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Published on: February 25, 2014
Therapeutic Potential of Progranulin in Hyperhomocysteinemia-Induced Cardiorenal Dysfunction
1From the Departments of Pharmacology (Y.F., Y.S., M.Z., X. Wang, Z.W., X. Wei, Y.Z., Z.S., K.L., F.Y.) and Pathogenic Biology (W.T.), Shandong University School of Medicine, Jinan, China.
Insights
Progranulin (PGRN) levels decrease in hyperhomocysteinemia (hHcys), worsening cardiorenal injury. PGRN supplementation shows therapeutic potential for hHcys-associated damage.
Area of Science:
- Cardiovascular Science
- Nephrology
- Molecular Biology
Background:
- Hyperhomocysteinemia (hHcys) is a significant risk factor for cardiovascular and renal diseases.
- Current therapies for hHcys-induced injury are insufficient, necessitating novel therapeutic targets.
- Identifying key molecular players in hHcys pathogenesis is crucial for developing new treatment strategies.
Purpose of the Study:
- To investigate the role of progranulin (PGRN) in hyperhomocysteinemia-induced cardiorenal injury.
- To elucidate the underlying molecular mechanisms linking PGRN to homocysteine-related damage.
- To evaluate the therapeutic potential of PGRN in a mouse model of hHcys.
Main Methods:
- Utilized a mouse model of hyperhomocysteinemia (hHcys).
- Assessed cardiorenal injury markers, including urinary albumin excretion and renal/myocardial morphology.
- Investigated PGRN levels and its association with Wnt/β-catenin signaling.
- Administered recombinant human PGRN to hHcys mice to assess therapeutic effects.
Main Results:
- Progranulin (PGRN) levels were significantly reduced in the kidney and heart of hHcys mice.
- PGRN deficiency exacerbated cardiorenal injury in hHcys mice, indicated by increased albuminuria and severe morphological damage.
- PGRN deficiency led to adverse myocardial remodeling in hHcys mice.
- PGRN-mediated Wnt/β-catenin signaling was identified as a critical pathway in homocysteine-induced injury.
- Recombinant human PGRN pretreatment ameliorated cardiorenal injury in hHcys mice.
Conclusions:
- Progranulin (PGRN) plays a protective role against hyperhomocysteinemia-induced cardiorenal injury.
- PGRN levels are diminished in hHcys, contributing to disease progression.
- PGRN, potentially via Wnt/β-catenin signaling, represents a promising therapeutic target for hHcys-associated conditions.
Abstract:
Hyperhomocysteinemia (hHcys) is an important independent risk factor for the development of cardiovascular disease and end-stage renal disease. Although multiple approaches lowering the levels of homocysteine have been used in experimental studies and clinical trials, there is no effective therapy available to fully prevent homocysteine-induced injury. Therefore, identifying key molecules in the pathogenic pathways may provide clues to develop new therapeutic strategies for the treatment of hHcys-associated injury beyond lowering the plasma homocysteine levels. In this study, we found that the levels of progranulin (PGRN), an autocrine growth factor, were significantly reduced in the kidney and heart from a mouse model of hHcys. We further observed that in hHcys, PGRN-deficient mice significantly exacerbated cardiorenal injury as evidenced by higher levels of urinary albumin excretion, more severe renal morphological injuries, including pronounced glomerular basement membrane thickening and podocyte foot process effacement, and adverse myocardial remodeling versus wild-type mice. Mechanistically, we found that PGRN-medicated Wnt/β-catenin signaling was one of the critical signal transduction pathways that links homocysteine to cardiorenal injury. Importantly, we finally provided direct evidence for the therapeutic potential of PGRN in mice with hHcys by pretreatment with recombinant human PGRN. Collectively, our results suggest that PGRN may be an innovative therapeutic strategy for treating patients with hHcys.
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