Tongji School of Pharmacy, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China, 430030.
Hubei Key Laboratory of Cell Homeostasis, Frontier Science Center for Immunology and Metabolism, College of Life Sciences, Wuhan University, Wuhan, China, 430072.
Theranostics. 2022 May 9;12(8):3896-3910. doi: 10.7150/thno.72515. eCollection 2022.
Ischemia-reperfusion (IR) induced acute kidney injury (AKI) causes serious clinical problems associated with high morbidity and mortality. Mecp2 is a methyl-CpG binding protein, its mutation or deletion causes a neurodevelopment disease called Rett syndrome. Notably, some Rett syndrome patients present urological dysfunctions. It remains unclear whether and how Mecp2 affects AKI. Renal tubular cell specific Mecp2 deletion mice challenged with IR injury were used to investigate the effects of Mecp2 on renal tubular damage, function, cell death, fibrosis and inflammation. Cultured renal epithelial cell lines were transfected with wildtype or different domain-deletion mutants of Mecp2 to study the effects of Mecp2 on Il-6/STAT3 signaling. Our results indicated rapidly upregulated Mecp2 upon acute and renal injury. Notably, increased tubular MeCP2 staining was also found in the renal sections of AKI patients. Furthermore, ablation of Mecp2 aggravated renal injury, and promoted renal cell death, inflammation, and fibrosis. Mechanistically, through its transcriptional repression domain, Mecp2 bound to the promoter of proinflammatory cytokine to negatively regulate its expression, thus inhibiting STAT3 activation. A novel protective role of Mecp2 against AKI repressing the Il-6/STAT3 axis was suggested.
缺血再灌注(IR)引起的急性肾损伤(AKI)导致严重的临床问题,与高发病率和死亡率相关。Mecp2 是一种甲基-CpG 结合蛋白,其突变或缺失会导致一种称为雷特综合征的神经发育疾病。值得注意的是,一些雷特综合征患者存在尿功能障碍。目前尚不清楚 Mecp2 是否以及如何影响 AKI。使用肾近端小管细胞特异性 Mecp2 敲除小鼠,来研究 Mecp2 对肾小管损伤、功能、细胞死亡、纤维化和炎症的影响。将野生型或不同结构域缺失突变的 Mecp2 转染至培养的肾上皮细胞系,以研究 Mecp2 对 Il-6/STAT3 信号的影响。我们的结果表明,急性肾损伤时 Mecp2 迅速上调。值得注意的是,AKI 患者的肾组织切片中也发现了肾小管 MeCP2 染色增加。此外,Mecp2 的缺失加重了肾损伤,并促进了肾细胞死亡、炎症和纤维化。在机制上,通过其转录抑制结构域,Mecp2 与促炎细胞因子的启动子结合,负调控其表达,从而抑制 STAT3 激活。提示 Mecp2 通过抑制 Il-6/STAT3 轴对 AKI 具有一种新的保护作用。