The Role of the Immune System in the Pathogenesis of Diabetic Nephropathy

Velez, Maria-Gabriela; Bhalla, Vivek

doi:10.4172/2161-0959.s2-007

Cited by 8 publications

(2 citation statements)

References 56 publications

(65 reference statements)

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“…It is the primary effector cell for the host to destroy pathogens, but continuous M1 activation and its reaction products may also cause tissue damage. Research using gene-deficient mice (ICAM-deficient and MCP-1-deficient) to reduce kidney damage in db/db mice strongly suggests that macrophages are critical in DN immune damage [ 15 ]. Notably, both clinical and animal experiments confirm the presence of M1-type macrophages in the diabetic tissue injury site.…”

Section: Introductionmentioning

confidence: 99%

Renal Tissue-Derived Exosomal miRNA-34a in Diabetic Nephropathy Induces Renal Tubular Cell Fibrosis by Promoting the Polarization of M1 Macrophages

Zheng,

Zeng,

Chu

et al. 2024

IET Nanobiotechnology

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Background. Diabetic nephropathy (DN) is the leading cause of chronic kidney disease, and the activation and infiltration of phagocytes are critical steps of DN. This study aimed to explore the mechanism of exosomes in macrophages and diabetes nephropathy and the role of miRNA-34a, which might provide a new path for treating DN. Materials and Methods. The DN model was established, and the success of the model establishment was confirmed by detecting general indicators, HE staining, and immunohistochemistry. Electron microscopy and NanoSight Tracking Analysis (NTA) were used to see the morphology and size of exosomes. MiRNA-34a inhibitor, miRNA-34a mimics, pc-PPARGC1A, and controls were transfected in macrophages with or without kidney exosomal. A dual-luciferase reporter gene experiment verifies the targeting relationship between miRNA-34a and PPARGC1A. After exosomal culture, macrophages are co-cultured with normal renal tubular cells to detect renal tubular cell fibrosis. Q-PCR and western blot were undertaken to detect related RNA and proteins. Results. An animal model of diabetic nephropathy was successfully constructed. Macrophages could phagocytose exosomes. After ingesting model exosomes, M1 macrophages were activated, while M2 macrophages were weakened, indicating the model mice’s kidney exosomes caused the polarization. MiRNA-34a inhibitor increased PPARGC1A expression. MiRNA-34a expressed higher in diabetic nephropathy Model-Exo. MiRNA-34a negatively regulated PPARGC1A. PPARGC1A rescued macrophage polarization and renal tubular cell fibrosis. Conclusion. Exosomal miRNA-34a of tubular epithelial cells promoted M1 macrophage activation in diabetic nephropathy via negatively regulating PPARGC1A expression, which may provide a new direction for further exploration of DN treatment.

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Section: Introductionmentioning

confidence: 99%

Renal Tissue-Derived Exosomal miRNA-34a in Diabetic Nephropathy Induces Renal Tubular Cell Fibrosis by Promoting the Polarization of M1 Macrophages

Zheng,

Zeng,

Chu

et al. 2024

IET Nanobiotechnology

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“…Diabetic kidney disease (DKD) is a common complication of diabetes mellitus, with a prevalence of ~15% and is associated with poor long-term outcomes [1][2][3] . Chronic inflammation is a major contributor to kidney disease in diabetes [4][5][6][7][8][9][10][11][12] . Macrophage infiltration in the kidney correlates with the development of DKD [13][14][15] , while constitutive deletion of lymphocytes, cell adhesion and chemoattractant mediators alleviate the severity of DKD in mice [7][8][9]16 .…”

Section: Introductionmentioning

confidence: 99%

Esm-1 mediates transcriptional polarization associated with diabetic kidney disease

