School of Medicine, Guizhou University, Guiyang, Guizhou, China.
Department of Nephrology, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.
PLoS One. 2024 Apr 11;19(4):e0301540. doi: 10.1371/journal.pone.0301540. eCollection 2024.
Peritoneal fibrosis (PF) is the main complication of peritoneal dialysis (PD) and the most common cause of cessation from PD. There is still no effective therapeutic approach to reserve PF. We aimed to investigate the role of miR-132-3p and underlying potential mechanisms in PF.
A total of 18 Sprague-Dawley (SD) rats were divided randomly into three groups (n = 6): (i)Control group (ii)PF group (iii)PF+Losartan group; Rats in the PF group and PF+Losartan group received daily intraperitoneal injections of 3 mg/kg chlorhexidine for 14 days, and rats in the PF+Losartan group simultaneously received daily intraperitoneal injections of 2 mg/kg losartan for 14 days. The control group was injected with saline in the same volume. Met-5A cells were treated for 24h with TGF-β1 dissolved in recombinant buffered saline at a concentration of 10 ng/ml, meanwhile, PBS solution as a negative control. The human peritoneal solution was collected for the detection of miR-132-3p.
In vivo, SD rats were infused with chlorhexidine to establish PF model, and we found that miR-132-3p significantly decreased and the expressions of transforming growth factor-β1 (TGF-β1), and Smad2/3 were up-regulated in PF. In vitro, miR-132-3p mimics suppressed TGF-β1/Smad2/3 activity, whereas miR-132-3p inhibition activated the pathway. In human peritoneal solution, we found that the expression of miR-132-3p decreased in a time-dependent model and its effect became more pronounced with longer PD duration.
MiR-132-3p ameliorated PF by suppressing TGF-β1/Smad2/3 activity, suggesting that miR-132-3p represented a potential therapeutic approach for PF.
腹膜纤维化(PF)是腹膜透析(PD)的主要并发症,也是 PD 停止的最常见原因。目前还没有有效的治疗方法来预防 PF。我们旨在研究 miR-132-3p 的作用及其在 PF 中的潜在机制。
共将 18 只 Sprague-Dawley(SD)大鼠随机分为三组(n=6):(i)对照组;(ii)PF 组;(iii)PF+Losartan 组;PF 组和 PF+Losartan 组大鼠每天接受 3mg/kg 洗必泰腹腔内注射 14 天,PF+Losartan 组大鼠同时接受 2mg/kg Losartan 每天腹腔内注射 14 天。对照组注射等体积生理盐水。TGF-β1 溶解在重组缓冲盐溶液中浓度为 10ng/ml,作用于 Met-5A 细胞 24h,PBS 溶液作为阴性对照。收集人腹膜液,检测 miR-132-3p。
体内,SD 大鼠用洗必泰灌注建立 PF 模型,我们发现 miR-132-3p 显著下调,转化生长因子-β1(TGF-β1)和 Smad2/3 的表达上调。体外,miR-132-3p 模拟物抑制 TGF-β1/Smad2/3 活性,而 miR-132-3p 抑制物则激活该通路。在人腹膜液中,我们发现 miR-132-3p 的表达呈时间依赖性下降,PD 时间越长,其作用越明显。
miR-132-3p 通过抑制 TGF-β1/Smad2/3 活性改善 PF,表明 miR-132-3p 可能成为治疗 PF 的一种潜在方法。