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Published on: May 10, 2024
Crosstalk between non-coding RNA and apoptotic signaling in diabetic nephropathy
Kejia Zhang1, Di Wu1, Chunjie Huang1
1Institute of Reproductive Medicine, School of Medicine, Nantong University, Nantong 226001, China.
Abstract:
Diabetic nephropathy (DN) is a leading cause of end-stage renal disease in diabetes mellitus. It is also a significant contributor to cardiovascular morbidity and mortality in diabetic patients Thereby, Innovative therapeutic approaches are needed to retard the initiation and advancement of DN. Hyperglycemia can induce apoptosis, a regulated form of cell death, in multiple renal cell types, such as podocytes, mesangial cells, and proximal tubule epithelial cells, ultimately contributing to the pathogenesis of DN. Recent genome-wide investigations have revealed the widespread transcription of the human genome, resulting in the production of numerous regulatory non-protein-coding RNAs (ncRNAs), including microRNAs (miRNAs) and diverse categories of long non-coding RNAs (lncRNAs). They play a critical role in preserving physiological homeostasis, while their dysregulation has been implicated in a broad spectrum of disorders, including DN. Considering the established association between apoptotic processes and the expression of ncRNAs in DN, a thorough understanding of their intricate interplay is essential. Therefore, the current work thoroughly analyzes the intricate interplay among miRNAs, lncRNAs, and circular RNAs in the context of apoptosis within the pathogenesis of DN. Additionally, in the final section, we demonstrated that ncRNA-mediated modulation of apoptosis can be achieved through stem cell-derived exosomes and herbal medicines, presenting potential avenues for the treatment of DN.
Insights
Diabetic nephropathy (DN) involves cell death regulated by non-coding RNAs (ncRNAs). This study explores how microRNAs, long non-coding RNAs, and circular RNAs interact in DN apoptosis, offering new therapeutic targets.
Area of Science:
- Molecular Biology
- Genetics
- Nephrology
Background:
- Diabetic nephropathy (DN) is a major cause of end-stage renal disease and cardiovascular complications in diabetes mellitus.
- Hyperglycemia in diabetes induces apoptosis (programmed cell death) in renal cells, contributing to DN pathogenesis.
- Regulatory non-coding RNAs (ncRNAs), including microRNAs (miRNAs) and long non-coding RNAs (lncRNAs), are crucial for cellular homeostasis and implicated in DN.
Purpose of the Study:
- To analyze the complex interactions between miRNAs, lncRNAs, and circular RNAs in the context of apoptosis during DN pathogenesis.
- To explore potential therapeutic strategies targeting ncRNA-mediated apoptosis modulation for DN treatment.
Main Methods:
- Review and analysis of existing literature on ncRNAs, apoptosis, and diabetic nephropathy.
- Investigation of the interplay between different classes of ncRNAs (miRNAs, lncRNAs, circular RNAs) and their role in renal cell apoptosis.
- Exploration of ncRNA-mediated therapeutic approaches, including stem cell-derived exosomes and herbal medicines.
Main Results:
- Dysregulation of miRNAs, lncRNAs, and circular RNAs is closely linked to apoptotic processes in diabetic nephropathy.
- These ncRNAs play a significant role in the intricate molecular pathways contributing to DN.
- ncRNA-mediated modulation of apoptosis presents promising therapeutic avenues for DN.
Conclusions:
- Understanding the interplay of ncRNAs and apoptosis is essential for developing effective treatments for diabetic nephropathy.
- Stem cell-derived exosomes and herbal medicines show potential for ncRNA-based therapeutic interventions in DN.
- Targeting ncRNA-mediated apoptosis offers a novel strategy to retard the progression of diabetic nephropathy.
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