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Updated: Jan 28, 2026

Unilateral Ureteral Obstruction Model for Investigating Kidney Interstitial Fibrosis
Published on: April 25, 2025
Potencial Terapéutico del Inhibidor de HSP90 17-DMAG en la Regulación de METTL3 para el Tratamiento de la Fibrosis
Soo Min Lee1, Myoung Seok Lee2, Hae Rim Jung3
1College of Pharmacy, Kyung Hee University, Seoul, Republic of Korea.
Background:
Kidney fibrosis is a major pathological feature of chronic kidney disease (CKD), characterized by excessive deposition of extracellular matrix proteins, leading to progressive loss of kidney function. N6-methyladenosine (m6A) RNA methylation has emerged as a crucial epigenetic modification implicated in various diseases, including kidney fibrosis. METTL3, an m6A "writer," plays a key role in promoting fibrosis by stabilizing profibrotic gene expression. Therefore, targeting METTL3 represents a promising therapeutic strategy for CKD treatment. In this study, we explored the therapeutic potential of 17-Dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG) in regulating METTL3 to mitigate kidney fibrosis.
Methods:
Through transcriptome-based drug repositioning, we identified 17-DMAG as a potential inhibitor of METTL3. Differentially expressed gene (DEG) analysis was performed to assess the enrichment of 17-DMAG in CKD-related gene expression profiles. The antifibrotic effects of 17-DMAG were evaluated in vitro and in vivo models. Mechanism of 17-DMAG in downregulating METTL3 was also investigated.
Results:
17-DMAG significantly reduced METTL3 expression in renal epithelial cells in a dose- and time-dependent manner. In vivo mouse models of kidney fibrosis, 17-DMAG treatment attenuated METTL3 levels, reduced total m6A modification, and effectively mitigated fibrosis, as evidenced by decreased collagen deposition and profibrotic marker expression. Mechanistically, 17-DMAG, a heat shock protein 90 (HSP90) N-terminal inhibitor, induced a heat shock response that sequentially upregulated HSP70 expression. The elevated HSP70 levels inhibited c-Jun N-terminal kinase (JNK) activity, thereby suppressing the c-Jun transcription factor and ultimately leading to the downregulation of METTL3 expression. MeRIP-Seq analysis revealed that 17-DMAG reversed unilateral ischemia-reperfusion injury-induced m6A epitranscriptomic changes in fibrosis-related genes, including Gsk3b, which is involved in fibrotic pathways.
Conclusions:
N-terminal HSP90 inhibition, along with subsequent c-Jun suppression, contributed to the mechanism underlying 17-DMAG-induced METTL3 downregulation. Through this regulatory pathway, 17-DMAG effectively suppressed METTL3 expression and attenuated kidney fibrosis in both in vitro and in vivo models.
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