MicroRNA-214-5p aggravates sepsis-related acute kidney injury in mice

Cheng Guo1, Fang-Xiong Ye1, Yong-Hong Jian1

  • 1Department of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.

Insights

MicroRNA-214-5p (miR-214-5p) is upregulated in sepsis-induced acute kidney injury (AKI). Inhibiting miR-214-5p protects kidneys by activating the GLP-1R/AMPK pathway, offering a potential therapeutic strategy for sepsis-related AKI.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Pharmacology

Background:

  • Sepsis-induced acute kidney injury (AKI) is a critical condition with high mortality.
  • MicroRNAs play significant roles in the pathogenesis of various diseases, including AKI.
  • The specific role of microRNA-214-5p (miR-214-5p) in sepsis-related AKI requires further elucidation.

Purpose of the Study:

  • To investigate the role of miR-214-5p in the development of sepsis-related AKI.
  • To explore the underlying molecular mechanisms involving miR-214-5p, adenosine monophosphate-activated protein kinase (AMPK), and glucagon-like peptide-1 receptor (GLP-1R).
  • To evaluate the therapeutic potential of targeting miR-214-5p for sepsis-related AKI.

Main Methods:

  • Sepsis-related AKI was induced in mice using lipopolysaccharide (LPS).
  • miR-214-5p agomir and antagomir were administered to mice, and proximal tubular cells were treated with LPS.
  • The effects of miR-214-5p modulation on renal inflammation, oxidative stress, and kidney function were assessed.
  • Inhibitors of AMPK (compound C) and GLP-1R (siRNA) were used to investigate the molecular pathways.

Main Results:

  • miR-214-5p levels were significantly upregulated in LPS-induced AKI in vivo and in vitro.
  • Administration of miR-214-5p antagomir attenuated renal inflammation, oxidative stress, and improved kidney function.
  • Conversely, miR-214-5p agomir exacerbated LPS-induced kidney damage.
  • miR-214-5p inhibition protected against AKI by activating the AMPK pathway, which was dependent on GLP-1R.

Conclusions:

  • miR-214-5p is a key mediator in the pathogenesis of sepsis-related AKI.
  • Targeting miR-214-5p, potentially through its interaction with the GLP-1R/AMPK axis, represents a promising therapeutic strategy for sepsis-related AKI.
  • Further research into miR-214-5p-based therapies could lead to improved patient outcomes in sepsis.

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