Folic Acid Ameliorates Renal Injury in Experimental Obstructive Nephropathy: Role of Glycine N-Methyltransferase

Folic acid exerts both anti-inflammatory and antifibrotic effects. Glycine N-methyltransferase (GNMT), the major folic acid-binding protein in the liver, is a crucial enzyme that regulates the cellular methylation process by maintaining S-adenosylmethionine levels. However, as yet neither the therap...

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Main Authors: Ko-Lin Kuo, Chin-Wei Chiang, Yi-Ming Arthur Chen, Chih-Chin Yu, Tzong-Shyuan Lee
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/7/6859
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author Ko-Lin Kuo
Chin-Wei Chiang
Yi-Ming Arthur Chen
Chih-Chin Yu
Tzong-Shyuan Lee
author_facet Ko-Lin Kuo
Chin-Wei Chiang
Yi-Ming Arthur Chen
Chih-Chin Yu
Tzong-Shyuan Lee
author_sort Ko-Lin Kuo
collection DOAJ
description Folic acid exerts both anti-inflammatory and antifibrotic effects. Glycine N-methyltransferase (GNMT), the major folic acid-binding protein in the liver, is a crucial enzyme that regulates the cellular methylation process by maintaining S-adenosylmethionine levels. However, as yet neither the therapeutic effects of folic acid in renal fibrosis nor whether GNMT is involved in these folic acid-associated mechanisms has been investigated. First, the expression of GNMT was examined in human kidneys with or without obstructive nephropathy. Later, wild-type and <i>GNMT</i> knockout (<i>GNMT<sup>−/−</sup></i>) mice were subjected to unilateral ureteral obstruction (UUO) and then treated with either folic acid or vehicle for 14 days. Renal tubular injury, inflammation, fibrosis, and autophagy were evaluated by histological analysis and Western blotting. We observed increased expression of GNMT in humans with obstructive nephropathy. Furthermore, UUO significantly increased the expression of GNMT in mice; in addition, it caused renal injury as well as the development of both hydronephrosis and tubular injury. These were all alleviated by folic acid treatment. In contrast, <i>GNMT<sup>−/−</sup></i> mice exhibited exacerbated UUO-induced renal injury, but the protective effect of folic acid was not observed in <i>GNMT<sup>−/−</sup></i> mice. We propose a novel role for folic acid in the treatment of renal fibrosis, which indicates that GNMT may be a therapeutic target.
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spelling doaj.art-908c97cbde5844a695f3743911d88dd42023-11-17T16:57:05ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-04-01247685910.3390/ijms24076859Folic Acid Ameliorates Renal Injury in Experimental Obstructive Nephropathy: Role of Glycine N-MethyltransferaseKo-Lin Kuo0Chin-Wei Chiang1Yi-Ming Arthur Chen2Chih-Chin Yu3Tzong-Shyuan Lee4Division of Nephrology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231405, TaiwanDepartment of Physiology, National Yang Ming Chiao Tung University, Taipei 112304, TaiwanGraduate Institute of Biomedical and Pharmaceutical Science, Fu Jen Catholic University, New Taipei 24205, TaiwanDivision of Urology, Department of Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231405, TaiwanGraduate Institute, Department of Physiology, College of Medicine, National Taiwan University, Taipei 100, TaiwanFolic acid exerts both anti-inflammatory and antifibrotic effects. Glycine N-methyltransferase (GNMT), the major folic acid-binding protein in the liver, is a crucial enzyme that regulates the cellular methylation process by maintaining S-adenosylmethionine levels. However, as yet neither the therapeutic effects of folic acid in renal fibrosis nor whether GNMT is involved in these folic acid-associated mechanisms has been investigated. First, the expression of GNMT was examined in human kidneys with or without obstructive nephropathy. Later, wild-type and <i>GNMT</i> knockout (<i>GNMT<sup>−/−</sup></i>) mice were subjected to unilateral ureteral obstruction (UUO) and then treated with either folic acid or vehicle for 14 days. Renal tubular injury, inflammation, fibrosis, and autophagy were evaluated by histological analysis and Western blotting. We observed increased expression of GNMT in humans with obstructive nephropathy. Furthermore, UUO significantly increased the expression of GNMT in mice; in addition, it caused renal injury as well as the development of both hydronephrosis and tubular injury. These were all alleviated by folic acid treatment. In contrast, <i>GNMT<sup>−/−</sup></i> mice exhibited exacerbated UUO-induced renal injury, but the protective effect of folic acid was not observed in <i>GNMT<sup>−/−</sup></i> mice. We propose a novel role for folic acid in the treatment of renal fibrosis, which indicates that GNMT may be a therapeutic target.https://www.mdpi.com/1422-0067/24/7/6859folic acidglycine N-methyltransferaseunilateral ureteral obstruction
spellingShingle Ko-Lin Kuo
Chin-Wei Chiang
Yi-Ming Arthur Chen
Chih-Chin Yu
Tzong-Shyuan Lee
Folic Acid Ameliorates Renal Injury in Experimental Obstructive Nephropathy: Role of Glycine N-Methyltransferase
International Journal of Molecular Sciences
folic acid
glycine N-methyltransferase
unilateral ureteral obstruction
title Folic Acid Ameliorates Renal Injury in Experimental Obstructive Nephropathy: Role of Glycine N-Methyltransferase
title_full Folic Acid Ameliorates Renal Injury in Experimental Obstructive Nephropathy: Role of Glycine N-Methyltransferase
title_fullStr Folic Acid Ameliorates Renal Injury in Experimental Obstructive Nephropathy: Role of Glycine N-Methyltransferase
title_full_unstemmed Folic Acid Ameliorates Renal Injury in Experimental Obstructive Nephropathy: Role of Glycine N-Methyltransferase
title_short Folic Acid Ameliorates Renal Injury in Experimental Obstructive Nephropathy: Role of Glycine N-Methyltransferase
title_sort folic acid ameliorates renal injury in experimental obstructive nephropathy role of glycine n methyltransferase
topic folic acid
glycine N-methyltransferase
unilateral ureteral obstruction
url https://www.mdpi.com/1422-0067/24/7/6859
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