MicroRNA-23a-3p ameliorates acute kidney injury by targeting FKBP5 and NF-κB signaling in sepsis
3区 · 医学
作者: Xu, Hui ; Wang, Zenggeng
Low miR-23a-3p expression in patients with acute kidney injury (AKI) or sepsis has been revealed. However, the specific role of miR-23a-3p in AKI remains unclear. Our study aimed to determine the function of miR-23a-3p in AKI. Exposure to lipopolysaccharide (LPS) was used to induce cell injury in vitro. Cecal ligation and puncture (CLP) surgery was used to establish an animal model of septic AKI. Bioinformatics analysis and a wide range of experiments, including RT-qPCR, luciferase reporter, western blot, ELISA, TUNEL, hematoxylin and eosin staining, and immunofluorescence assays were conducted. The experimental results revealed that LPS exposure induced the significant apoptosis and inflammatory response of HK-2 cells, and miR-23a-3p exhibited a low expression in LPS-exposed HK-2 cells. Functionally, miR-23a-3p overexpression inhibited cell apoptosis and release of inflammatory cytokines including interleukin (IL)-1β, IL-6 and IL-8. Mechanistically, miR-23a-3p bound to the FKBP prolyl isomerase 5 (FKBP5) 3' untranslated region and negatively regulated its expression at mRNA and protein levels. Rescue assays indicated that FKBP5 overexpression reversed the influence of miR-23a-3p mimics on cell apoptosis and inflammatory response. Furthermore, miR-23a-3p overexpression attenuated the sepsis-induced impairment of renal function and the inflammatory response in mice with AKI. Finally, the knockdown of FKBP5 inactivated the nuclear factor kappaB (NF-κB) signaling by inactivating NF-κB nuclear translocation, and thereby inhibited the release of proinflammatory cytokines. Overall, our study demonstrates that miR-23a-3p ameliorates sepsis induced AKI by targeting FKBP5 and inactivating the NF-κB signaling, implying a potential therapeutic or diagnostic target for AKI.
2022-03-03·Scientific Reports3区 · 综合性期刊
Effect of SGLT-2 inhibitor, empagliflozin, on blood pressure reduction in Chinese elderly hypertension patients with type 2 diabetes and its possible mechanisms
The current study evaluated the effect of SGLT-2 inhibitor, empagliflozin, on blood pressure reduction in Chinese elderly hypertension patients with type 2 diabetes and investigated its possible mechanisms. 124 patients were randomized to receive 25 mg empagliflozin QD, or placebo double blind for 12 weeks. Patients underwent 24-h ABPM. Endothelial function and arterial stiffness were also measured prior to randomization and at week 12. At week 12, adjusted mean difference versus placebo in change from baseline in mean 24-h SBP was - 8.14 mmHg (95% CI - 10.32, - 3.96, P = 0.005). At week 12, adjusted mean difference versus placebo in change from baseline in mean 24-h DBP was - 5.27 mmHg (95% CI - 8.19, - 1.35, P < 0.001). Changes in office BP were consistent with ABPM. Empagliflozin was well tolerated. Empagliflozin was associated with significant and clinically meaningful reductions in BP versus placebo in Chinese elderly patients with type 2 diabetes and hypertension. The underlying mechanisms possiblely at least in part were the improvements of endothelial function and arterial stiffness associated with empagliflozin.Registration number: ChiCTR2100054678, Registration date: December 23, 2021.
2022-01-01·Contrast Media & Molecular Imaging
Effects of nursing intervention based on health belief model on self-perceived burden, drug compliance, and quality of life of renal transplant recipients
To explore the effects of nursing intervention based on health belief model (HBM) on self-perceived burden, drug compliance, and quality of life of renal transplant recipients.
Sixty patients with renal transplantation treated in our hospital from February 2019 to July 2021 were enrolled. The patients were randomly assigned to control group and study group. The former received routine nursing and the latter received nursing intervention based on HBM.
The nursing satisfaction in the study group was higher compared to the control group (P < 0.05). Secondly, we compared the scores of self-burdens. Before nursing, they exhibited no significant difference (P > 0.05); after nursing, they decreased. Moreover, the physical burden, economic burden, and emotional burden of the study group were lower compared to the control group (P < 0.05). In terms of drug compliance, the rates of no missed medication, noncontinuous missed medication, timely medication, dose-by-dose medication, and non-self-stopping medication in the study group were higher compared to the control group (P < 0.05). The scores of SAS and SDS exhibited no significant difference before nursing (P > 0.05). After nursing, they decreased. Furthermore, the scores of SAS and SDS of the study group were lower compared to the control group (P < 0.05). The self-management ability exhibited no significant difference before nursing (P > 0.05); after nursing, it increased. Moreover, the self-management ability of the study group at discharge and 1 month, 3 months, and 6 months after discharge was higher compared to the control group (P < 0.05). Finally, we compared the scores of quality of life. Before nursing, there was no significant difference (P > 0.05). The scores of physiological function, psychological function, social function, and health self-cognition in the study group were lower compared to the control group (P < 0.05).
The nursing intervention based on HBM can enhance the medication compliance of renal transplant recipients, and the intervention effect is long-lasting. Meanwhile, it can effectively enhance the negative emotion of patients, reduce the burden of self-feeling, promote the quality of life, strengthen the self-management of patients, and facilitate the prognosis.