Background: Alternative splicing (AS) gives rise to multiple proteins from the same gene, by skipping or including exons or parts of them, or by keeping introns as coding sequences. The resulting AS isoforms may function differently from each other. Vascular endothelial growth factor A (VEGF-A) is an angiogenic protein. The alternatively spliced variant, VEGF-A165b, is formed when a distal 3’ splice site in exon 8 is selected. The anti-angiogenic and anti-permeability VEGF-A165b has reno-protective properties and has been shown to rescue kidney function in mouse models of diabetic nephropathy. Aim: The aim of this study was to investigate three novel compounds that regulate VEGF-A AS in podocytes exposed to a diabetic environment. Method: Two compounds trovafloxacin and 10058-F4 (5-[(4-Ethylphenyl) methylene]-2-thioxo-4-thiazolidinone), were identified to switch VEGF-A splicing in a previous screen performed by our lab using a library of pharmacologically active compounds (LOPAC). The third compound, delphinidin, was found to be key compound regulating VEGF-A AS in a natural blueberry and sea buckthorn extract (DIAVIT). Human podocytes were exposed to a diabetic environment (glucose soup [GS]: 25 mM glucose, 1 ng/ml TNF-α, 1 ng/ml IL-6, and 100 nM insulin), in comparison to a normal glucose (5.5 mM glucose) and an osmotic (5.5 mM glucose % 2B 19.5 mM mannitol) control, for 48 hours. RNA and protein were extracted for RT-PCR and Western blotting analysis of splice isoforms. Results: Changes in the VEGF-A165a/VEGF-A165b splicing ratio as well as the activation and expression of splice factors known to regulate this event will be compared between the diabetic environment and controls, in addition to the effects of each compound. Trovafloxacin (10 mM), 10058-F4 (10 mM), and delphinidin (10 mg/ml) significantly increased the anti-angiogenic VEGF-A165b relative to pro-angiogenic VEGF-A165a in podocytes exposed to a normal glucose environment at either the mRNA or protein level. Furthermore, 10058-F4 and delphinidin were also found to increase the VEGF-A165b/VEGF-A165a ratio in podocytes exposed to a diabetic environment. Regarding 10058-F4, pilot data suggests that this compound may influence the expression of Clk-1, a kinase known to regulate VEGF-A splice site selection, in diabetic podocytes. On the other hand, delphinidin was found to increase the phosphorylation of SRSF6, a splice factor known to promote VEGF-A165b splice site selection, in diabetic podocytes. 10058-F4 was found to downregulate SRSF1, which may be through c-myc inhibition. Discussion: We have identified three novel compounds that regulate VEGF-A AS to promote the expression of the reno-protective VEGF-A165b isoform in podocytes. This study will further investigate the mechanism of action of these three compounds regarding VEGF-A splicing regulation in diabetic podocytes. The final goal of this project is to identify whether these novel AS regulatory compounds can be used to develop new therapeutic strategies in diabetic nephropathy.
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