Abstract

Diabetic nephropathy (DN) is the most serious long-term microvascular complication of diabetes, which mainly causes podocyte injury. Many studies have shown that microRNAs play a vital role in the development of DN. Studies have shown that miR-203-3p is involved in mesangial cell proliferation and apoptosis of DN mice. Therefore, we speculated that miR-203-3p might be related to the development of DN, but our study does not provide any evidence. In animal experiments, diabetic mice (db/db) were transfected with iR-203-3p overexpression lentiviral vectors (LV-miR-203-3p) and their control (LV-miR-con), with normal mice (db/m) being used as the control. High glucose (HG)-induced podocytes were used to construct a DN cell model in vitro. The expression levels of miR-203-3p, Semaphorin 3A (Sema3A) and inflammatory cytokines were detected by quantitative real-time polymerase chain reaction. Also, serum creatinine and blood urea nitrogen levels were used to evaluate the degree of renal injury in DN mice. Sema3A and apoptosis-related protein levels were assessed by the western blot analysis. Enzyme-linked immunosorbent assay was used to determine the different oxidative stress-related indicators and inflammatory cytokines. Flow cytometry and caspase-3 activity detection were used to analyze the degree of podocyte apoptosis. Our results suggested that the expression of miR-203-3p was lower in DN mice and in HG-induced podocytes. Overexpression of miR-203-3p reduced the body weight, blood glucose and renal injury of DN mice in vivo, as well as relieve the oxidative stress, inflammatory response and apoptosis of HG-induced podocytes in vitro. Functionally, Sema3A was a target of miR-203-3p, and Sema3A overexpression reversed the inhibitory effect of miR-203-3p on HG-induced podocyte injury. Our findings revealed that miR-203-3p alleviated the podocyte injury induced by HG via regulating Sema3A expression, suggesting that miR-203-3p might be a new therapeutic target to improve the progression of DN.

Highlights

  • Diabetic nephropathy (DN) is one of the most severe and harmful chronic complications of diabetes, which can cause end-stage renal disease [1,2]

  • This study aimed to explore the effect and mechanism of miR-203-3p on the oxidative stress, inflammatory response and apoptosis of podocytes induced by High glucose (HG) to provide potential therapeutic targets for DN

  • We investigated the expression of miR203-3p in HG-induced podocytes. Quantitative real-time polymerase chain reaction (qRT-PCR) was performed to detect the expression of miR-203-3p in different concentrations of glucose (0, 10, 20, 30 and 40 mM) and different times (0, 12, 24 and 48 h) after HG treatment

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Summary

Introduction

Diabetic nephropathy (DN) is one of the most severe and harmful chronic complications of diabetes, which can cause end-stage renal disease [1,2]. Renal disease is the leading cause of death and disability in diabetic patients [3]. DN has become a major global public health problem, which seriously affects people’s living standards. The study of the molecular mechanisms of DN can provide a more targeted approach for the treatment of DN. Metabolic damage caused by hyperglycemia is the key to the development of DN [4,5]. High glucose (HG) can cause podocyte injury, which is an essential factor for DN progression [6]. DN is accompanied by renal oxidative stress and inflammatory response [7,8]. Studies have shown that HG can induce the apoptosis, oxidative stress and inflammatory response of podocytes [9–11].

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