Urinary miR-21 as a potential biomarker of hypertensive kidney injury and fibrosis.

Urinary miR-21 as a potential biomarker of hypertensive kidney injury and fibrosis.
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尿液 miR-21 作为高血压肾损伤和纤维化的潜在生物标志物。

DOI:
10.1038/s41598-017-18175-3
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发表时间:
2017-12-18
期刊:
影响因子:
4.6
通讯作者:
Weng H
Weng H
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Chen C;Lu C;Qian Y;Li H;Tan Y;Cai L;Weng H

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肾活检被认为是诊断肾脏疾病病因的金标准,但伴随着不可忽视的并发症。我们探讨了使用尿microRNA(miRNA)作为高血压肾损伤的非侵入性生物标志物的可能性。我们评估了与对照组相比,由醋酸脱氧皮质酮(DOCA)盐诱导的肾损伤的高血压小鼠的肾脏和尿液中的差异miRNA表达。与对照组相比,DOCA-盐处理分别从第2天起显著增加肾小管病变和从第4天起显著增加纤维化相关基因的mRNA表达。与对照组相比,第8天尿白蛋白和N-乙酰-β-D-氨基葡萄糖苷酶显著增加。阵列结果显示,585个miRNA中有20个在肾脏中高度表达,并且与对照组相比在第8天显著增加,包括miR-21、miR-146 b、miR-155和miR-132,通过实时聚合酶链反应证实,并且从第4天开始显著增加。从第4天开始,尿液中的miR-21/肌酐显著高于对照组,并且比尿白蛋白更早被检测到。总之,我们已经确定了与肾损伤的组织病理学病变和功能标志物相关的尿miR-21,以促进高血压肾损伤的潜在无创检测。
Kidney biopsy is considered the golden criterion for diagnosing the etiology of kidney disease but accompanied by non-negligible complications. We explored the possibility of using urinary microRNA (miRNA) as a non-invasive biomarker for hypertensive kidney injury. We assessed differential miRNA expressions in the kidneys and urine of hypertensive mice with kidney injury induced by deoxycorticosterone acetate (DOCA)-salt compared to the controls. DOCA-salt treatment significantly increased renal tubular lesions from day 2 and mRNA expression of fibrosis-related genes from day 4 compared to the controls, respectively. Urinary albumin and N-acetyl-beta-D-glucosaminidase was significantly increased on day 8 compared to the controls. Array results showed that 20 out of 585 miRNAs were highly expressed in the kidneys and significantly increased on day 8 compared to the controls, including miR-21, miR-146b, miR-155 and miR-132, which were confirmed by real-time polymerase chain reaction and were significantly higher from day 4. The miR-21/creatinine in the urine from day 4 was significantly higher than that of the controls and was detected earlier than urinary albumin. In conclusion, we have identified urinary miR-21 that correlates with histopathological lesions and functional markers of kidney damage to facilitate a potential noninvasive detection for hypertensive kidney injury.
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