Key result
Indoxyl sulfate with high glucose increases lnc-SLC15A1-1 expression, upregulating inflammatory chemokines CXCL10 and CXCL8.
Why the study?
The molecular factors driving the disproportional increase in cardiovascular disease mortality in patients with diabetes mellitus and chronic kidney disease are unknown.
Does indoxyl sulfate alter lncRNA expression and downstream inflammatory signaling in human endothelial cells treated with high glucose?
Does indoxyl sulfate alter lncRNA expression and downstream inflammatory signaling in human endothelial cells treated with high glucose?
p-value: p=<0.01
Indoxyl sulfate upregulates lnc-SLC15A1-1 in high-glucose endothelial cells, promoting inflammation via CXCL10/CXCL8, suggesting a potential molecular mechanism for increased cardiovascular disease risk in patients with diabetes and chronic kidney disease.
May heighten endothelial inflammation and CV risk in DM/CKD; leaves open lncRNA targeting as a therapeutic strategy.
Cardiovascular disease (CVD) is the leading cause of mortality in diabetes mellitus (DM). Immunomodulatory dysfunction is a primary feature of DM, and the emergence of chronic kidney disease (CKD) in DM abruptly increases CVD mortality compared with DM alone. Endothelial injury and the accumulation of uremic toxins in the blood of DM/CKD patients are known mechanisms for the pathogenesis of CVD. However, the molecular factors that cause this disproportional increase in CVD in the DM/CKD population are still unknown. Since long non-protein-coding RNAs (lncRNAs) play an important role in regulating multiple cellular functions, we used human endothelial cells treated with high glucose to mimic DM and with the uremic toxin indoxyl sulfate (IS) to mimic the endothelial injury associated with CKD. Differentially expressed lncRNAs in these conditions were analyzed by RNA sequencing. We discovered that lnc-SLC15A1-1 expression was significantly increased upon IS treatment in comparison with high glucose alone, and then cascaded the signal of chemokines CXCL10 and CXCL8 via sponging miR-27b, miR-297, and miR-150b. This novel pathway might be responsible for the endothelial inflammation implicated in augmenting CVD in DM/CKD and could be a therapeutic target with future clinical applications.
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Huang et al. (2021) studied Diabetic Kidney Disease and Cardiovascular Disease. High glucose and indoxyl sulfate (HG + IS) vs. High glucose (30 mM D-glucose) alone was evaluated on lnc-SLC15A1-1 expression and cell proliferation rate (p=<0.01). Treatment with indoxyl sulfate and high glucose significantly increased lnc-SLC15A1-1 expression (p < 0.01), which upregulated inflammatory chemokines CXCL10 and CXCL8 by sponging microRNAs.
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