Abstract

Hyperglycemia-induced renal tubular cell injury is thought to play a critical role in the pathogenesis of diabetic nephropathy (DN). However, the role of miRNAs in renal tubular cell injury remains to be fully elucidated. The aim of the present study was to investigate the role and mechanisms of miRNAs protecting against high glucose (HG)-induced apoptosis and inflammation in renal tubular cells. First, we analyzed microRNA (miRNA) expression profiles in kidney tissues from DN patients using miRNA microarray. It was observed that miRNA-140-5p (miR-140-5p) was significantly down-regulated in kidney tissues from patients with DN. An inverse correlation between miR-140-5p expression levels with serum proteinuria was observed in DN patients, suggesting miR-140-5p may be involved in the progression of DN. HG-induced injury in HK-2 cells was used to explore the potential role of miR-140-5p in DN. We found that miR-140-5p overexpression improved HG-induced cell injury, as evidenced by the enhancement of cell viability, and inhibition of the activity of caspase-3 and reactive oxygen species (ROS) generation. It was also observed that up-regulation of miR-140-5p suppressed HG induced the expressions of pro-inflammatory cytokines, such as tumor necrosis factor-α (TNF-α), interleukin (IL)-1β and IL-6 in HK-2 cells. In addition, TLR4, one of the upstream molecules of NF-κB signaling pathway, was found to be a direct target of miR-140-5p in the HK-2. Moreover, the HG-induced activation of NF-κB signaling pathway was inhibited by miR-140-5p overexpression. These results indicated that miR-140-5p protected HK-2 cells against HG-induced injury through blocking the TLR4/NF-κB pathway, and miR-140-5p may be considered as a potential prognostic biomarker and therapeutic target in the treatment of DN.

Highlights

  • Diabetic nephropathy (DN) is one of the most relevant microvascular complications of diabetes, which is the leading cause of end-stage renal disease throughout the world [1]

  • Consistent with our results, miR-140-5p was found to be down-regulated in kidney tissues from patients with DN [15], suggesting that miR-140-5p may be involved in the progression of DN

  • Overexpression of miR-140-5p abolished high glucose (HG)-induced oxidative stress in HK-2 cells. These data indicated that miR-140-5p up-regulation protected the HK-2 against HG-induced reactive oxygen species (ROS) production

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Summary

Introduction

Diabetic nephropathy (DN) is one of the most relevant microvascular complications of diabetes, which is the leading cause of end-stage renal disease throughout the world [1]. Renal tubular cell injury has been considered as the most lethal attributes of DN, the mechanism underlying is still limited. It is known that renal tubular cell injury is one of the main characteristics of DN and increasing evidences demonstrate the involvement of oxidative stress, inflammation and cell apoptosis during renal tubular cell injury [3]. Which leads to increased apoptosis of renal tubular epithelial cells, resulting in tubular injury [4,5]. Abnormal inflammation can directly destroy renal architecture, along with increased levels of inflammatory cytokines, such as interleukin (IL)-1β, tumor necrosis factor-α (TNF-α) and monocyte chemoattractant protein-1 (MCP-1) [6,7]. Therapeutic strategies that inhibit renal tubular epithelial cells apoptosis and inflammation are urgently required

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