Key result
Adam17 deletion in either endothelial or proximal tubular cells mitigated kidney injury, renal fibrosis, and inflammation in a mouse model of type 1 diabetes mellitus.
Why the study?
Renal ADAM17 is upregulated in diabetic mice, but the role of specific endothelial and proximal tubular Adam17 deletion on renal histology, RAS modulation, inflammation, and fibrosis remained to be determined.
Does endothelial or proximal tubular Adam17 deletion prevent kidney injury in a mouse model of type 1 Diabetes Mellitus?
Does endothelial or proximal tubular Adam17 deletion prevent kidney injury in a mouse model of type 1 Diabetes Mellitus?
Adam17 deletion in either endothelial or tubular cells mitigates kidney injury in diabetic mice, suggesting it as a potential therapeutic target for diabetic nephropathy.
Supports Adam17 as a therapeutic target in diabetic kidney disease; hypothesis-generating with translation to humans remaining open.
ADAM17 is a disintegrin and metalloproteinase capable of cleaving the ectodomains of a diverse variety of molecules including TNF-α, TGF-α, L-selectin, and ACE2. We have previously demonstrated that renal ADAM17 is upregulated in diabetic mice. The role of endothelial (eAdam17) and proximal tubular (tAdam17) Adam17 deletion in renal histology, modulation of the renin angiotensin system (RAS), renal inflammation, and fibrosis was studied in a mouse model of type 1 Diabetes Mellitus. Moreover, the effect of Adam17 deletion in an in vitro 3D cell culture from human proximal tubular cells under high glucose conditions was evaluated. eAdam17 deletion attenuates renal fibrosis and inflammation, whereas tAdam17 deletion decreases podocyte loss, attenuates the RAS, and decreases macrophage infiltration, α-SMA and collagen accumulation. The 3D in vitro cell culture reinforced the findings obtained in tAdam17KO mice with decreased fibrosis in the Adam17 knockout spheroids. In conclusion, Adam17 deletion either in the endothelial or the tubular cells mitigates kidney injury in the diabetic mice by targeting different pathways. The manipulation of Adam17 should be considered as a therapeutic strategy for treating DN.
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Palau et al. (2021) studied Diabetic Nephropathy. Adam17 deletion (endothelial or proximal tubular) was evaluated on Renal fibrosis, inflammation, and kidney injury. Adam17 deletion in either endothelial or proximal tubular cells mitigated kidney injury, renal fibrosis, and inflammation in a mouse model of type 1 diabetes mellitus.
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