Long Non-Coding RNA RMRP Contributes to Sepsis-Induced Acute Kidney Injury

Xia Zhang1, Zhongwei Huang2, Yan Wang1

  • 1Department of Emergency, Affiliated Hospital of Nantong University, Nantong, China.

Yonsei Medical Journal
|February 26, 2021
PubMed
Abstract

Insights

The long non-coding RNA RMRP exacerbates sepsis-induced acute kidney injury by activating the NLRP3 inflammasome and upregulating DDX5 via miR-206. Inhibiting RMRP shows therapeutic potential for sepsis-related AKI.

Area of Science:

  • Molecular Biology
  • Immunology
  • Renal Physiology

Background:

  • Sepsis-induced acute kidney injury (AKI) is a critical complication with high mortality.
  • The role of long non-coding RNAs (lncRNAs) in sepsis-AKI pathogenesis remains incompletely understood.

Purpose of the Study:

  • To investigate the function of the lncRNA RNA component of mitochondrial RNAase P (RMRP) in sepsis-induced AKI.
  • To elucidate the molecular mechanisms underlying RMRP's involvement in AKI.

Main Methods:

  • Analysis of RMRP expression in patient sera and cell/animal models of AKI.
  • In vitro and in vivo experiments involving RMRP knockdown and overexpression.
  • Assessment of inflammatory cytokines, cell apoptosis, and inflammasome activation (NLRP3).
  • Investigation of the RMRP-miR-206-DDX5 regulatory axis.

Main Results:

  • RMRP expression was significantly upregulated in sepsis-AKI patients and models.
  • RMRP knockdown ameliorated AKI, reduced apoptosis, and suppressed pro-inflammatory cytokine production.
  • RMRP promoted inflammation by activating the NLRP3 inflammasome.
  • RMRP upregulated DEAD-box helicase 5 (DDX5) expression by sponging microRNA 206 (miR-206).
  • Overexpression of DDX5 reversed the protective effects of RMRP inhibition.

Conclusions:

  • The lncRNA RMRP plays a crucial role in sepsis-induced AKI.
  • RMRP contributes to AKI by activating the NLRP3 inflammasome and upregulating DDX5 in a miR-206-dependent manner.
  • Targeting RMRP presents a potential therapeutic strategy for sepsis-AKI.

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