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Therapeutic miR-21 Silencing Ameliorates Diabetic Kidney Disease in Mice.

Abstract
Diabetic nephropathy is the main cause of end-stage renal disease. MicroRNAs are powerful regulators of the genome, and global expression profiling revealed miR-21 to be among the most highly regulated microRNAs in kidneys of mice with diabetic nephropathy. In kidney biopsies of diabetic patients, miR-21 correlated with tubulointerstitial injury. In situ PCR analysis showed a specific enrichment of miR-21 in glomerular cells. We identified cell division cycle 25a (Cdc25a) and cyclin-dependent kinase 6 (Cdk6) as novel miR-21 targets in mesangial cells. miR-21-mediated repression of Cdc25a and Cdk6 resulted in impaired cell cycle progression and subsequent mesangial cell hypertrophy. miR-21 increased podocyte motility by regulating phosphatase and tensin homolog (Pten). miR-21 antagonism in vitro and in vivo in streptozotocin-induced diabetic mice decreased mesangial expansion, interstitial fibrosis, macrophage infiltration, podocyte loss, albuminuria, and fibrotic- and inflammatory gene expression. In conclusion, miR-21 antagonism rescued various functional and structural parameters in mice with diabetic nephropathy and, thus, might be a viable option in the treatment of patients with diabetic kidney disease.
AuthorsMalte Kölling, Tamas Kaucsar, Celina Schauerte, Anika Hübner, Angela Dettling, Joon-Keun Park, Martin Busch, Xaver Wulff, Matthias Meier, Kristian Scherf, Nóra Bukosza, Gábor Szénási, Mária Godó, Amit Sharma, Michael Heuser, Peter Hamar, Claudia Bang, Hermann Haller, Thomas Thum, Johan M Lorenzen
JournalMolecular therapy : the journal of the American Society of Gene Therapy (Mol Ther) Vol. 25 Issue 1 Pg. 165-180 (01 04 2017) ISSN: 1525-0024 [Electronic] United States
PMID28129112 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2017 The American Society of Gene and Cell Therapy. Published by Elsevier Inc. All rights reserved.
Chemical References
  • MIRN21 microRNA, mouse
  • MicroRNAs
  • Cyclin-Dependent Kinase 6
  • Cdc25a protein, mouse
  • cdc25 Phosphatases
Topics
  • Animals
  • Cell Cycle Checkpoints (genetics)
  • Cell Movement
  • Cluster Analysis
  • Cyclin-Dependent Kinase 6 (genetics)
  • Diabetes Mellitus, Experimental
  • Diabetic Nephropathies (genetics, metabolism, pathology, therapy)
  • Disease Models, Animal
  • Fibrosis
  • Gene Expression Profiling
  • Gene Expression Regulation
  • Gene Silencing
  • Inflammation (genetics, metabolism, pathology)
  • Kidney Glomerulus (metabolism, pathology)
  • Mesangial Cells (metabolism)
  • Mice
  • MicroRNAs (genetics)
  • Podocytes (metabolism)
  • RNA Interference
  • cdc25 Phosphatases (genetics)

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