MiR-9-5p protects from kidney fibrosis by metabolic reprogramming

M Fierro-Fernández, V Miguel, L Márquez-Expósito… - bioRxiv, 2019 - biorxiv.org
M Fierro-Fernández, V Miguel, L Márquez-Expósito, C Nuevo-Tapioles, JI Herrero…
bioRxiv, 2019biorxiv.org
MicroRNAs (miRNAs) regulate gene expression post-transcriptionally and control biological
processes, including fibrogenesis. Kidney fibrosis remains a clinical challenge and miRNAs
may represent a valid therapeutic avenue. We show that miR-9-5p protected from renal
fibrosis in the mouse model of unilateral ureteral obstruction (UUO). This was reflected in
reduced expression of fibrotic markers, decreased number of infiltrating monocytes/
macrophages and diminished tubular epithelial cell injury and transforming growth factor …
Abstract
MicroRNAs (miRNAs) regulate gene expression post-transcriptionally and control biological processes, including fibrogenesis. Kidney fibrosis remains a clinical challenge and miRNAs may represent a valid therapeutic avenue. We show that miR-9-5p protected from renal fibrosis in the mouse model of unilateral ureteral obstruction (UUO). This was reflected in reduced expression of fibrotic markers, decreased number of infiltrating monocytes/macrophages and diminished tubular epithelial cell injury and transforming growth factor-beta 1 (TGF-β1)-dependent de-differentiation in human kidney proximal tubular (HKC-8) cells. RNA sequencing (RNA-Seq) studies in the UUO model revealed that this protection was mediated by a global shift in the expression profile of genes related to key metabolic pathways, including mitochondrial dysfunction, oxidative phosphorylation (OXPHOS), fatty acid oxidation (FAO) and glycolysis, preventing their UUO-dependent down-regulation. Studies in human tubular epithelial cells demonstrated a prevention of the TGF-β1-induced bioenergetics derangement. The expression of the FAO-related axis peroxisome proliferator-activated receptor gamma coactivator 1 alpha (PGC-1α)-peroxisome proliferator-activated receptor alpha (PPARα) was reduced by UUO, although preserved by the administration of miR-9-5p. We found that in mice null for the mitochondrial master regulator PGC-1α, miR-9-5p was unable to promote a protective effect in the UUO model. We propose that miR-9-5p elicits a protective response to chronic kidney injury and renal fibrosis by inducing reprogramming of the metabolic alterations and mitochondrial dysfunction affecting tubular epithelial cells.
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