Abstract

The kidney is vulnerable to hypoxia-induced injury. One of the mechanisms underlying this phenomenon is cell apoptosis triggered by hypoxia-inducible factor-1- α (HIF-1α) activation. MicroRNA-210 (miR-210) is known to be induced by HIF-1α and can regulate various pathological processes, but its role in hypoxic kidney injury remains unclear. Here, in both rat systemic hypoxia and local kidney hypoxia models, we found miR-210 levels were upregulated significantly in injured kidney, especially in renal tubular cells. A similar increase was observed in hypoxia-treated human renal tubular HK-2 cells. We also verified that miR-210 can directly suppress HIF-1α expression by targeting the 3′ untranslated region of HIF-1α mRNA in HK-2 cells in severe hypoxia. Accordingly, miR-210 overexpression caused significant inhibition of the HIF-1α pathway and attenuated apoptosis caused by hypoxia, while miR-210 knockdown exerted the opposite effect. Taken together, our findings verify that miR-210 is involved in the molecular response in hypoxic kidney lesions in vivo and attenuates hypoxia-induced renal tubular cell apoptosis by targeting HIF-1α directly and suppressing HIF-1α pathway activation in vitro.

Highlights

  • Oxygen is a vital microenvironmental substrate for sustaining tissue homeostasis

  • A similar and more significant activation of the hypoxia-i­nducible factor-1-α (HIF-1α) pathway was observed in the local kidney hypoxia rat model when treated with the acute kidney injury operation (­Figure 1B)

  • Obvious tubular injury was observed by periodic acid–Schiff (PAS) staining in the local kidney hypoxia group (Figure 2A), while remarkable TdT-mediated dUTP Nick-end Labeling (TUNEL)-positive apoptotic renal cells were found in both groups (Figure 2B, C)

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Summary

Introduction

Oxygen is a vital microenvironmental substrate for sustaining tissue homeostasis. Many physiological and pathological conditions cause insufficiency in oxygen availability, or hypoxia, which can eventually lead to apoptosis if the hypoxia is severe [1,2]. Systemic hypoxia drives multiorgan damage, especially kidney injury [5,6,7]. Another kind of kidney hypoxic injury is caused by local hypoxia, in which oxygen sufficiency usually originates from a decreased renal or intrarenal blood supply [8]. Both kinds of kidney hypoxic lesion can lead to acute kidney injury (AKI), which is a common cause of in-hospital mortality [9]. As for the mechanism of hypoxic kidney injury, the excessive and sustaining activation of hypoxia-i­nducible factor-1-α (HIF-1α) was deemed a critical event [10,11,12]

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