한빛사논문
서울대학교 의과대학, 서울특별시 보라매병원
Hae Rim Jung 1,8, Jeonghwan Lee 2,3,8, Seung-Pyo Hong 1,4, Nayeon Shin 3, Ara Cho 2, Dong-Jin Shin 5, Jin Woo Choi 6, Jong-Il Kim 1,4,7, Jung Pyo Lee 2,3,* and Sung-Yup Cho 1,4,7,*
1Genomic Medicine Institute, Medical Research Center, Seoul National University, Seoul, Republic of Korea.
2Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
3Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Republic of Korea.
4Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea.
5Medicine Major, Seoul National University College of Medicine, Seoul, Republic of Korea.
6College of Pharmacy, Kyung Hee University, Seoul, Republic of Korea.
7Cancer Research Institute, Seoul National University, Seoul, Republic of Korea.
8These authors contributed equally: Hae Rim Jung, Jeonghwan Lee.
*Corresponding authors: correspondence to Jung Pyo Lee or Sung-Yup Cho
Abstract
Kidney fibrosis is a major mechanism underlying chronic kidney disease (CKD). N6-methyladenosine (m6A) RNA methylation is associated with organ fibrosis. We investigated m6A profile alterations and the inhibitory effect of RNA methylation in kidney fibrosis in vitro (TGF-β-treated HK-2 cells) and in vivo (unilateral ureteral obstruction [UUO] mouse model). METTL3-mediated signaling was inhibited using siRNA in vitro or the METTL3-specific inhibitor STM2457 in vivo and in vitro. In HK-2 cells, METTL3 protein levels increased in a dose- and time-dependent manner along with an increase in the cellular m6A levels. In the UUO model, METTL3 expression and m6A levels were significantly increased. Transcriptomic and m6A profiling demonstrated that epithelial-to-mesenchymal transition- and inflammation-related pathways were significantly associated with RNA m6A methylation. Genetic and pharmacologic inhibition of METTL3 in HK-2 cells decreased TGF-β-induced fibrotic marker expression. STM2457-induced inhibition of METTL3 attenuated the degree of kidney fibrosis in vivo. Furthermore, METTL3 protein expression was significantly increased in the tissues of CKD patients with diabetic or IgA nephropathy. Therefore, targeting alterations in RNA methylation could be a potential therapeutic strategy for treating kidney fibrosis.
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