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TRIM27-controlled endothelium-derived exosomes play a central role in podocyte injury in diabetic kidney disease - PubMed

4 days ago
  • #Diabetic Kidney Disease
  • #Podocyte Injury
  • #Exosomes
  • TRIM27-controlled endothelium-derived exosomes are central to podocyte injury in diabetic kidney disease.
  • High glucose and TGF-β1 stimulate human renal glomerular endothelial cells (HRGECs) to produce more exosomes, leading to podocyte injury.
  • Inhibition of exosome secretion, TRIM27 knockdown, or miR-486-5p inhibition prevents HRGEC-induced podocyte injury.
  • Injections of HRGEC-derived exosomes worsen podocyte injury and proteinuria in diabetic mice, reversible by miR-486-5p inhibitor.
  • Endothelial-specific TRIM27 or miR-486-5p knockdown preserves kidney function and reduces podocyte injury in diabetic mice.
  • Targeting exosomes may offer new therapeutic strategies for diabetic kidney disease.