Long noncoding RNA CASC2 ameliorates sepsisinduced acute kidney injury by regulating the miR155 and NFκB pathway

Min Wang1, Jilou Wei1, Futai Shang1

  • 1Department of Intensive Care Unit, The Affiliated Huai'an No. 1 People's Hospital of Nanjing Medical University, Huai'an, Jiangsu 223300, P.R. China.

Insights

Long non-coding RNA CASC2 is decreased in sepsis patients and protects against sepsis-induced acute kidney injury (AKI) by inhibiting inflammation and cell death.

Area of Science:

  • Biomedical Science
  • Molecular Biology
  • Renal Medicine

Background:

  • Sepsis can lead to multi-organ damage, notably acute kidney injury (AKI).
  • Long non-coding RNA cancer susceptibility candidate 2 (CASC2) is implicated in various diseases, but its role in AKI is unknown.
  • CASC2 expression and function in sepsis-induced AKI require investigation.

Purpose of the Study:

  • To investigate the expression and role of CASC2 in sepsis-induced AKI.
  • To explore the underlying molecular mechanisms of CASC2 in renal tubular epithelial cells.
  • To determine if CASC2 could be a therapeutic target for sepsis-induced AKI.

Main Methods:

  • Serum CASC2 levels were measured in sepsis patients and healthy controls.
  • CASC2 expression was correlated with AKI severity.
  • In vitro experiments using lipopolysaccharide-stimulated HK-2 cells assessed CASC2's effects on cell viability, inflammation, apoptosis, and oxidative stress.
  • Interactions between CASC2, miR-155, and the NF-κB pathway were analyzed.

Main Results:

  • CASC2 expression was significantly lower in sepsis patients compared to healthy subjects.
  • Lower CASC2 levels correlated with increased AKI severity.
  • CASC2 enhanced HK-2 cell viability while reducing inflammatory factor secretion, apoptosis, and oxidative stress.
  • CASC2 negatively regulated miR-155 and suppressed the NF-κB signaling pathway.

Conclusions:

  • CASC2 expression is reduced in sepsis and associated with AKI severity.
  • CASC2 exerts protective effects against sepsis-induced renal injury by modulating inflammation, apoptosis, and oxidative stress.
  • CASC2 may represent a novel therapeutic target for sepsis-induced AKI via inhibition of the miR-155/NF-κB pathway.

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