miR-6869-5p Transported by Plasma Extracellular Vesicles Mediates Renal Tubule Injury and Renin-Angiotensin System

Huan-Huan Liu1, Xia-Qing Li1, Jin-Feng Liu1

  • 1Department of Nephrology, The First Affiliated Hospital of Jinan University, Guangzhou, China.

Frontiers in Medicine
|September 27, 2021
PubMed

Insights

Obesity-associated kidney disease involves local renin-angiotensin system (RAS) activation. Plasma extracellular vesicles (EVs) from obese individuals deliver miR-6869-5p, causing RAS activation and kidney tubule damage.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Obesity Research

Background:

  • Obesity is a significant risk factor for kidney disease.
  • Local renin-angiotensin system (RAS) activation is implicated in obesity-related kidney damage.
  • The role of extracellular vesicles (EVs) in mediating obesity's effects on organs is not fully understood.

Purpose of the Study:

  • To investigate if plasma EVs from obese individuals carry microRNA-6869-5p (miR-6869-5p).
  • To determine if this cargo activates the RAS and causes renal tubular injury.
  • To explore miR-6869-5p as a potential therapeutic target.

Main Methods:

  • Plasma EVs were isolated from obese and lean subjects.
  • RNA sequencing identified differentially expressed miRNAs in EVs.
  • EVs were co-cultured with human proximal renal tubular epithelial cells (PTECs) in vitro; RAS activation and tubule injury were assessed in vivo and via Western blot.

Main Results:

  • Obesity was associated with renal tubule injury and RAS activation in humans and mice.
  • EVs from obese individuals (Obese-EVs) induced RAS activation and PTEC injury.
  • miR-6869-5p treatment mimicked Obese-EV effects; inhibition reduced injury, confirming its role.

Conclusions:

  • Plasma Obese-EVs promote renal tubule injury and RAS activation through miR-6869-5p.
  • miR-6869-5p within Obese-EVs is a potential therapeutic target for obesity-associated kidney disease.

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