Gao Li, Zhang Junsheng, Chen Chaoyi, Zhu Sai, Wei Xianglong, Tang Guiqin, Wang Sheng, Wang Yukai, Liu Xinran, Jiang Ling, Wu Yonggui
Inflammation and Immune-Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, and.
Department of Nephropathy, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
JCI Insight. 2025 Jul 15;10(16). doi: 10.1172/jci.insight.189130. eCollection 2025 Aug 22.
Acute kidney injury (AKI) is characterized by a rapid decline in renal function. In severe or recurrent cases, AKI can progress to chronic kidney disease (CKD), marked by renal inflammation and fibrosis. Despite the severity of these outcomes, early-stage diagnostic tools and pharmacological interventions for AKI-to-CKD progression remain limited. In this study, we examined circular RNA (circRNA) expression profiles in mouse renal cortex tissues 14 days after ischemia/reperfusion (I/R) injury using circRNA-Seq. The renal biopsy samples of patients after AKI exhibited reduced CircNSD1 expression, which was inversely associated with inflammation and fibrosis. Overexpression of CircNSD1 attenuated ferroptosis in vivo and in vitro, while slowing AKI-to-CKD progression. Mechanistically, CircNSD1 downregulated ACSL4 and SLC39A14 expression through histone H3 lysine 36 (H3K36) methylation, a critical pathway regulating ferroptosis after AKI or hypoxia/reoxygenation (H/R) injury. Furthermore, we identified that CircNSD1 encoded a NSD1-916aa peptide, which may functionally contribute to its observed effect. Collectively, these findings demonstrated that CircNSD1 may serve as a diagnostic and therapeutic target for early detection of AKI-to-CKD transition.
急性肾损伤(AKI)的特征是肾功能迅速下降。在严重或复发性病例中,AKI可进展为慢性肾脏病(CKD),其特征为肾脏炎症和纤维化。尽管这些后果严重,但针对AKI向CKD进展的早期诊断工具和药物干预仍然有限。在本研究中,我们使用环状RNA测序(circRNA-Seq)检测了缺血/再灌注(I/R)损伤14天后小鼠肾皮质组织中的环状RNA(circRNA)表达谱。AKI患者的肾活检样本显示CircNSD1表达降低,这与炎症和纤维化呈负相关。CircNSD1的过表达在体内和体外均减轻了铁死亡,同时减缓了AKI向CKD的进展。机制上,CircNSD1通过组蛋白H3赖氨酸36(H3K36)甲基化下调ACSL4和SLC39A14的表达,这是调节AKI或缺氧/复氧(H/R)损伤后铁死亡的关键途径。此外,我们发现CircNSD1编码一种NSD1-916aa肽,其可能在功能上促成了其观察到的效应。总体而言,这些发现表明CircNSD1可能作为早期检测AKI向CKD转变的诊断和治疗靶点。