2020
DOI: 10.1016/j.ymthe.2020.01.014
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High Glucose Induces Mesangial Cell Apoptosis through miR-15b-5p and Promotes Diabetic Nephropathy by Extracellular Vesicle Delivery

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Cited by 52 publications
(33 citation statements)
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References 29 publications
(39 reference statements)
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“…In our prophase research, we nd that functional alterations in GMCs in response to high extracellular glucose levels have been involved in the pathophysiology of DN (Ni WJ et al, 2016;Qiu YY et al, 2017). The increased intracellular glucose concertation results in activation of several pathophysiologic mechanisms, including the metabolic polyol pathway, increased synthesis of TGF-β1, intracellular production of advanced glycation end products, and the generation of reactive oxygen species (Tsai YC et al, 2020). All of these effects contribute to the increased synthesis of the mesangial matrix, brogenesis components such as bronectin and collagen, leading to mesangial expansion and glomerular sclerosis.…”
Section: Discussionmentioning
confidence: 94%
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“…In our prophase research, we nd that functional alterations in GMCs in response to high extracellular glucose levels have been involved in the pathophysiology of DN (Ni WJ et al, 2016;Qiu YY et al, 2017). The increased intracellular glucose concertation results in activation of several pathophysiologic mechanisms, including the metabolic polyol pathway, increased synthesis of TGF-β1, intracellular production of advanced glycation end products, and the generation of reactive oxygen species (Tsai YC et al, 2020). All of these effects contribute to the increased synthesis of the mesangial matrix, brogenesis components such as bronectin and collagen, leading to mesangial expansion and glomerular sclerosis.…”
Section: Discussionmentioning
confidence: 94%
“…DN is an ordinary complication of diabetes mellitus which is the leading cause of end-stage renal disorder, posting a menacing threat to public health, due to it caused multiple pathological changes (Tervaert TW et al, 2010). Among these alterations, HG-induced proliferation and ECM deposition of the mesangial cell have been identi ed as the prominent pathological features in the progression of DN (Xie R et al, 2017;Tsai YC et al, 2020). It is worth noting that GMCs abnormal proliferation may be present in DN patients before the onset of clinical manifestations (Turgut F et al, 2010).…”
Section: Discussionmentioning
confidence: 99%
“…These factors individually and/or synergistically result in the pathological features of DN, including the thickening of the glomerular basement membrane, damage to glomerular cells, mesangial matrix expansion and tubulointerstitial fibrosis (30). HG-induced damage to glomerular cells, including glomerular endothelial cells, podocytes and mesangial cells, is a key factor in exacerbating the progression of DN (11,(30)(31)(32). Moreover, damage to glomerular endothelial cells and podocytes causes filtration barrier damage and accelerates the excretion of albuminuria (7,31).…”
Section: Discussionmentioning
confidence: 99%
“…Mesangial cell injury, characterized by an increase in apoptosis, excessive inflammatory cytokine production and extracellular matrix synthesis, is a basic pathological change of DN (7,9). Clinical, animal and in vitro studies have revealed that HG can induce mesangial cell apoptosis, which aggravates the pathological process of DN (10,11). The hyperglycemia-induced excessive generation of reactive oxygen species (ROS) has been recognized as one of the causes for DN (10)(11)(12); however, the precise mechanisms involved are yet to be fully elucidated.…”
Section: Introductionmentioning
confidence: 99%
“…A recent study by Zhang et al (40) found that platelet microparticles with the increased expression of CXCL7, which activated the mTORC1 pathway, mediated glomerular endothelial injury in rats with streptozotocin-induced diabetes and early DN. The uEVs of patients with type 2 diabetes expressed high levels of miR-15b-5p, leading to the apoptosis of mouse mesangial cells through decreasing the translation of Bcl-2 (41). Hence, miR-15-5p promoted DN.…”
Section: Ev-mediated Intranephron Cell-cell Cross-talk and Signaling mentioning
confidence: 99%