Meng Zhiyun, Li Fangyuan, Wang Bin
Department of Nephrology, Weifang City Traditional Chinese Medical Hospital, Weifang, Shandong Province, China.
Arch Med Sci. 2019 Nov 11;19(3):703-716. doi: 10.5114/aoms.2019.89659. eCollection 2023.
Previous studies have reported that microRNAs are implicated in the pathogenesis of diabetic nephropathy (DN). In this study, the underlying molecular mechanisms and diagnostic significance of miR-372-3p were investigated in the process of DN.
Cell proliferation and apoptosis were measured using MTT and Annexin V-FITC double staining, respectively. RT-qPCR and western blotting were used to measure the expression levels of mRNA and protein. The diagnostic power of miR-372-3p in plasma for DN was evaluated using the receiver operating characteristics (ROC) curves and the area under the ROC curves (AUC).
miR microarray analysis revealed that 126 miRs were significantly differentially expressed in response to high glucose stimulation. Among these miRs, high glucose stimulated miR-372-3p expression at the highest level. experimental measurements showed that knockdown of miR-372-3p showed the ability to reverse high glucose-induced glomerular endothelial cell apoptosis and impairment of eNOS/NO bioactivity. Mechanistic analysis revealed that fibroblast growth factor-16 (FGF-16) as a direct of miR-372-3p protected against high glucose-induced glomerular endothelial cell dysfunction. ROC analysis revealed that the diagnostic value of miR-372-3p, miR-15a or miR-372-3p combined with miR-15a in type 2 diabetes mellitus patients (AUC = 0.841, < 0.001; AUC = 0.822, < 0.001 or AUC = 0.922, < 0.001) with DN was better than in type 1 diabetes mellitus patients (AUC = 0.805, < 0.001; AUC = 0.722, < 0.001 or AUC = 0.865, < 0.001) with DN.
miR-372-3p might be a valuable therapeutic target and diagnostic marker for patients with DN.
既往研究报道,微小RNA与糖尿病肾病(DN)的发病机制有关。在本研究中,对miR-372-3p在DN发生过程中的潜在分子机制及诊断意义进行了研究。
分别采用MTT法和Annexin V-FITC双染法检测细胞增殖和凋亡情况。采用RT-qPCR和蛋白质印迹法检测mRNA和蛋白质的表达水平。利用受试者工作特征(ROC)曲线及ROC曲线下面积(AUC)评估血浆中miR-372-3p对DN的诊断效能。
miR芯片分析显示,126种miR在高糖刺激下有显著差异表达。其中,高糖刺激下miR-372-3p表达上调最为显著。实验检测表明,敲低miR-372-3p能够逆转高糖诱导的肾小球内皮细胞凋亡及eNOS/NO生物活性损伤。机制分析显示,成纤维细胞生长因子16(FGF-16)作为miR-372-3p的直接靶点,可保护细胞免受高糖诱导的肾小球内皮细胞功能障碍。ROC分析显示,miR-372-3p、miR-15a或miR-372-3p联合miR-15a对2型糖尿病合并DN患者的诊断价值(AUC = 0.841,P < 0.001;AUC = 0.822,P < 0.001或AUC = 0.922,P < 0.001)优于1型糖尿病合并DN患者(AUC = 0.805,P < 0.001;AUC = 0.722,P < 0.001或AUC = 0.865,P < 0.001)。
miR-372-3p可能是DN患者有价值的治疗靶点和诊断标志物。