A comprehensive approach to elucidating the pathophysiology of kidney fibrosis based on extracellular vesicle

Yaerim Kim1, Kyuhyeon Kim2, Hong-Beom Park2

  • 1Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Republic of Korea.

Abstract

Insights

Transglutaminase 2 (TG2) inhibition reduces fibrosis and inflammation markers in chronic kidney disease (CKD) by altering exosomal proteins. This suggests TG2 is a potential therapeutic target for CKD progression.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Biochemistry

Background:

  • Transglutaminase 2 (TG2) is implicated in fibrosis in chronic kidney disease (CKD).
  • The role of TG2 in the exosomal proteome during CKD progression is not well understood.
  • Exosomes play crucial roles in intercellular communication and disease pathogenesis.

Purpose of the Study:

  • To investigate the role of TG2 in the exosomal proteome of CKD.
  • To identify biological processes involved in CKD progression through exosomal proteomic profiling after TG2 inhibition.
  • To evaluate the therapeutic potential of TG2 inhibition in CKD.

Main Methods:

  • Human proximal tubular epithelial cells (hPTECs) were induced to fibrosis using recombinant transforming growth factor-β (rTGF-β) and treated with cysteamine to inhibit TG2.
  • A unilateral ureteral obstruction (UUO) mouse model was used for in vivo studies.
  • Extracellular vesicles (EVs) were isolated and analyzed using LC-MS/MS, followed by bioinformatics analysis (enrichGO, STRING).

Main Results:

  • TG2 inhibition decreased fibrosis- and inflammation-associated proteins in hPTECs and fibroblasts.
  • Exosomal proteomic analysis revealed distinct protein expression patterns following rTGF-β treatment and TG2 inhibition.
  • Key altered exosomal proteins included extracellular matrix components like connective tissue growth factor, IGF-binding protein, laminin, plasminogen activator inhibitor, periostin, and collagen.

Conclusions:

  • TG2 inhibition modulates EV-associated proteins implicated in fibrosis and inflammation.
  • These findings highlight the therapeutic potential of targeting TG2 for CKD.
  • Identifying reversible fibrosis-related factors offers new therapeutic targets for CKD treatment.

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