Predictive value of miR-582-5p for onset of sepsis-induced acute kidney injury and its functional role during disease development

miR-582-5p对脓毒症所致急性肾损伤发生的预测价值及其在疾病发展过程中的功能作用

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作者:Yuhong Zhao #, Yuan Li #, Mei Su, Xiaoyue Cai

Conclusions

Up-regulated miR-582-5p reduced sepsis-induced AKI, and HMGB2 was a potential downstream target of miR-582-5p.

Material and methods

Blood and urine samples were collected from 180 patients. Sepsis-induced AKI was imitated in vitro by human kidney 2 (HK2) cells treated with 10 µg/ml lipopolysaccharide (LPS). The relative expression of miR-582-5p and HMGB2 in different conditions was quantified by qRT-PCR. Regulation of gene expression was performed by cell transfection. Cell viability and apoptosis were detected subsequently. Kidney injury and inflammatory assessment were analyzed by means of ELISA. Estimation of oxidative stress was performed using the corresponding kit. The dual luciferase reporter system verified the targeting relationship between miR-582-5p and HMGB2.

Methods

Blood and urine samples were collected from 180 patients. Sepsis-induced AKI was imitated in vitro by human kidney 2 (HK2) cells treated with 10 µg/ml lipopolysaccharide (LPS). The relative expression of miR-582-5p and HMGB2 in different conditions was quantified by qRT-PCR. Regulation of gene expression was performed by cell transfection. Cell viability and apoptosis were detected subsequently. Kidney injury and inflammatory assessment were analyzed by means of ELISA. Estimation of oxidative stress was performed using the corresponding kit. The dual luciferase reporter system verified the targeting relationship between miR-582-5p and HMGB2.

Results

Relative expression of miR-582-5p was lower in sepsis patients who suffered AKI later, along with LPS-induced HK2 cells. Both weak viability and elevated apoptosis were reversed by up-regulated miR-582-5p in HK2 cells exposed to LPS. In addition, the concentration of inflammatory factors and oxidation levels showed a significant decrease, based on up-regulated miR-582-5p. The clinical predictive value of miR-582-5p was visualized by a ROC curve with high sensitivity and specificity. Conclusions: Up-regulated miR-582-5p reduced sepsis-induced AKI, and HMGB2 was a potential downstream target of miR-582-5p.

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