Abstract

Glomerular endothelial cells (GEnCs) dysfunction occurs at the early stage of diabetic nephropathy (DN). One of its characteristics is endothelial-to-mesenchymal transition (EndMT). Heparanase (HPSE) is the only known mammalian endoglycosidase capable of degrading heparin sulfates and has a prominent role in DN pathogenesis. However, whether HPSE induces EndMT of GEnCs remains unknown. This study aimed to determine the effect and potential mechanism of HPSE on GEnCs phenotype under high-glucose conditions. In the early development of streptozotocin (STZ)-induced diabetic mice, HPSE overexpression was positively correlated with renal injury and the number of GEnCs undergoing EndMT, which was characterized by loss of endothelial marker CD31 and gain of mesenchymal markers including α-SMA and Snail1/2 by double immunofluorescence staining. Bioinformatics analysis revealed a positive correlation between HPSE and ERK. The counts of double positive staining of CD31 and p-ERK1/2 was significantly increased in the glomeruli of STZ-induced diabetic mice compared with sham mice. In cultured GEnCs, high glucose dramatically upregulated the expressions of HPSE and p-ERK1/2, both of which were markedly blocked by HPSE siRNA. Furthermore, recombinant mouse HPSE (rmHPSE) promoted the expressions of mesenchymal markers and p-ERK1/2 in a dosage- and time-dependent manner. U0126, a specific MEK/ERK inhibitor, significantly inhibited either high glucose or rmHPSE-induced EndMT of GEnCs. These data indicate that high glucose induces EndMT of GEnCs at least partially through upregulating HPSE and that HPSE promotes EndMT of GEnCs via activating ERK signaling. This study improves understanding the crucial role of HPSE in DN development and progression.

Highlights

  • Diabetes mellitus is a group of metabolic disorders characterized by hyperglycemia

  • Similar changes were observed by immunos- significantly positively correlated (R = 0.83, P = 0.041; Fig. 3B), taining in the glomeruli of experimental diabetic mice [10, 14,15,16] suggesting that HPSE could activate Extracellular signal-regulated kinase (ERK) signaling in diabetic nephropathy (DN)

  • The results suggest that HPSE and p-ERK1/2 glomerular HPSE and 24 h proteinuria

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Summary

Introduction

Diabetes mellitus is a group of metabolic disorders characterized by hyperglycemia. The kidneys are prime target organs and diabetic nephropathy (DN) is one of the most common complications in patients with diabetes. Glomerular filtration barrier (GFB) is composed of three layers: fenestrated endothelial cells, glomerular basement membrane (GBM) and podocytes, which restricts passage of proteins and macromolecules based on their size and charge. The damage of any layer of GFB increases glomerular permeability and results in proteinuria [3]. Glomerular endothelial cells (GEnCs) cover the luminal surface of glomerular capillaries and are the first layer of GFB to be exposed to circulating factors. HPSE has been shown to play several important nonenzymatic roles in kidney diseases and renal fibrosis [5,6,7]. Increased expression of glomerular HPSE was observed in several kidney diseases. HPSE may serve as a therapeutic target for glomerular diseases

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