Yasuma Taro, Fujimoto Hajime, D'Alessandro-Gabazza Corina N, Toda Masaaki, Uemura Mei, Nishihama Kota, Takeshita Atsuro, Fridman D'Alessandro Valeria, Okano Tomohito, Okano Yuko, Tomaru Atsushi, Anoh Tomoko, Inoue Chisa, Alhawsawi Manal A B, Abdel-Hamid Ahmed M, Leistikow Kyle, King Michael R, Ono Ryoichi, Nosaka Tetsuya, Yamazaki Hidetoshi, Fields Christopher J, Mackie Roderick I, Mi Xuenan, Shukla Diwakar, Arrington Justine, Yano Yutaka, Hataji Osamu, Kobayashi Tetsu, Cann Isaac, Gabazza Esteban C
Department of Immunology, Mie University Faculty and Graduate School of Medicine, Edobashi 2-174, Tsu, Mie, Japan.
Microbiome Research Center, Mie University, Edobashi 2-174, Tsu, Mie, Japan.
Nat Commun. 2025 Aug 25;16(1):7591. doi: 10.1038/s41467-025-61847-2.
The increasing global prevalence of diabetic nephropathy poses substantial health and economic burdens. Currently, effective anti-fibrotic therapies for managing kidney fibrosis associated with chronic kidney disease are lacking. This study reveals corisin, a microbiota-derived peptide, as a central driver in the progression of diabetic kidney fibrosis. Corisin levels were found to be markedly elevated in the serum of diabetic chronic kidney disease patients relative to healthy controls, with strong correlations to advanced disease stages and declining renal function. In a murine model of kidney fibrosis, corisin levels were similarly heightened, directly contributing to increased inflammation and worsening fibrosis and renal impairment. Notably, the use of a monoclonal anti-corisin antibody significantly reduced nephropathy severity in diabetic mice. Through molecular dynamics simulations and experimental validation, we demonstrated that corisin interacts with human serum albumin, potentially enhancing its renal accumulation and pathological impact. The pathogenic mechanism of corisin involves the acceleration of cellular senescence and the induction of epithelial-mesenchymal transition and apoptosis in kidney cells. These findings underscore the critical role of corisin in progressive diabetic nephropathy and suggest a promising new target for therapeutic intervention.
全球糖尿病肾病患病率不断上升,带来了巨大的健康和经济负担。目前,缺乏有效的抗纤维化疗法来治疗与慢性肾脏病相关的肾纤维化。本研究揭示了一种微生物群衍生的肽——corisin,它是糖尿病肾纤维化进展的核心驱动因素。研究发现,与健康对照相比,糖尿病慢性肾脏病患者血清中的corisin水平显著升高,且与疾病晚期和肾功能下降密切相关。在肾纤维化小鼠模型中,corisin水平同样升高,直接导致炎症增加、纤维化加重和肾功能损害。值得注意的是,使用单克隆抗corisin抗体可显著降低糖尿病小鼠的肾病严重程度。通过分子动力学模拟和实验验证,我们证明corisin与人血清白蛋白相互作用,可能增强其在肾脏的蓄积和病理影响。corisin的致病机制包括加速细胞衰老以及诱导肾细胞上皮-间质转化和凋亡。这些发现强调了corisin在进行性糖尿病肾病中的关键作用,并提示了一个有前景的治疗干预新靶点。