Related Experiment Video
Updated: Sep 3, 2025

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
LncRNA ANRIL mediates endothelial dysfunction through BDNF downregulation in chronic kidney disease
Hong Su1,2, Bing Liu1,2, Huimin Chen1
1Department of Nephrology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021, Jinan, Shandong, China.
Insights
Increased ANRIL levels contribute to endothelial dysfunction in chronic kidney disease (CKD) by suppressing brain-derived neurotrophic factor (BDNF). This mechanism involves ANRIL recruiting EZH2 to the BDNF promoter, impacting vascular health.
Area of Science:
- Molecular Biology
- Cardiovascular Research
- Nephrology
Background:
- Endothelial dysfunction is prevalent in chronic kidney disease (CKD) but its underlying mechanisms remain unclear.
- Circulating ANRIL levels are elevated in CKD patients and correlate with endothelial dysfunction and reduced brain-derived neurotrophic factor (BDNF).
Purpose of the Study:
- To elucidate the mechanism by which ANRIL contributes to endothelial dysfunction in CKD.
- To investigate the role of ANRIL-BDNF interaction in regulating endothelial function and mitochondrial dynamics.
Main Methods:
- ANRIL knockout mice models were used to assess the impact of ANRIL deficiency on endothelial markers and mitochondrial proteins.
- In vitro studies utilized serum from CKD patients and uremic toxins to induce ANRIL expression.
- RNA pull-down and RNA-binding protein immunoprecipitation (RIP) assays identified ANRIL's interaction with EZH2.
- Chromatin immunoprecipitation (ChIP) analyzed EZH2 and H3K27me3 enrichment at the BDNF promoter.
Main Results:
- ANRIL deficiency in mice reversed abnormal expression of BDNF, eNOS, VCAM-1, vWF, Drp1, and Mfn2.
- CKD patient serum and uremic toxins increased ANRIL expression in vitro.
- ANRIL directly binds to EZH2, leading to increased H3K27me3 at the BDNF promoter, thus suppressing BDNF transcription.
- Gain- and loss-of-function studies confirmed ANRIL mediates endothelial dysfunction via BDNF downregulation.
Conclusions:
- ANRIL promotes endothelial dysfunction in CKD by transcriptionally suppressing BDNF through EZH2 recruitment.
- This pathway affects proteins critical for endothelial function and mitochondrial dynamics, offering novel therapeutic targets for CKD-related vascular complications.
Abstract:
Endothelial dysfunction is common in patients with chronic kidney disease (CKD), but the mechanism is unknown. In this study, we found that the circulating ANRIL level was increased and correlated with vascular endothelial dysfunction in patients with CKD, also negatively correlated with plasma brain-derived neurotrophic factor (BDNF) concentration. We constructed the ANRIL knockout mice model, and found that ANRIL deficiency reversed the abnormal expression of BDNF, along with endothelial nitric oxide synthase (eNOS), vascular adhesion molecule 1 (VCAM-1) and Von Willebrand factor (vWF). Meanwhile, mitochondrial dynamics-related proteins, Dynamin-related protein 1 (Drp1) and mitofusins (Mfn2) level were also recovered. In addition, in vitro, serum derived from CKD patients and uremia toxins induced abnormal expression of ANRIL. By making use of the gain- and loss-of-function approaches, we observed that ANRIL mediated endothelial dysfunction through BDNF downregulation. To explore the specific mechanism, RNA pull-down and RNA-binding protein immunoprecipitation (RIP) were used to explore the binding of ANRIL to histone methyltransferase Enhancer of zeste homolog 2 (EZH2). Further experiments found increased EZH2 and histone H3 lysine 27 trimethylation (H3K27me3) levels at the BDNF promoter region. Collectively, we demonstrated that ANRIL mediate BDNF transcriptional suppression through recruitment of EZH2 to the BDNF promoter region, then regulated the proteins expression related to endothelial function and mitochondrial dynamics. This study provides new insights for the study of endothelial dysfunction in CKD.
Related Concept Videos
Chronic Kidney Disease I: Introduction
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Chronic Kidney Disease III: Interprofessional Care
Acute Kidney Injury II: Pathophysiology
Nephrons
Chronic Kidney Disease II: Clinical Manifestations

