Inhibition of Lysine 63 Ubiquitination Prevents the Progression of Renal Fibrosis in Diabetic DBA/2J Mice

Diabetic nephropathy (DN) is the most frequent cause of end-stage renal disease. Tubulointerstitial accumulation of lysine 63 (K63)-ubiquitinated (Ub) proteins is involved in the progression of DN fibrosis and correlates with urinary miR-27b-3p downregulation. We explored the renoprotective effect o...

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Main Authors: Paola Pontrelli, Francesca Conserva, Rossella Menghini, Michele Rossini, Alessandra Stasi, Chiara Divella, Viviana Casagrande, Claudia Cinefra, Mariagrazia Barozzino, Simona Simone, Francesco Pesce, Giuseppe Castellano, Giovanni Stallone, Anna Gallone, Francesco Giorgino, Massimo Federici, Loreto Gesualdo
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/10/5194
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author Paola Pontrelli
Francesca Conserva
Rossella Menghini
Michele Rossini
Alessandra Stasi
Chiara Divella
Viviana Casagrande
Claudia Cinefra
Mariagrazia Barozzino
Simona Simone
Francesco Pesce
Giuseppe Castellano
Giovanni Stallone
Anna Gallone
Francesco Giorgino
Massimo Federici
Loreto Gesualdo
author_facet Paola Pontrelli
Francesca Conserva
Rossella Menghini
Michele Rossini
Alessandra Stasi
Chiara Divella
Viviana Casagrande
Claudia Cinefra
Mariagrazia Barozzino
Simona Simone
Francesco Pesce
Giuseppe Castellano
Giovanni Stallone
Anna Gallone
Francesco Giorgino
Massimo Federici
Loreto Gesualdo
author_sort Paola Pontrelli
collection DOAJ
description Diabetic nephropathy (DN) is the most frequent cause of end-stage renal disease. Tubulointerstitial accumulation of lysine 63 (K63)-ubiquitinated (Ub) proteins is involved in the progression of DN fibrosis and correlates with urinary miR-27b-3p downregulation. We explored the renoprotective effect of an inhibitor of K63-Ub (NSC697923), alone or in combination with the ACE-inhibitor ramipril, in vitro and in vivo. Proximal tubular epithelial cells and diabetic DBA/2J mice were treated with NSC697923 and/or ramipril. K63-Ub protein accumulation along with α-SMA, collagen I and III, FSP-1, vimentin, p16<sup>INK4A</sup> expression, SA-α Gal staining, Sirius Red, and PAS staining were measured. Finally, we measured the urinary albumin to creatinine ratio (uACR), and urinary miR-27b-3p expression in mice. NSC697923, both alone and in association with ramipril, in vitro and in vivo inhibited hyperglycemia-induced epithelial to mesenchymal transition by significantly reducing K63-Ub proteins, α-SMA, collagen I, vimentin, FSP-1 expression, and collagen III along with tubulointerstitial and glomerular fibrosis. Treated mice also showed recovery of urinary miR-27b-3p and restored expression of p16<sup>INK4A</sup>. Moreover, NSC697923 in combination with ramipril demonstrated a trend in the reduction of uACR. In conclusion, we suggest that selective inhibition of K63-Ub, when combined with the conventional treatment with ACE inhibitors, might represent a novel treatment strategy to prevent the progression of fibrosis and proteinuria in diabetic nephropathy and we propose miR-27b-3p as a biomarker of treatment efficacy.
