MicroRNA21/HDAC4 mediates podocyte apoptosis under high glucose conditions by regulating the activation of FoxO1

Lanjun Fu1,2, Nan Yang1,2, Juan Jin1,2

  • 1Department of Nephrology, the First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, Zhejiang, P.R. China.

Scientific Reports
|December 3, 2025
PubMed

Insights

MicroRNA-21 (miR-21) activates Forkhead transcription Factor O1 (FoxO1) through phosphorylation, not acetylation, to promote podocyte apoptosis in diabetic kidney disease. This miR-21/FoxO1 pathway is a key target for treating DKD.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Biochemistry

Background:

  • Diabetic kidney disease (DKD) is a leading cause of end-stage renal disease with limited treatment options.
  • Podocyte apoptosis is a critical factor in DKD progression.
  • The roles of microRNA-21 (miR-21) and Forkhead transcription Factor O1 (FoxO1) in DKD are not fully understood.

Purpose of the Study:

  • To investigate the regulatory mechanism of miR-21 activation of FoxO1 in high glucose-induced mouse podocytes.
  • To determine the role of miR-21 in podocyte apoptosis.
  • To identify the critical activator of FoxO1.

Main Methods:

  • In vitro study using mouse podocytes exposed to high glucose.
  • Examination of podocyte apoptosis, miR-21, HDAC4, FoxO1 (acetylated and phosphorylated forms), Bcl-2, and nephrin expression.
  • Adenoviral transfer for overexpression or inhibition of miR-21 and HDAC4.

Main Results:

  • High glucose induced podocyte apoptosis, increased miR-21, HDAC4, acetylated FoxO1, and FoxO1, while decreasing Bcl-2 and nephrin.
  • miR-21 modulation affected HDAC4, acetylated FoxO1, FoxO1, Bcl-2, and nephrin levels.
  • HDAC4 overexpression reduced FoxO1 acetylation, increased phosphorylation, and decreased Bcl-2 and nephrin.

Conclusions:

  • The miR-21/FoxO1 pathway is crucial for regulating podocyte apoptosis in high glucose conditions.
  • FoxO1 phosphorylation, not acetylation, is the critical activator in this process.
  • Targeting the miR-21/FoxO1 pathway may offer a therapeutic strategy for DKD.