Key result
In a diabetic mouse model, combining enalapril with Egr1 knockdown attenuated the compensatory increase in renin and further reduced markers of renal injury compared to enalapril alone.
Why the study?
Increased compensatory intrarenal renin diminishes the efficacy of ACEIs and ARBs in diabetic kidney disease, but whether inhibiting Egr1 suppresses this compensatory renin increase was unclear.
Does Egr1 knockdown combined with enalapril improve diabetic kidney disease and suppress compensatory renin increase in a diabetic mouse model?
Does Egr1 knockdown combined with enalapril improve diabetic kidney disease and suppress compensatory renin increase in a diabetic mouse model?
Silencing Egr1 combined with an ACE inhibitor alleviates renal injury in diabetic kidney disease by downregulating compensatory intrarenal renin increases.
Egr1 knockdown merits cautious preclinical follow-up in diabetic nephropathy; leaves open translation to human therapy.
BACKGROUND: Increased compensatory intrarenal renin diminishes the efficacy of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) in the treatment of diabetic kidney disease (DKD). Early growth response-1 (Egr1) is a crucial transcriptional factor in the progress of DKD and is a potential transcription factor of intrarenal renin according to bioinformatic analysis. However, whether inhibition of Egr1 can suppress compensatory renin increase in DKD is unclear. METHODS: We generated a high-fat diet (HFD)/streptozotocin (STZ)-induced diabetic mouse model. The mice were treated with either enalapril (an ACEI) or enalapril combined with a shEgr1 plasmid, and age-matched DKD mice were used as controls. Urine microalbumin, urinary renin and kidney TGF-β1 were determined by enzyme-linked immunosorbent assay (ELISA). Hematoxylin and eosin (H&E) and Masson staining were used to determine renal pathological changes. Egr1, renin, TNF-α, and FN were measured by real-time quantitative PCR, Western blot, and immunohistochemistry. The SV40-MES13 murine mesangial cell line was transfected with pENTER-Egr1 plasmid and siEgr1. RESULTS: Our results showed that enalapril increased the renin level of urinary and renal in DKD mice, while shEgr1 attenuated this effect. In addition, enalapril treatment reduced the levels of urinary microalbumin, TNF-α, TGF-β1 and FN, and alleviated the pathological changes, while shEgr1 strengthened these effects. The protein and mRNA expression of renin in the SV40 MES13 cells was upregulated and downregulated following overexpression and silence of Egr1, respectively. CONCLUSION: Silence of Egr1 could alleviate renal injury in DKD by downregulating intrarenal renin.
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Hu et al. (2020) studied Diabetic kidney disease. Enalapril combined with shEgr1 plasmid vs. Enalapril alone and age-matched DKD mice was evaluated on Renin levels, urinary microalbumin, TNF-α, TGF-β1, FN, and renal pathological changes. In a diabetic mouse model, combining enalapril with Egr1 knockdown attenuated the compensatory increase in renin and further reduced markers of renal injury compared to enalapril alone.
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