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Hyperactivation of YAP/TAZ Drives Alterations in Mesangial Cells through Stabilization of N-Myc in Diabetic
Seunghyeok Choi1, Seon Pyo Hong2, Jung Hyun Bae2
1Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea.
Significance Statement:
Mesangial cells (MCs) in the kidney are essential to maintaining glomerular integrity, and their impairment leads to major glomerular diseases including diabetic nephropathy (DN). Although high blood glucose elicits abnormal alterations in MCs, the underlying mechanism is poorly understood. We show that YAP/TAZ are increased in MCs of patients with DN and two animal models of DN. High glucose directly induces activation of YAP/TAZ through the canonical Hippo pathway in cultured MCs. Hyperactivation of YAP/TAZ in mouse MCs recapitulates the hallmarks of DN. Activated YAP/TAZ bind and stabilize N-Myc, one of the Myc family. N-Myc stabilization leads to aberrant enhancement of its transcriptional activity and to MC impairments. Our findings shed light on how high blood glucose in diabetes mellitus leads to DN and support a rationale that lowering blood glucose in diabetes mellitus could delay DN pathogenesis.
Background:
Mesangial cells (MCs) in the kidney are central to maintaining glomerular integrity, and their impairment leads to major glomerular diseases, including diabetic nephropathy (DN). Although high blood glucose elicits abnormal alterations in MCs, the underlying molecular mechanism is poorly understood.
Methods:
Immunolocalization of YAP/TAZ and pathological features of PDGFRβ + MCs were analyzed in the glomeruli of patients with DN, in Zucker diabetic fatty rats, and in Lats1/2i ΔPβ mice. RiboTag bulk-RNA sequencing and transcriptomic analysis of gene expression profiles of the isolated MCs from control and Lats1/2iΔPβ mice were performed. Immunoprecipitation analysis and protein stability of N-Myc were performed by the standard protocols.
Results:
YAP and TAZ, the final effectors of the Hippo pathway, are highly increased in MCs of patients with DN and in Zucker diabetic fatty rats. Moreover, high glucose directly induces activation of YAP/TAZ through the canonical Hippo pathway in cultured MCs. Hyperactivation of YAP/TAZ in mouse model MCs recapitulates the hallmarks of DN, including excessive proliferation of MCs and extracellular matrix deposition, endothelial cell impairment, glomerular sclerosis, albuminuria, and reduced glomerular filtration rate. Mechanistically, activated YAP/TAZ bind and stabilize N-Myc protein, one of the Myc family of oncogenes. N-Myc stabilization leads to aberrant enhancement of its transcriptional activity and eventually to MC impairments and DN pathogenesis.
Conclusions:
Our findings shed light on how high blood glucose in diabetes mellitus leads to DN and support a rationale that lowering blood glucose in diabetes mellitus could delay DN pathogenesis.
Insights
High glucose activates YAP/TAZ in kidney mesangial cells, leading to N-Myc stabilization and diabetic nephropathy (DN). Lowering blood glucose may delay DN progression.
Area of Science:
- Nephrology
- Molecular Biology
- Diabetology
Background:
- Kidney mesangial cells (MCs) are crucial for glomerular integrity.
- MC dysfunction underlies diabetic nephropathy (DN).
- High blood glucose impairs MCs, but mechanisms are unclear.
Purpose of the Study:
- Investigate the role of YAP/TAZ in high glucose-induced MC alterations.
- Elucidate the molecular mechanisms linking high glucose to DN pathogenesis.
- Identify potential therapeutic targets for DN.
Main Methods:
- Analyzed YAP/TAZ and MC pathology in human DN patients and animal models.
- Used RiboTag sequencing to profile MC gene expression.
- Performed immunoprecipitation to assess protein interactions and stability.
Main Results:
- YAP/TAZ are elevated in MCs from DN patients and models.
- High glucose directly activates YAP/TAZ via the Hippo pathway in cultured MCs.
- YAP/TAZ hyperactivation in mice mimics DN hallmarks, stabilizing N-Myc and enhancing its activity.
Conclusions:
- High glucose activates YAP/TAZ, leading to N-Myc stabilization and MC dysfunction in DN.
- This pathway provides insight into DN pathogenesis.
- Blood glucose control may mitigate DN progression.
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