Abstract

BackgroundDiabetic nephropathy (DN) is a common complication of diabetes mellitus. Accumulating studies suggest that the deregulation of circular RNA (circRNA) is involved in DN pathogenesis. This study aimed to investigate the role of circSMAD4 in DN models.MethodsMice were treated with streptozotocin to establish DN models in vivo. Mouse glomerulus mesangial cells (SV40-MES13) were treated with high glucose to establish DN models in vitro. The expression of circSMAD4, miR-377-3p and bone morphogenetic protein 7 (BMP7) mRNA was measured by quantitative real-time PCR (qPCR). The releases of inflammatory factors were examined by ELISA. The protein levels of fibrosis-related markers, apoptosis-related markers and BMP7 were checked by western blot. Cell apoptosis was monitored by flow cytometry assay. The predicted relationship between miR-377-3p and circSMAD4 or BMP7 was validated by dual-luciferase reporter assay or pull-down assay.ResultsCircSMAD4 was poorly expressed in DN mice and HG-treated SV40-MES13 cells. HG induced SV40-MES13 cell inflammation, extracellular matrix (ECM) deposition and apoptosis. CircSMAD4 overexpression alleviated, while circSMAD4 knockdown aggravated HG-induced SV40-MES13 cell injuries. MiR-377-3p was targeted by circSMAD4, and miR-377-3p enrichment partly reversed the effects of circSMAD4 overexpression. BMP7 was a target of miR-377-3p, and circSMAD4 regulated BMP7 expression by targeting miR-377-3p. MiR-377-3p overexpression aggravated HG-induced injuries by suppressing BMP7.ConclusionCircSMAD4 alleviates HG-induced SV40-MES13 cell inflammation, ECM deposition and apoptosis by relieving miR-377-3p-mediated inhibition on BMP7 in DN progression.

Highlights

  • Diabetic nephropathy (DN), a serious complication of diabetes, is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) in the world [1]

  • CircSMAD4 was downregulated in high glucose (HG)‐treated SV40‐MES13 cells, and HG promoted inflammation, cell apoptosis and extracellular matrix (ECM) deposition The expression of circSMAD4 was shown to be notably decreased in HG-treated SV40-MES13 cells compared with that in mannitol- or normal glucose (NG)-treated cells (Fig. 2A)

  • These results manifested that HG triggered SV40-MES13 cell inflammation, ECM deposition and cell apoptosis

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Summary

Introduction

Diabetic nephropathy (DN), a serious complication of diabetes, is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) in the world [1]. In the past 20 years, the morbidity and mortality of DN have risen rapidly in the global population [2]. There are many changes in the kidney, including extracellular matrix (ECM) deposition (mainly in the mesangium), thickening of the glomerular basement membrane, interstitial fibrosis, and glomerular sclerosis [5]. More research needs to be carried out to clarify the pathogenesis of DN to prevent the disease and improve treatment. Diabetic nephropathy (DN) is a common complication of diabetes mellitus. Accumulating studies suggest that the deregulation of circular RNA (circRNA) is involved in DN pathogenesis. This study aimed to investigate the role of circSMAD4 in DN models

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