Abstract. Transforming growth factor (TGF)-β1 is a profibrotic cytokine that plays a critical role in the progression of diabetic nephropathy (DN). Previous studies have demonstrated that the Smad transcriptional co-repressor, Ski-related novel protein N (SnoN), an antagonizer of TGF-β1/Smad signaling, is downregulated in the kidneys of diabetic rats; however, the underlying molecular mechanisms remain elusive. In the present study, we demonstrated that the upregulation of Smad ubiquitination regulatory factor-2 (Smurf2), through TGF-β1/ Smad signaling, contributes to the downregulation of SnoN under high-glucose conditions in primary human renal proximal tubule epithelial cells (hRPTECs). The hRPTECs were cultured in high-glucose (30 mmol/l D-glucose) medium in the presence or absence of either the proteasome inhibitor, MG132, or the TGF-β type I receptor kinase inhibitor, SB-431542. Small interfering RNA (siRNA) was used to silence Smurf2. The expression levels of SnoN, Smurf2, Smad2 and phosphorylated (p-)Smad2 were measured by western blot analysis and RT-qPCR. The protein levels of SnoN were markedly downregulated, while its mRNA levels were increased in the hRPTECs cultured under high-glucose conditions. The protein and mRNA levels of Smurf2 were significantly increased under high-glucose conditions. The knockdown of Smurf2 increased SnoN expression in the hRPTECs cultured in high-glucose medium. Moreover, MG132 partially inhibited SnoN degradation in the hRPTECs under high-glucose conditions and SB-431542 decreased the phosphorylation of Smad2 and the expression of Smurf2 induced under high-glucose conditions. Taken together, the findings of this study demonstrate that the downregulation of SnoN expression in hRPTECs under highglucose conditions is mediated by the increased expression of Smurf2 through the TGF-β1/Smad signaling pathway.
IntroductionDiabetic nephropathy (DN) is a major microvascular complication of diabetes mellitus (DM) that invariably leads to end-stage renal disease (ESRD). Although DN was traditionally considered a primarily glomerular disease, accumulating evidence indicates that renal tubules play an important role in the pathogenesis of DN (1-3). However, the mechanisms through which the deregulation of renal tubules contributes to the development of DN remain largely unknown.Transforming growth factor (TGF)-β1 initiates intracellular signaling by binding and activating transmembrane type I and II serine/threonine kinase receptors, which in turn activate the downstream mediators, Smad2 and Smad3. Activated Smad2 and Smad3 undergo phosphorylation and heteroligomerize with Smad4 to form the Smad complex, which then translocates to the nucleus to regulate the transcription of TGF-β1 target genes (4,5). Under normal physiological conditions, TGF-β1/Smad signaling is tightly controlled by a negative regulatory mechanism. Ski-related novel protein N (SnoN) is a Smad transcriptional co-repressor (6,7) that negatively regulates TGF-β1/Smad signaling by binding and repressing Smad complexes ...