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spelling doaj.art-c2b63f0514bf44729959384e1b7033872023-11-21T19:42:21ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-05-012210519410.3390/ijms22105194Inhibition of Lysine 63 Ubiquitination Prevents the Progression of Renal Fibrosis in Diabetic DBA/2J MicePaola Pontrelli0Francesca Conserva1Rossella Menghini2Michele Rossini3Alessandra Stasi4Chiara Divella5Viviana Casagrande6Claudia Cinefra7Mariagrazia Barozzino8Simona Simone9Francesco Pesce10Giuseppe Castellano11Giovanni Stallone12Anna Gallone13Francesco Giorgino14Massimo Federici15Loreto Gesualdo16Department of Emergency and Organ Transplantation, University of Bari, 70124 Bari, ItalyDepartment of Emergency and Organ Transplantation, University of Bari, 70124 Bari, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Emergency and Organ Transplantation, University of Bari, 70124 Bari, ItalyDepartment of Emergency and Organ Transplantation, University of Bari, 70124 Bari, ItalyDepartment of Emergency and Organ Transplantation, University of Bari, 70124 Bari, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Emergency and Organ Transplantation, University of Bari, 70124 Bari, ItalyDepartment of Emergency and Organ Transplantation, University of Bari, 70124 Bari, ItalyDepartment of Emergency and Organ Transplantation, University of Bari, 70124 Bari, ItalyDepartment of Emergency and Organ Transplantation, University of Bari, 70124 Bari, ItalyDepartment of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, ItalyDepartment of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, ItalyDepartment of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari, 70124 Bari, ItalyDepartment of Emergency and Organ Transplantation, University of Bari, 70124 Bari, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Emergency and Organ Transplantation, University of Bari, 70124 Bari, ItalyDiabetic nephropathy (DN) is the most frequent cause of end-stage renal disease. Tubulointerstitial accumulation of lysine 63 (K63)-ubiquitinated (Ub) proteins is involved in the progression of DN fibrosis and correlates with urinary miR-27b-3p downregulation. We explored the renoprotective effect of an inhibitor of K63-Ub (NSC697923), alone or in combination with the ACE-inhibitor ramipril, in vitro and in vivo. Proximal tubular epithelial cells and diabetic DBA/2J mice were treated with NSC697923 and/or ramipril. K63-Ub protein accumulation along with α-SMA, collagen I and III, FSP-1, vimentin, p16<sup>INK4A</sup> expression, SA-α Gal staining, Sirius Red, and PAS staining were measured. Finally, we measured the urinary albumin to creatinine ratio (uACR), and urinary miR-27b-3p expression in mice. NSC697923, both alone and in association with ramipril, in vitro and in vivo inhibited hyperglycemia-induced epithelial to mesenchymal transition by significantly reducing K63-Ub proteins, α-SMA, collagen I, vimentin, FSP-1 expression, and collagen III along with tubulointerstitial and glomerular fibrosis. Treated mice also showed recovery of urinary miR-27b-3p and restored expression of p16<sup>INK4A</sup>. Moreover, NSC697923 in combination with ramipril demonstrated a trend in the reduction of uACR. In conclusion, we suggest that selective inhibition of K63-Ub, when combined with the conventional treatment with ACE inhibitors, might represent a novel treatment strategy to prevent the progression of fibrosis and proteinuria in diabetic nephropathy and we propose miR-27b-3p as a biomarker of treatment efficacy.https://www.mdpi.com/1422-0067/22/10/5194DBA2/J micelysine 63 ubiquitinationmicroRNArenal fibrosissenescencediabetes
spellingShingle Paola Pontrelli
Francesca Conserva
Rossella Menghini
Michele Rossini
Alessandra Stasi
Chiara Divella
Viviana Casagrande
Claudia Cinefra
Mariagrazia Barozzino
Simona Simone
Francesco Pesce
Giuseppe Castellano
Giovanni Stallone
Anna Gallone
Francesco Giorgino
Massimo Federici
Loreto Gesualdo
Inhibition of Lysine 63 Ubiquitination Prevents the Progression of Renal Fibrosis in Diabetic DBA/2J Mice
International Journal of Molecular Sciences
DBA2/J mice
lysine 63 ubiquitination
microRNA
renal fibrosis
senescence
diabetes
title Inhibition of Lysine 63 Ubiquitination Prevents the Progression of Renal Fibrosis in Diabetic DBA/2J Mice
title_full Inhibition of Lysine 63 Ubiquitination Prevents the Progression of Renal Fibrosis in Diabetic DBA/2J Mice
title_fullStr Inhibition of Lysine 63 Ubiquitination Prevents the Progression of Renal Fibrosis in Diabetic DBA/2J Mice
title_full_unstemmed Inhibition of Lysine 63 Ubiquitination Prevents the Progression of Renal Fibrosis in Diabetic DBA/2J Mice
title_short Inhibition of Lysine 63 Ubiquitination Prevents the Progression of Renal Fibrosis in Diabetic DBA/2J Mice
title_sort inhibition of lysine 63 ubiquitination prevents the progression of renal fibrosis in diabetic dba 2j mice
topic DBA2/J mice
lysine 63 ubiquitination
microRNA
renal fibrosis
senescence
diabetes
url https://www.mdpi.com/1422-0067/22/10/5194
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