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Gliko BMSC: A potential strategy of treatment for renal fibrosis
Long Shi1, Xiang Gao1, Yue Bi2
1Department of Vascular Surgery, The Second Hospital of Hebei Medical University, China.
Objective:
There are many researches on using bone marrow mesenchymal stem cells (BMSCs) in the treatment of acute kidney injury (AKI), which has certain effects, but the mechanism of action is still unclear. Previous researches show that glioma-associated oncogene homolog 1 (Gli 1) can promote the proliferation and migration of cells, which can also promote renal fibrosis. Therefore, we investigate the influence of Gli-regulated BMSCs on repairing AKI and renal fibrosis induced by limb Ischemia-Reperfusion (I/R).
Methods:
The Crispr-Cas9 technique was adopted to knock out the Gli1 gene from the mouse BMSCs according to green fluorescent tracing, and the BMSCs (BMSCs-Gliko) with Gli1 gene knocked out and the BMSCs as control group were obtained. The cell proliferation, apoptosis, cycle and SHH signal pathway gene level were tested. The mice were built to the AKI model with inducing I/R injury, then the BMSCs-Gliko and BMSCs cells were injected into the mice, and their IL-1, IL-1B, TNF-a, serum creatinine (Scr) and blood urea nitrogen (BUN) levels were tested; Western blot was employed to test the expression of α-SMA, SMAD2 and SMAD4 in the renal tissues of mice. Finally, flow cytometry was used to test the content of BMSCs containing green fluorescence in the blood of mice.
Results:
The BMSCs-Gliko containing green fluorescence and the mouse AKI model were built; both BMSCs and BMSCs-Gliko can reduce the damage level, and BMSCs-Gliko outperformed BMSCs in protecting renal tubules and anti-fibrosis. Our study also shows that BMSCs-Gliko stayed longer in the blood of mice, which might also be one of the reasons why BMSCs-Gliko outperformed BMSCs in preventing renal tubules and fibrosis. To sum it up, could be key target of using.
Insights
Gli1 gene knockout in bone marrow mesenchymal stem cells (BMSCs) enhanced their ability to repair acute kidney injury (AKI) and reduce renal fibrosis in mice. These modified BMSCs (BMSCs-Gliko) showed superior protective effects compared to standard BMSCs.
Area of Science:
- Stem Cell Biology
- Renal Physiology
- Molecular Medicine
Background:
- Bone marrow mesenchymal stem cells (BMSCs) show therapeutic potential for acute kidney injury (AKI), but their precise mechanisms remain unclear.
- Glioma-associated oncogene homolog 1 (Gli1) is implicated in promoting cell proliferation, migration, and renal fibrosis.
- Investigating Gli1's role in BMSCs is crucial for understanding and improving AKI treatment strategies.
Purpose of the Study:
- To investigate the influence of Gli1-regulated BMSCs on repairing AKI and renal fibrosis.
- To evaluate the therapeutic efficacy of BMSCs with Gli1 gene knockout (BMSCs-Gliko) in an ischemia-reperfusion (I/R) induced AKI mouse model.
Main Methods:
- Gli1 gene was knocked out in mouse BMSCs using CRISPR-Cas9 technology, creating BMSCs-Gliko.
- Cellular assays assessed proliferation, apoptosis, and cell cycle of BMSCs and BMSCs-Gliko.
- Mice with I/R-induced AKI were treated with BMSCs or BMSCs-Gliko; kidney injury markers (IL-1, IL-1B, TNF-a, Scr, BUN), fibrosis markers (α-SMA, SMAD2, SMAD4), and BMSC retention were analyzed.
Main Results:
- Both BMSCs and BMSCs-Gliko reduced AKI damage, but BMSCs-Gliko demonstrated superior protection of renal tubules and anti-fibrotic effects.
- BMSCs-Gliko exhibited prolonged retention in the bloodstream of mice compared to standard BMSCs.
- Gli1 knockout in BMSCs significantly improved their therapeutic outcomes in the AKI model.
Conclusions:
- Gli1 is a critical target for enhancing the therapeutic potential of BMSCs in AKI treatment.
- Gli1-knockout BMSCs offer improved protection against renal tubule damage and fibrosis in AKI.
- Enhanced retention of BMSCs-Gliko may contribute to their superior efficacy in AKI repair.

