Abstract

Diabetic nephropathy (DN) commonly causes end-stage renal disease (ESRD). Increasing evidence indicates that abnormal miRNA expression is tightly associated with chronic kidney disease (CKD). This work aimed to investigate whether miR-27a can promote the occurrence of renal fibrosis in DN by suppressing the expression of secreted frizzled-related protein 1 (Sfrp1) to activate Wnt/β-catenin signalling. Therefore, we assessed the expression levels of miR-27a, Sfrp1, Wnt signalling components, and extracellular matrix (ECM)-related molecules in vitro and in vivo. Sfrp1 was significantly down-regulated in a high-glucose environment, while miR-27a levels were markedly increased. A luciferase reporter assay confirmed that miR-27a down-regulated Sfrp1 by binding to the 3′ untranslated region directly. Further, NRK-52E cells under high-glucose conditions underwent transfection with miR-27a mimic or the corresponding negative control, miR-27a inhibitor or the corresponding negative control, si-Sfrp1, or combined miR-27a inhibitor and si-Sfrp1. Immunoblotting and immunofluorescence were performed to assess the relative expression levels of Wnt/β-catenin signalling and ECM components. The mRNA levels of Sfrp1, miR-27a, and ECM-related molecules were also detected by quantitative real-time PCR (qPCR). We found that miR-27a inhibitor inactivated Wnt/β-catenin signalling and reduced ECM deposition. Conversely, Wnt/β-catenin signalling was activated, while ECM deposition was increased after transfection with si-Sfrp1. Interestingly, miR-27a inhibitor attenuated the effects of si-Sfrp1. We concluded that miR-27a down-regulated Sfrp1 and activated Wnt/β-catenin signalling to promote renal fibrosis.

Highlights

  • The latest statistics of the International Diabetes Federation show that approximately 425 million people around the world had diabetes in 2017, and 629 million diabetes patients are projected by 2045 [1]

  • We further performed Western blotting and/or quantitative real-time PCR (qPCR) to detect miR-27a and secreted frizzled-related protein 1 (Sfrp1) levels. miR-27a levels were remarkably increased (Figure 2A,B) and Sfrp1 was significantly down-regulated in renal tissue samples from diabetic nephropathy (DN) rats (Figure 2C–E) and high glucose-treated NRK-52E cells (Figure 2F–H) compared with the corresponding controls

  • The fluorescence intensity of Sfrp1 was weaker in the HG group in comparison with the NG group (Figure 2I,J)

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Summary

Introduction

The latest statistics of the International Diabetes Federation show that approximately 425 million people around the world had diabetes in 2017, and 629 million diabetes patients are projected by 2045 [1]. With increasing incidence rates of obesity and diabetes mellitus (DM), diabetic nephropathy (DN) is becoming more common on a global scale. The pathogenesis of DN remains unclear; further assessing DN pathogenesis and developing effective treatment measures are urgently needed. The Wnt signalling pathway plays an important role in biological development and is involved in the processes of cell apoptosis, migration, invasion and differentiation [2,3]. Wnt signalling regulation has been extensively studied and described. In the normal physiological state, this pathway is activated

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