The Positive Feedback Loop of Hypoxia-Inducible Factor-1 α /miR-295/Factor Inhibiting Hypoxia-Inducible Factor-1 in

Jiachang Li1, Yuhan Ma2, Yanni Wang1

  • 1Department of Nephrology, Hainan Affiliated Hospital of Hainan Medical University (Hainan General Hospital), Haikou, Hainan, China.

Kidney360
|December 23, 2025
PubMed

Insights

A novel positive feedback loop involving hypoxia-inducible factor-1α (HIF-1α), microRNA-295 (miR-295), and factor inhibiting HIF-1 (FIH-1) was identified. This loop regulates kidney damage and fibrosis in hyperuricemic nephropathy (HN).

Area of Science:

  • Nephrology
  • Molecular Biology
  • Biochemistry

Background:

  • Hyperuricemia is a risk factor for chronic kidney disease (CKD).
  • Hyperuricemic nephropathy (HN) pathogenesis remains unclear, with limited treatment options.
  • Understanding HN molecular mechanisms is crucial for developing targeted therapies.

Purpose of the Study:

  • To elucidate the molecular mechanisms underlying tubular damage and fibrosis in hyperuricemic nephropathy (HN).
  • To investigate the role of microRNA-295 (miR-295) in HN.
  • To identify potential therapeutic targets for HN.

Main Methods:

  • In vitro studies using human tubular epithelial cells (HK-2) exposed to uric acid.
  • In vivo studies inducing HN in mice using potassium oxonate and adenine.
  • Manipulation of miR-295 and factor inhibiting hypoxia-inducible factor-1 (FIH-1) levels using mimics, inhibitors, and siRNA.
  • Analysis of cellular and molecular changes, including cell death, fibrosis markers, and gene expression.

Main Results:

  • miR-295 expression increased in renal tubular cells of HN mice, regulated by hypoxia-inducible factor-1α (HIF-1α).
  • miR-295 directly targets and suppresses FIH-1 expression.
  • Inhibition of miR-295 exacerbated tubular damage and fibrosis, while miR-295 supplementation conferred protection.
  • Knockdown of FIH-1 reduced uric acid-induced tubular cell apoptosis and profibrotic cytokine production.

Conclusions:

  • A positive feedback loop between HIF-1α, miR-295, and FIH-1 regulates tubular injury and fibrosis in HN.
  • This HIF-1α/miR-295/FIH-1 axis represents a potential therapeutic target for hyperuricemic nephropathy.
  • Further research into this pathway could lead to novel treatments for HN and related kidney diseases.
Abstract

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