长链非编码RNA H19抑制含aarF域激酶4通路促进儿童肾病综合征发病的机制研究

    Long non-coding RNA H19 promoted childhood nephrotic syndrome through suppressing ADCK4 signal

    • 摘要:
      目的  分析长链非编码RNA H19调控含aarF域激酶4(aarF domain containing kinase 4,ADCK4)基因的分子机制,为儿童肾病综合征的诊断和治疗提供新思路。
      方法  收集30例江南大学附属儿童医院肾脏风湿免疫科肾病综合征患儿和30例外科择期手术患儿的外周血样,采用实时定量聚合酶链反应(quantitative real-time polymerase chain reaction,qRT-PCR)检测H19和ADCK4基因的表达,用qRT-PCR或蛋白质印迹法检测H19在小鼠肾足细胞中过表达或下调时ADCK4的表达,荧光素酶活性分析检测H19是否能调节ADCK4的启动子活性。此外,通过质谱分析寻找能够与H19结合的转录因子,并通过RNA免疫沉淀法进一步证实H19与候选转录因子的关系。
      结果  肾病综合征患儿外周血样中,长链非编码RNA H19表达下调,ADCK4基因表达也下调。在小鼠肾足细胞中,H19过表达促进ADCK4的表达,而H19基因敲除则抑制ADCK4的表达。此外,我们的研究还表明,H19可以调节ADCK4的启动子活性。通过RNA下拉和质谱技术,我们发现转录因子含THAP结构域的蛋白1可以与H19结合。
      结论  外周血中长链非编码RNA H19为儿童肾病综合征的诊断和预后判断提供了新思路。

       

      Abstract:
      Objective  To explore the molecular regulatory mechanism of long non-coding RNA H19 and aarF domain containing kinase 4 (ADCK4) gene and provide new insights into diagnosing and treating nephrotic syndrome in children.
      Methods  The blood samples from 30 children with nephrotic syndrome and 30 controls were collected from Wuxi Children's Hospital Affiliated to Jiangnan University. The expressions of H19 and ADCK4 were detected by real-time quantitative polymerase chain reaction (qRT-PCR). Also the expression of ADCK4 was detected by qRT-PCR or Western blot (WB) when H19 was over-expressed or knocked down in podocytes. Luciferase activity was quantified whether H19 could regulate the promoter activity of ADCK4. Furthermore, mass spectrometry was employed for identifying the transcription factor of binding with H19 and RNA immunoprecipitation assay (RIPA) for confirming the interaction between H19 and candidate transcription factor.
      Results  The expressions of H19 and ADCK4 became down-regulated in peripheral blood mononuclear cells (PBMCs). Overexpression of H19 promoted the expression of ADCK4 in podocytes while H19 knockdown suppressed it. Furthermore, our study demonstrated that H19 could regulate the promoter activity of ADCK4. Using RNA pull-down and mass spectrometry revealed that transcription factor THAP1 (THAP domain-containing protein 1) could bind with H19 and mutual interaction was further confirmed by RIPA.
      Conclusions  H19 provides new rationales for diagnosing and treating nephrotic syndrome in children.

       

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