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肾脏病与透析肾移植杂志 ›› 2024, Vol. 33 ›› Issue (1): 22-28.DOI: 10.3969/j.issn.1006-298X.2024.01.004

• 论著 • 上一篇    下一篇

慢性缺氧通过激活缺氧诱导因子1α/microRNA-96通路诱导小管上皮细胞自噬异常参与肾间质纤维化

  

  • 出版日期:2024-02-28 发布日期:2024-02-27

Chronic hypoxia induced abnormal autophagy of tubular epithelial cells through activation of HIF-1α/microRNA-96 signaling pathway invovled in renal interstitial fibrosis

  • Online:2024-02-28 Published:2024-02-27

摘要: 目的:研究慢性缺氧诱导肾脏纤维化的机制。
方法:缺氧诱导人近端肾小管上皮细胞(HK-2),Western Blot检测缺氧诱导因子1α(HIF-1α)、微管相关蛋白轻链3Ⅰ/Ⅱ(LC3Ⅰ/Ⅱ)和p62的表达及实时荧光定量PCR(RT-qPCR)检测microRNA-96(miR-96)的表达。采用siRNA-HIF-1α(siHIF-1α)和pcDNA-HIF-1α处理缺氧诱导的肾小管上皮细胞,利用RT-qPCR检测miR-96的表达,探讨过表达和干扰HIF-1α对miR-96表达的影响。miR-96mimic处理常氧肾小管上皮细胞,Western Blot 检测促纤维化因子α平滑肌肌动蛋白(α-SMA)、Ⅳ型胶原蛋白1(COL4A1)蛋白的变化,RT-qPCR检测自噬关键分子LC3Ⅰ/Ⅱ和p62的表达。小鼠腹腔注射miR-96 inhibitor的病毒载体,通过Masson染色检测各模型肾脏纤维化的程度及纤维化因子COL4A1的表达。
结果:在缺氧诱导的肾小管上皮细胞中HIF-1α和miR-96表达均增加(P<0.05),与纤维化程度呈正相关性,自噬关键分子LC3Ⅰ/Ⅱ水平升高p62水平降低(P<0.05),表明缺氧诱导HK-2细胞自噬。pcDNA-HIF-1α处理常氧培养的HK-2,发现HIF-1α促进miR-96的表达,siHIF-1α处理缺氧诱导的HK-2细胞,发现沉默HIF-1α可降低由缺氧引起的miR-96的增加,常氧条件下过表达miR-96诱导HK-2的纤维化因子α-SMA和COL4A1的增加,同时自噬关键分子LC3Ⅰ/Ⅱ水平升高p62水平降低(P<0.05)。缺氧条件下抑制miR-96可降低自噬关键分子的LC3Ⅰ/Ⅱ表达水平,恢复p62的表达(P<0.05)。小鼠腹腔注射miR-96 inhibitor的病毒载体,与注射了对照病毒的小鼠相比可以抑制单侧输尿管梗阻(UUO)引起的肾脏纤维化,减低纤维化因子COL4A1的表达。
结论:缺氧通过激活HIF-1α/miR-96信号通路诱导肾小管上皮细胞自噬异常、促纤维化因子增加,促进了肾脏纤维化。


关键词: 缺氧, 缺氧诱导因子1α, 微小RNA-96, 自噬, 肾脏纤维化

Abstract: Objective:To study the mechanism of chronic hypoxia induced renal fibrosis.
Methodology:Hypoxia induced renal tubular epithelial cells, the expression of HIF-1α, autophagy key molecules LC3Ⅰ/Ⅱ and P62 were measured by western blot, and microRNA-96(miR-96)was measured by PCR. HIF-1α siRNA and pcDNA-HIF-1α were transfected into renal tubular depithelial cells lines (HK-2) induced by hypoxia, and PCR was used to measure the expression of miR-96, and explore whether HIF-1α up-regulation affected the expression of miR-96. miR-96 mimic was transfected into HK-2 cells induced by normoxia, and western blot was used to measure the expression of fibrotic factor α-smooth muscle actin(α-SMA), Collagen4A1(COL4A1) and autophagy key molecules LC3Ⅰ/Ⅱ and P62. Mice were injected intraperitoneally with the viral vector of miR-96 inhibitor. The degree of renal fibrosis and the expression of fibrosis factor COL4A1 was detected by Masson staining.
Results:Compared with normoxia group, hypoxia group showed significant increase of HIF-1α and miR-96 (P<0.05), and increase of autophagy key molecule LC3Ⅰ/Ⅱ and down-regulation of P62 (P<0.05). HIF-1α siRNA and pcDNA-HIF-1α were transfected into HK-2 induced by hypoxia, found that HIF-1α can promote the expression of miR-96. The up-regulation of miR-96 significantly increased the expression of fibrotic factor α-SMA and COL4A1 in normoxia condition, and increase of autophagy key molecule LC3Ⅰ/Ⅱ and down-regulation of P62 (P<0.05). The down-regulation of miR-96 significantly restrain the expression of LC3Ⅰ/Ⅱ and regain expression of P62 (P<0.05). Mice injected with the viral vector of miR-96 inhibitor intraperitoneally can inhibit the degree of renal fibrosis and the expression of the fibrosis factor COL4A1 in the (Unilateral Ureteral Obstruction, UUO) model compared with mice injected with the control virus.
Conclusion:HIF-1α/miR-96 signaling pathway induced abnormal autophagy of tubule epithelial cells, which caused the increase of pro-fibrotic factors and promotes renal fibrosis.


Key words: hypoxiahypoxia-inducible factor-1α, MicroRNA-96, autophagy, renal interstitial fibrosis