Therapeutic Effect of Kidney Tubular Cells-Derived Conditioned Medium on the Expression of MicroRNA-377,

Esrafil Mansouri1, Mahmoud Orazizadeh1, Seyyed Ali Mard2

  • 1Department of Anatomical Sciences, Faculty of Medicine, Cellular and Molecular Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

Insights

Conditioned medium from kidney tubular cells (KTCs-CM) shows promise in treating diabetic nephropathy (DN). This therapy reduced key markers of kidney damage and improved specific microRNA and protein levels in diabetic rats.

Area of Science:

  • Nephrology
  • Endocrinology
  • Regenerative Medicine

Background:

  • Diabetic nephropathy (DN) is a severe complication of diabetes mellitus.
  • Current treatments for DN are limited, necessitating novel therapeutic approaches.
  • Cell-based therapies show potential but face challenges in clinical application.

Purpose of the Study:

  • To evaluate the efficacy of conditioned medium from kidney tubular cells (KTCs-CM) as an alternative to cell-based therapy for DN.
  • To investigate the therapeutic potential of KTCs-CM in a rat model of diabetic nephropathy.

Main Methods:

  • Collected and filtered conditioned medium from rabbit kidney tubular cells (RK13).
  • Induced diabetic nephropathy in rats using streptozotocin.
  • Administered KTCs-CM intravenously to DN rats for 3 consecutive days.
  • Assessed 24-h urine protein, blood urea nitrogen (BUN), serum creatinine (Scr), kidney histopathology, miRNA-29a and miRNA-377 expression, and aquaporin-1 (AQP1) protein levels.

Main Results:

  • KTCs-CM significantly reduced urine volume, 24-h urine protein, BUN, and Scr in DN rats.
  • Treatment with KTCs-CM led to decreased expression of miRNA-377 and increased expression of miRNA-29a.
  • The expression of AQP1 protein was elevated in DN rats treated with KTCs-CM.

Conclusions:

  • KTCs-CM demonstrated significant renoprotective effects in a diabetic nephropathy model.
  • The therapeutic benefits of KTCs-CM may be mediated by the regulation of specific microRNAs and aquaporin-1 expression.
  • KTCs-CM presents a promising cell-free therapeutic strategy for preventing or treating diabetic kidney injury.

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