Abstract

To explore whether epigallocatechin-3-gallate (EGCG) improves renal damage in diabetic db/db mice and high-glucose- (HG-) induced injury in HK-2 cells by regulating the level of Klotho gene promoter methylation. Western blotting was used to detect the protein expression levels of DNA methyltransferase 1 (DNMT1), DNMT3a, DNMT3b, transforming growth factor-β1 (TGF-β1), α-smooth muscle actin (α-SMA), and Klotho. The methylation level of the Klotho gene promoter was detected by pyrosequencing. Chromatin immunoprecipitation was used to detect the binding of the Klotho gene promoter to DNMT1 and DNMT3a. The expression of oxidative stress markers (reactive oxygen species (ROS), superoxide dismutase (SOD), malondialdehyde (MDA), catalase (CAT), and 8-hydroxy-2′-deoxyguanosine (8-OHdG)) and inflammatory cytokines (interleukin-1β (IL-1β), IL-6, and tumor necrosis factor-α (TNF-α)) in kidney homogenates was also measured using ELISA. Klotho and DNMT3b protein expression was upregulated, while DNMT1, DNMT3a, TGF-β1, and α-SMA protein expression was downregulated after EGCG treatment. EGCG treatment also reduced the methylation level of the Klotho gene promoter as well as the binding of DNMT3a to the Klotho gene promoter. In addition, EGCG treatment significantly decreased the levels of ROS, MDA, 8-OHdG, IL-1β, IL-6, and TNF-α and increased the levels of CAT and SOD. Under HG conditions, EGCG regulated Klotho gene promoter methylation via DNMT3a and decreased the methylation level of the Klotho gene promoter, thereby upregulating the expression of the Klotho protein to exert its protective effect.

Highlights

  • Diabetic kidney disease (DKD) is a chronic microvascular complication of diabetes mellitus (DM); it is a major cause of deaths in patients with chronic kidney disease (CKD) [1]

  • EGCG treatment significantly decreased the levels of reactive oxidative stress (ROS), MDA, 8-OHdG, IL-1β, IL-6, and tumor necrosis factor-α (TNF-α) in kidney tissue samples compared to those in nontreated db/db mice (P < 0:05)

  • To determine the underlying mechanism of EGCG in regulating the methylation level of the Klotho gene promoter, we investigated the enrichment of DNMTs in the Klotho promoter in HK-2 cells by chromatin immunoprecipitation (ChIP) assay

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Summary

Introduction

Diabetic kidney disease (DKD) is a chronic microvascular complication of diabetes mellitus (DM); it is a major cause of deaths in patients with chronic kidney disease (CKD) [1]. DNA methylation is an important epigenetic modification and plays an important role in the development and progression of DKD. DNA hypermethylation is one of the important factors leading to gene silencing, eventually decreasing the expression of corresponding proteins [2, 3]. Causes abnormal DNA methylation [4]. Abnormal DNA methylation is caused by hyperglycemia and by reactive oxidative stress (ROS), inflammation, cytokines, and growth factors [4, 5]. Studies have demonstrated that the level of DNA methylation in patients with DKD is different from that in diabetic patients without kidney disease [6]

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