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Flavin containing monooxygenase 2 regulates renal tubular cell fibrosis and paracrine secretion via SMURF2 in AKI‑CKD transformation

  • Authors:
    • Longfei Wang
    • Hongchu Zha
    • Jing Huang
    • Lang Shi
  • View Affiliations / Copyright

    Affiliations: Children's Hospital Affiliated to Zhengzhou University, Henan International Joint Laboratory of Prevention and Treatment of Pediatric Diseases, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, Henan 450018, P.R. China, Department of Nephrology, The First Clinical Medical College of Three Gorges University, Center People's Hospital of Yichang, Kidney Disease Research Institute of China Three Gorges University, Yichang, Hubei 443000, P.R. China, Department of Nephrology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, P.R. China
    Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 110
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    Published online on: October 4, 2023
       https://doi.org/10.3892/ijmm.2023.5313
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Abstract

In the follow‑up of hospitalized patients with acute kidney injury (AKI), it has been observed that 15‑30% of these patients progress to develop chronic kidney disease (CKD). Impaired adaptive repair of the kidneys following AKI is a fundamental pathophysiological mechanism underlying renal fibrosis and the progression to CKD. Deficient repair of proximal tubular epithelial cells is a key factor in the progression from AKI to CKD. However, the molecular mechanisms involved in the regulation of fibrotic factor paracrine secretion by injured tubular cells remain incompletely understood. Transcriptome analysis and an ischemia‑reperfusion injury (IRI) model were used to identify the contribution of flavin‑containing monooxygenase 2 (FMO2) in AKI‑CKD. Lentivirus‑mediated overexpression of FMO2 was performed in mice. Functional experiments were conducted using TGF‑β‑induced tubular cell fibrogenesis and paracrine pro‑fibrotic factor secretion. Expression of FMO2 attenuated kidney injury induced by renal IRI, renal fibrosis, and immune cell infiltration into the kidneys. Overexpression of FMO2 not only effectively blocked TGF secretion in tubular cell fibrogenesis but also inhibited aberrant paracrine activation of pro‑fibrotic factors present in fibroblasts. FMO2 negatively regulated TGF‑β‑mediated SMAD2/3 activation by promoting the expression of SMAD ubiquitination regulatory factor 2 (SMURF2) and its nuclear translocation. During the transition from AKI to CKD, FMO2 modulated tubular cell fibrogenesis and paracrine secretion through SMURF2, thereby affecting the outcome of the disease.
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Copy and paste a formatted citation
Spandidos Publications style
Wang L, Zha H, Huang J and Shi L: Flavin containing monooxygenase 2 regulates renal tubular cell fibrosis and paracrine secretion via SMURF2 in AKI‑CKD transformation. Int J Mol Med 52: 110, 2023.
APA
Wang, L., Zha, H., Huang, J., & Shi, L. (2023). Flavin containing monooxygenase 2 regulates renal tubular cell fibrosis and paracrine secretion via SMURF2 in AKI‑CKD transformation. International Journal of Molecular Medicine, 52, 110. https://doi.org/10.3892/ijmm.2023.5313
MLA
Wang, L., Zha, H., Huang, J., Shi, L."Flavin containing monooxygenase 2 regulates renal tubular cell fibrosis and paracrine secretion via SMURF2 in AKI‑CKD transformation". International Journal of Molecular Medicine 52.5 (2023): 110.
Chicago
Wang, L., Zha, H., Huang, J., Shi, L."Flavin containing monooxygenase 2 regulates renal tubular cell fibrosis and paracrine secretion via SMURF2 in AKI‑CKD transformation". International Journal of Molecular Medicine 52, no. 5 (2023): 110. https://doi.org/10.3892/ijmm.2023.5313
Copy and paste a formatted citation
x
Spandidos Publications style
Wang L, Zha H, Huang J and Shi L: Flavin containing monooxygenase 2 regulates renal tubular cell fibrosis and paracrine secretion via SMURF2 in AKI‑CKD transformation. Int J Mol Med 52: 110, 2023.
APA
Wang, L., Zha, H., Huang, J., & Shi, L. (2023). Flavin containing monooxygenase 2 regulates renal tubular cell fibrosis and paracrine secretion via SMURF2 in AKI‑CKD transformation. International Journal of Molecular Medicine, 52, 110. https://doi.org/10.3892/ijmm.2023.5313
MLA
Wang, L., Zha, H., Huang, J., Shi, L."Flavin containing monooxygenase 2 regulates renal tubular cell fibrosis and paracrine secretion via SMURF2 in AKI‑CKD transformation". International Journal of Molecular Medicine 52.5 (2023): 110.
Chicago
Wang, L., Zha, H., Huang, J., Shi, L."Flavin containing monooxygenase 2 regulates renal tubular cell fibrosis and paracrine secretion via SMURF2 in AKI‑CKD transformation". International Journal of Molecular Medicine 52, no. 5 (2023): 110. https://doi.org/10.3892/ijmm.2023.5313
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