PMID- 38345033 OWN - NLM STAT- MEDLINE DCOM- 20240214 LR - 20240220 IS - 1525-6049 (Electronic) IS - 0886-022X (Print) IS - 0886-022X (Linking) VI - 46 IP - 1 DP - 2024 Dec TI - Kruppel-like factor 4 modulates the miR-101/COL10A1 axis to inhibit renal fibrosis after AKI by regulating epithelial-mesenchymal transition. PG - 2316259 LID - 10.1080/0886022X.2024.2316259 [doi] LID - 2316259 AB - Acute kidney injury (AKI) can progress to renal fibrosis and chronic kidney disease (CKD), which reduces quality of life and increases the economic burden on patients. However, the molecular mechanisms underlying renal fibrosis following AKI remain unclear. This study tested the hypothesis that the Kruppel-like factor 4 (KLF4)/miR-101/Collagen alpha-1X (COL10A1) axis could inhibit epithelial-mesenchymal transition (EMT) and renal fibrosis after AKI in a mouse model of ischemia-reperfusion (I/R)-induced renal fibrosis and HK-2 cells by gene silencing, overexpression, immunofluorescence, immunohistochemistry, real-time quantitative PCR, Western blotting, dual-luciferase reporter assay, fluorescence in situ hybridization (FISH) and ELISA. Compared with the Sham group, I/R induced renal tubular and glomerular injury and fibrosis, and increased the levels of BUN, serum Scr and neutrophil gelatinase-associated lipocalin (NGAL), Col10a1 and Vimentin expression, but decreased E-cadherin expression in the kidney tissues of mice at 42 days post-I/R. Similarly, hypoxia promoted fibroblastic morphological changes in HK-2 cells and enhanced NGAL, COL10A1, Vimentin, and alpha-SMA expression, but reduced E-cadherin expression in HK-2 cells. These pathological changes were significantly mitigated in COL10A1-silenced renal tissues and HK-2 cells. KLF4 induces miR-101 transcription. More importantly, hypoxia upregulated Vimentin and COL10A1 expression, but decreased miR-101, KLF4, and E-cadherin expression in HK-2 cells. These hypoxic effects were significantly mitigated or abrogated by KLF4 over-expression in the HK-2 cells. Our data indicate that KLF4 up-regulates miR-101 expression, leading to the downregulation of COL10A1 expression, inhibition of EMT and renal fibrosis during the pathogenic process of I/R-related renal fibrosis. FAU - Zhao, Jingying AU - Zhao J AD - Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China. FAU - Wang, Xiuli AU - Wang X AD - Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China. FAU - Wu, Yubin AU - Wu Y AD - Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China. FAU - Zhao, Chengguang AU - Zhao C AD - Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China. LA - eng PT - Journal Article DEP - 20240212 PL - England TA - Ren Fail JT - Renal failure JID - 8701128 RN - 0 (MicroRNAs) RN - 0 (Lipocalin-2) RN - 0 (Vimentin) RN - 0 (Kruppel-Like Factor 4) RN - 0 (Cadherins) RN - 9007-34-5 (Collagen) RN - 0 (MIRN101 microRNA, human) SB - IM MH - Humans MH - Mice MH - Animals MH - *MicroRNAs/metabolism MH - Lipocalin-2 MH - Vimentin/metabolism MH - Kruppel-Like Factor 4 MH - In Situ Hybridization, Fluorescence MH - Quality of Life MH - Cadherins/metabolism MH - *Acute Kidney Injury/genetics MH - Epithelial-Mesenchymal Transition MH - Collagen/metabolism MH - Fibrosis MH - Hypoxia PMC - PMC10863509 OTO - NOTNLM OT - COL10A1 OT - EMT OT - KLF4 OT - miR-101 OT - renal fibrosis COIS- No potential conflict of interest was reported by the author(s). EDAT- 2024/02/12 15:44 MHDA- 2024/02/12 15:45 PMCR- 2024/02/12 CRDT- 2024/02/12 07:57 PHST- 2024/02/12 15:45 [medline] PHST- 2024/02/12 15:44 [pubmed] PHST- 2024/02/12 07:57 [entrez] PHST- 2024/02/12 00:00 [pmc-release] AID - 2316259 [pii] AID - 10.1080/0886022X.2024.2316259 [doi] PST - ppublish SO - Ren Fail. 2024 Dec;46(1):2316259. doi: 10.1080/0886022X.2024.2316259. Epub 2024 Feb 12.