丙型肝炎病毒(HCV)感染一种已被充分描述的肝外表现。本研究旨在探讨KCNQ1重叠转录本1(KCNQ1OT1)在HCV感染所致2型糖尿病(T2DM)中的潜在机制。
用HCV感染Min6细胞以建立体外模型,通过实时定量PCR(RT-qPCR)检测HCV拷贝数。采用RT-qPCR和蛋白质免疫印迹法分析白细胞介素-1β(IL-1β)、白细胞介素-18(IL-18)、NLR家族含pyrin结构域蛋白3(NLRP3)、半胱天冬酶-1(caspase-1)和gasdermin D(GSDMD)的mRNA和蛋白表达。采用流式细胞术和TUNEL检测法评估细胞焦亡,酶联免疫吸附测定(ELISA)检测胰岛素分泌。然后用双荧光素酶报告基因检测法验证KCNQ1OT1、微小RNA-223-3p(miRNA-223-3p)和NLRP3的靶向关系。
KCNQ1OT1在HCV感染的T2DM患者和HCV感染的β细胞中高表达。沉默KCNQ1OT1通过调节miRNA-223-3p/NLRP3抑制β细胞焦亡,抑制miRNA-223-3p或过表达NLRP3可逆转沉默KCNQ1OT1所致的细胞焦亡。
我们的研究结果表明,KCNQ1OT1通过miRNA-223-3p/NLRP3轴促进HCV感染的β细胞焦亡,影响胰岛素的产生,加速T2DM的发生和发展。调节KCNQ1OT1及其靶基因将有助于更好地理解HCV感染诱导T2DM的发病机制,并提供新的理论基础和治疗靶点。