Gaudet

Zheng

Kambham

et al. 2023

Preprint

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BackgroundEsm-1, endothelial cell-specific molecule-1, is a susceptibility gene for diabetic kidney disease (DKD) and is a cytokine- and glucose-regulated, secreted proteoglycan, that is notably expressed in kidney and attenuates inflammation and albuminuria.Esm1has restricted expression at the vascular tip during development but little is known about its expression pattern in mature tissues, and its precise effects in diabetes.MethodsWe utilized publicly available single-cell RNA sequencing data to explore the characteristics ofEsm1expression in 27,786 renal endothelial cells obtained from four adult human and three mouse databases. We validated our findings using bulk transcriptome data from an additional 20 healthy subjects and 41 patients with DKD and using RNAscope. Using correlation matrices, we relate Esm1 expression to the glomerular transcriptome and evaluated these matrices with systemic over-expression of Esm-1.ResultsIn both mice and humans,Esm1is expressed in a subset of all renal endothelial cell types and represents a minority of glomerular endothelial cells. In patients,Esm1(+) cells exhibit a highly conserved enrichment for blood vessel development genes. With diabetes, these cells are fewer in number and profoundly shift expression to reflect chemotaxis pathways. Analysis of these gene sets highlight candidate genes such asIgfbp5for cross talk between cell types. We also find that diabetes induces correlations in the expression of large clusters of genes, within cell type-enriched transcripts.Esm1significantly correlates with a majority genes within these clusters, delineating a glomerular transcriptional polarization reflected by the magnitude ofEsm1deficiency. In diabetic mice, these gene clusters linkEsm1expression to albuminuria, and over-expression of Esm-1 reverses the expression pattern in many of these genes.ConclusionsA comprehensive analysis of single cell and bulk transcriptomes demonstrates that diabetes correlates with lowerEsm1expression and with changes in the functional characterization ofEsm1(+) cells.Esm1is both a marker for glomerular transcriptional polarization, and a mediator that re-orients the transcriptional program in DKD.

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Murine glomerular transcriptome links endothelial cell-specific molecule-1 deficiency with susceptibility to diabetic nephropathy

Zheng

Soroush

Long

et al. 2017

Preprint

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Diabetic nephropathy (DN) is the leading cause of kidney disease; however, there are no early biomarkers and no cure. Thus, there is a large unmet need to predict which individuals will develop nephropathy and to understand the molecular mechanisms which govern this susceptibility. We compared the glomerular transcriptome from mice with distinct susceptibilities to DN, and identified differential regulation of genes that modulate inflammation. From these genes, we identified endothelial cell specific molecule-1 (Esm-1), as a glomerular-enriched determinant of resistance to DN. Glomerular Esm-1 mRNA and protein were lower in DN-susceptible, DBA/2, compared to DN-resistant, C57BL/6, mice. We demonstrated higher Esm-1 secretion from primary glomerular cultures of diabetic mice, and high glucose was sufficient to increase Esm-1 mRNA and protein secretion in both strains of mice. However, induction was significantly attenuated in DN-susceptible mice. Urine Esm-1 was also significantly higher only in DN-resistant mice. Moreover, using intravital microscopy and a biomimetic microfluidic assay, we showed that Esm-1 inhibited rolling and transmigration in a dose-dependent manner. For the first time we have uncovered glomerular-derived Esm-1 as a potential non-invasive biomarker of DN. Esm-1 inversely correlates with disease susceptibility and inhibits leukocyte infiltration, a critical factor in protecting the kidney from DN.

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The Role of the Immune System in the Pathogenesis of Diabetic Nephropathy

Cited by 8 publications

References 56 publications

Renal Tissue-Derived Exosomal miRNA-34a in Diabetic Nephropathy Induces Renal Tubular Cell Fibrosis by Promoting the Polarization of M1 Macrophages

Renal Tissue-Derived Exosomal miRNA-34a in Diabetic Nephropathy Induces Renal Tubular Cell Fibrosis by Promoting the Polarization of M1 Macrophages

Esm-1 mediates transcriptional polarization associated with diabetic kidney disease

Murine glomerular transcriptome links endothelial cell-specific molecule-1 deficiency with susceptibility to diabetic nephropathy

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