1. High Glucose Induces Mesangial Cell Apoptosis through miR-15b-5p and Promotes Diabetic Nephropathy by Extracellular Vesicle Delivery
- Author
-
Ya-Ling Hsu, Mei-Chuan Kuo, Ling-Yu Wu, Wei-Wen Hung, Yi-Chun Tsai, Po-Lin Kuo, Ping-Hsun Wu, and Wei-An Chang
- Subjects
Blood Glucose ,Urinary system ,Renal function ,Apoptosis ,Models, Biological ,Cell Line ,Immunophenotyping ,Diabetic nephropathy ,Transcriptome ,Extracellular Vesicles ,Mice ,03 medical and health sciences ,0302 clinical medicine ,Drug Discovery ,Genetics ,medicine ,Animals ,Humans ,Diabetic Nephropathies ,Molecular Biology ,030304 developmental biology ,Pharmacology ,0303 health sciences ,Mesangial cell ,Chemistry ,Gene Expression Profiling ,Biological Transport ,Extracellular vesicle ,medicine.disease ,Immunohistochemistry ,Pathophysiology ,Genes, bcl-2 ,MicroRNAs ,Glucose ,Gene Expression Regulation ,030220 oncology & carcinogenesis ,Mesangial Cells ,Cancer research ,Molecular Medicine ,Original Article ,RNA Interference ,Disease Susceptibility ,Biomarkers - Abstract
Diabetic nephropathy (DN) is an increasing threat to human health and is regarded as an important public issue. The pathophysiologic mechanisms of DN are complicated. The initiating molecular events triggering the loss function in mesangial cells (MCs) in DN are not well known. In this cross-disciplinary study, transcriptome analysis of high glucose (HG)-treated mouse MCs (MMCs) using next-generation sequencing and systematic bioinformatics analyses indicated that miR-15b-5p and its downstream target B cell lymphoma 2 (BCL-2) contribute to HG-induced apoptosis in MMCs. HG elevated miR-15b-5p expression, which in turn decreased the translation of BCL-2, leading to MMC apoptosis under HG. Apoptosis of MCs was enhanced in the presence of extracellular vesicles isolated from the urine of type 2 diabetic patients with high levels of miR-15b-5p. Furthermore, increased levels of urinary miR-15b-5p were found in db/db mice and type 2 diabetic patients, and such levels correlated with low baseline kidney function and rapid decline in kidney function during a mean of follow-up period of 2.4 ± 0.1 years. Therefore, miR-15b-5p induced mesangial cells apoptosis by targeting BCL-2 under HG. miR-15b-5p has the potential to predict kidney injury in DN. Blocking the miR-15b-5p epigenetic regulatory network could be a potential therapeutic strategy to prevent mesangial apoptosis in DN.
- Published
- 2020
- Full Text
- View/download PDF