MiR-21-5p in macrophage-derived extracellular vesicles affects podocyte pyroptosis in diabetic nephropathy by

X Ding1, N Jing1, A Shen1

  • 1Department of Endocrinology and Metabolism, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Zhengzhou City, 450052, Henan, People's Republic of China.

Abstract

Insights

MicroRNA-21-5p within macrophage extracellular vesicles promotes podocyte injury in diabetic nephropathy by activating pyroptosis. Inhibiting miR-21-5p in these vesicles reduces inflammation and protects podocytes, offering a potential therapeutic target for DN.

Area of Science:

  • Cell Biology
  • Immunology
  • Nephrology

Background:

  • Diabetic nephropathy (DN) involves podocyte injury driven by inflammation and pyroptosis.
  • Macrophage-derived extracellular vesicles (EVs) are implicated in the inflammatory processes of DN.

Purpose of the Study:

  • To investigate the role of miR-21-5p in macrophage-derived EVs on podocyte injury in diabetic nephropathy.
  • To elucidate the underlying mechanism involving inflammasome activation and A20 expression.

Main Methods:

  • Macrophage cell lines (RAW 264.7) were stimulated with high glucose (HG) to produce EVs.
  • EVs were analyzed for miR-21-5p levels, and co-cultured with podocytes (MPC5).
  • DN model mice received EVs with manipulated miR-21-5p levels; podocyte pyroptosis was assessed via flow cytometry and Western blot.

Main Results:

  • HG-stimulated macrophage EVs showed elevated miR-21-5p levels.
  • These EVs promoted podocyte pyroptosis, increasing reactive oxygen species (ROS) and inflammasome activation.
  • Knockdown of miR-21-5p in EVs attenuated these effects and reduced podocyte injury.
  • MiR-21-5p was found to inhibit A20 expression, a key regulator in the pathway, in podocytes.

Conclusions:

  • MiR-21-5p in macrophage-derived EVs exacerbates pyroptosis-mediated podocyte injury in DN.
  • The mechanism involves the downregulation of A20 expression.
  • Targeting miR-21-5p in EVs presents a potential therapeutic strategy for diabetic nephropathy.