Abstract

Focal segmental glomerulosclerosis (FSGS) is a common kidney disease that results in nephrotic syndrome. FSGS arises from dysfunction and apoptosis of podocytes in the glomerulus of the kidney, leading to podocytopathy. The molecular mechanisms underlying podocyte apoptosis remain incompletely understood. Using an array of gene expression profiling, PCR, and in situ hybridization assay, we found here that the levels of the long noncoding RNA LOC105374325 were elevated in the renal podocytes of individuals with FSGS. We also observed that the microRNAs miR-34c and miR-196a/b down-regulated the expression of the apoptosis regulators BCL2-associated X, apoptosis regulator (Bax), and BCL2 antagonist/killer 1 (Bak) in podocytes. Competitive binding between LOC105374325 and miR-34c or miR-196a/b increased Bax and Bak levels and caused podocyte apoptosis. Of note, the mitogen-activated protein kinase P38 and the transcription factor CCAAT enhancer-binding protein β (C/EBPβ) up-regulated LOC105374325 expression. P38 inhibition or C/EBPβ silencing decreased LOC105374325 levels and inhibited apoptosis in adriamycin-treated podocytes. LOC105374325 overexpression decreased miR-34c and miR-196a/b levels, increased Bax and Bak levels, and induced proteinuria and focal segmental lesions in mice. In conclusion, activation of the P38/C/EBPβ pathway stimulates the expression of LOC105374325, which, in turn, increases Bax and Bak levels and causes apoptosis by competitively binding to miR-34c and miR-196a/b in the podocytes of individuals with FSGS.

Highlights

  • Focal segmental glomerulosclerosis (FSGS) is a common kidney disease that results in nephrotic syndrome

  • We observed that the microRNAs miR-34c and miR-196a/b down-regulated the expression of the apoptosis regulators BCL2-associated X, apoptosis regulator (Bax), and BCL2 antagonist/killer 1 (Bak) in podocytes

  • Podocyte loss is involved in the pathogenesis of FSGS, and apoptosis is the major cause of reduced podocyte number, leading to proteinuria and glomerulosclerosis [4]

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Summary

ARTICLE cro

Shuai Hu‡1, Runhong Han‡§1, Jingsong Shi‡, Xiaodong Zhu‡, Weisong Qin‡, Caihong Zeng‡, Hao Bao‡2, and Zhihong Liu‡3 From the ‡National Clinical Research Center of Kidney Diseases, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002 and the §School of Medicine, Southeast University, Nanjing 210009, China

Edited by Alex Toker
Results
Patients and control subjects
Gene expression profile analysis
Apoptosis antibody array analysis
Immunohistochemical staining
Podocyte culture and treatment
Western blot analysis
MiRNA PCR array assay
Biotin pulldown assay
Human phosphokinase array analysis
Isolation of mouse glomeruli
Analysis of podocyte apoptosis in renal tissue
Full Text
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