Peritoneal dialysis influences microRNA expression and pro-inflammatory response: results from a cross-sectional

Nara Aline Costa1, Amanda Gomes Pereira2, Hellen Christina Neves Rodrigues1

  • 1Universidade Federal de Goiás, Faculdade de Nutrição, Goiânia, GO, Brazil.

PubMed
Abstract

Insights

Peritoneal dialysis patients show altered circulating microRNAs and higher inflammation compared to non-dialysis patients. These microRNAs regulate pathways involved in G protein-coupled receptor signaling and insulin resistance, potentially contributing to chronic kidney disease progression.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Biomarker Discovery

Background:

  • Chronic kidney disease (CKD) pathogenesis involves complex inflammatory processes and molecular changes.
  • Circulating microRNAs (miRNAs) are increasingly recognized as potential biomarkers for disease states.
  • Understanding miRNA expression differences in CKD patients undergoing different treatments can elucidate disease mechanisms.

Purpose of the Study:

  • To identify differences in circulating miRNA expression between non-dialytic (ND) and peritoneal dialysis (PD) CKD patients.
  • To determine regulatory miRNA-target gene networks and pathways implicated in CKD pathogenesis.
  • To investigate the association between circulating miRNAs, inflammation, and CKD treatment modality.

Main Methods:

  • An exploratory cross-sectional study involving ND and PD patients with CKD stage 5.
  • Evaluation of serum inflammatory biomarkers, including high-sensitivity C-reactive protein and interleukin-6.
  • Profiling of circulating miRNA expression and computational analysis of miRNA-target gene networks and pathways.

Main Results:

  • PD patients exhibited significantly higher levels of high-sensitivity C-reactive protein and interleukin-6 compared to ND patients.
  • Nine miRNAs were significantly deregulated in PD patients relative to ND patients (fold change ≥ 2, p ≤ 0.05).
  • Pathway enrichment analysis identified G protein-coupled receptor (GPCR) signaling, insulin secretion/resistance, and energy metabolism as significantly regulated pathways.

Conclusions:

  • Peritoneal dialysis treatment is associated with deregulated circulating miRNA levels and elevated inflammatory biomarkers in CKD patients.
  • The identified miRNAs regulate genes involved in GPCR signaling, insulin resistance, and energy metabolism.
  • These pathways play critical roles in fibrosis and inflammation-associated functions relevant to CKD progression.