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Suppression of TRPM2 reduces renal fibrosis and inflammation through blocking TGF-β1-regulated JNK activation
Ying Wang1, Lingwei Chen1, Kangyao Wang1
1Department of Nephropathy, Wenling First People's Hospital of Zhejiang, Wenling, 317500, China.
Abstract:
Chronic kidney disease (CKD) is a major cause of death. Renal fibrosis and inflammation are common pathways contributing to the development of this disease. However, the molecular mechanisms underlying CKD are not fully understood. TRPM2 (Transient receptor potential melastatin-2) was previously identified as a potential target in various diseases due to its multiple functions. In the study, mice with unilateral urethral obstruction (UUO) were used to explore the effects of TRPM2 on renal injury. First, TRPM2 expression was up-regulated in kidney of mice after UUO. Renal histological analysis using H&E and PAS staining showed that histological changes induced by UUO were markedly alleviated in TRPM2-deficient mice. In addition, TRPM2 knockout markedly improved renal dysfunction, as evidenced by the reduced serum creatine, blood urea nitrogen (BUN), kidney injury molecule 1 (KIM-1) expression and enhanced Nephrin levels. TRPM2 ablation significantly attenuated renal interstitial fibrosis in mice with UUO via decreasing transforming growth factor (TGF)-β1 expression, accompanied with the reduction of fibrotic genes, such as α-smooth muscle actin (α-SMA), connective tissue growth factor (CTGF), fibronectin (FN) and Collagen 1 alpha 1 (Col1α1). Suppressing TRPM2 expression also suppressed inflammatory cell infiltration and release of pro-inflammatory factors in UUO-triggered renal fibrosis. Further, TRPM2 deficiency inhibited IκBα/nuclear factor (NF)-κB signaling in UUO-treated mice. Moreover, c-Jun N-terminal kinase (JNK) signaling was blocked by TRPM2 knockout in UUO mice. Surprisingly, the in vitro results indicated that blocking JNK activation resulted in the suppression of TGF-β1-induced fibrosis and inflammation. Together, these findings demonstrate that the inhibition of TRPM2 might protect against renal fibrosis and inflammation through impeding JNK activation regulated by TGF-β1.
Insights
Targeting TRPM2 (Transient receptor potential melastatin-2) shows promise in treating kidney disease. Inhibiting TRPM2 reduces renal fibrosis and inflammation by blocking JNK signaling pathways, offering a new therapeutic strategy for chronic kidney disease.
Area of Science:
- Nephrology
- Molecular Biology
- Pathology
Background:
- Chronic kidney disease (CKD) is a leading cause of mortality, characterized by renal fibrosis and inflammation.
- The precise molecular mechanisms driving CKD progression remain incompletely understood.
- Transient receptor potential melastatin-2 (TRPM2) has emerged as a potential therapeutic target due to its diverse cellular functions.
Purpose of the Study:
- To investigate the role of TRPM2 in the development of renal fibrosis and inflammation in the context of CKD.
- To explore the therapeutic potential of TRPM2 inhibition in ameliorating kidney injury.
Main Methods:
- Utilized a mouse model of unilateral ureteral obstruction (UUO) to induce kidney injury.
- Assessed renal histological changes using H&E and PAS staining.
- Measured serum creatinine, blood urea nitrogen (BUN), KIM-1, and Nephrin levels.
- Analyzed the expression of fibrotic markers (TGF-β1, α-SMA, CTGF, FN, Col1α1) and inflammatory factors.
- Investigated the involvement of IκBα/NF-κB and JNK signaling pathways.
Main Results:
- TRPM2 expression was significantly upregulated in kidneys following UUO.
- TRPM2-deficient mice exhibited markedly alleviated renal histological damage and improved renal function compared to wild-type mice.
- TRPM2 ablation attenuated renal interstitial fibrosis by downregulating TGF-β1 and associated fibrotic genes.
- Suppression of TRPM2 reduced inflammatory cell infiltration and pro-inflammatory cytokine release.
- TRPM2 deficiency inhibited both IκBα/NF-κB and JNK signaling pathways.
- In vitro studies confirmed that blocking JNK activation suppressed TGF-β1-induced fibrosis and inflammation.
Conclusions:
- TRPM2 plays a critical role in promoting renal fibrosis and inflammation in response to kidney injury.
- Inhibition of TRPM2 offers a protective effect against UUO-induced renal damage.
- TRPM2 may exert its effects by modulating TGF-β1 and subsequently activating JNK signaling.
- Targeting TRPM2 presents a promising therapeutic strategy for managing CKD.
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