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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2019.10753</article-id>
<article-id pub-id-type="publisher-id">mmr-20-06-5297</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Gene expression profiling analysis reveals that the long non-coding RNA uc.412 is involved in mesangial cell proliferation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Yu</surname><given-names>Minyi</given-names></name>
<xref rid="af1-mmr-20-06-5297" ref-type="aff">1</xref>
<xref rid="af2-mmr-20-06-5297" ref-type="aff">2</xref>
<xref rid="fn1-mmr-20-06-5297" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Guan</surname><given-names>Zheng</given-names></name>
<xref rid="af1-mmr-20-06-5297" ref-type="aff">1</xref>
<xref rid="af3-mmr-20-06-5297" ref-type="aff">3</xref>
<xref rid="fn1-mmr-20-06-5297" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Shanwen</given-names></name>
<xref rid="af1-mmr-20-06-5297" ref-type="aff">1</xref>
<xref rid="fn1-mmr-20-06-5297" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Wen</surname><given-names>Xianli</given-names></name>
<xref rid="af1-mmr-20-06-5297" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Shi</surname><given-names>Huimin</given-names></name>
<xref rid="af1-mmr-20-06-5297" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Qu</surname><given-names>Gaoting</given-names></name>
<xref rid="af1-mmr-20-06-5297" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Lu</surname><given-names>Xiaoyu</given-names></name>
<xref rid="af1-mmr-20-06-5297" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhu</surname><given-names>Xianyi</given-names></name>
<xref rid="af1-mmr-20-06-5297" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Bin</given-names></name>
<xref rid="af4-mmr-20-06-5297" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Feng</surname><given-names>Qihua</given-names></name>
<xref rid="af2-mmr-20-06-5297" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Gan</surname><given-names>Weihua</given-names></name>
<xref rid="af1-mmr-20-06-5297" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Aiqing</given-names></name>
<xref rid="af1-mmr-20-06-5297" ref-type="aff">1</xref>
<xref rid="c1-mmr-20-06-5297" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-20-06-5297"><label>1</label>Department of Pediatric Nephrology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210003, P.R. China</aff>
<aff id="af2-mmr-20-06-5297"><label>2</label>Department of Rheumatology, Children&#x0027;s Hospital of Soochow University, Suzhou, Jiangsu 215000, P.R. China</aff>
<aff id="af3-mmr-20-06-5297"><label>3</label>Department of Pediatrics, Yangzhou Maternal and Child Care Service Center, Yangzhou, Jiangsu 225000, P.R. China</aff>
<aff id="af4-mmr-20-06-5297"><label>4</label>Institute of Nephrology, Zhong Da Hospital, Southeast University, Nanjing, Jiangsu 210000, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-20-06-5297"><italic>Correspondence to</italic>: Professor Aiqing Zhang, Department of Pediatric Nephrology, The Second Affiliated Hospital of Nanjing Medical University, 262 Zhongshan North Road, Nanjing, Jiangsu 210003, P.R. China, E-mail: <email>njaiqing@njmu.edu.cn</email></corresp>
<fn id="fn1-mmr-20-06-5297"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub"><month>12</month><year>2019</year></pub-date>
<pub-date pub-type="epub"><day>16</day><month>10</month><year>2019</year></pub-date>
<volume>20</volume>
<issue>6</issue>
<fpage>5297</fpage>
<lpage>5303</lpage>
<history>
<date date-type="received"><day>24</day><month>03</month><year>2019</year></date>
<date date-type="accepted"><day>08</day><month>08</month><year>2019</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Yu et al.</copyright-statement>
<copyright-year>2019</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Hyperproliferation of mesangial cells (MCs) is the central pathological feature observed in certain human renal diseases. Furthermore, the long non-coding RNA uc.412 is regulated by transforming growth factor &#x03B2;1 in mesangial cells <italic>in vitro</italic>. The present study aimed to investigate whether uc.412 serves a role in renal fibrosis and whether it may be considered as a therapeutic target in mesangial proliferative kidney diseases. The results demonstrated that uc.412 overexpression significantly increased MC proliferation. The transcriptional profile of MCs overexpressing uc.412 was assessed by RNA sequencing. A total of 462 up- and 843 downregulated genes were identified (|fold change| &#x2265;1.5), and reverse transcription-quantitative PCR was used to determine the expression of these differentially expressed genes (DEGs). Subsequently, the potential function of these DEGs was determined by bioinformatics analyses. The results indicated that these DEGs were involved in numerous signaling pathways associated with MC proliferation. The downstream association between up- and downregulated genes was constructed via the STRING database. The protein-protein interaction network indicated that serpin family E member 1 and matrix metallopeptidase 3 may be hub proteins. In conclusion, the present study provided novel insight into the role of uc.412 in MC proliferation, which may aid in the development of novel treatment for mesangial proliferative kidney diseases.</p>
</abstract>
<kwd-group>
<kwd>glomerulonephritis</kwd>
<kwd>nephritis</kwd>
<kwd>transforming growth factor &#x03B2;1</kwd>
<kwd>membranoproliferative</kwd>
<kwd>hyperplasia</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>The proliferation of mesangial cells (MCs) is a characteristic feature of glomerular diseases, including lupus nephritis, IgA nephropathy, membranoproliferative glomerulonephritis and diabetic nephropathy (<xref rid="b1-mmr-20-06-5297" ref-type="bibr">1</xref>). Furthermore, in animal models of nephritis, MC proliferation often occurs before mesangial sclerosis and the glomerulosclerosis, and is associated with the increase in extracellular matrix synthesis (<xref rid="b2-mmr-20-06-5297" ref-type="bibr">2</xref>). Regulation of MC proliferation may therefore represent a potential treatment option for numerous kidney diseases (<xref rid="b3-mmr-20-06-5297" ref-type="bibr">3</xref>). Transforming growth factor (TGF)-&#x03B2;1 is a cytokine that promotes fibrosis in chronic renal diseases, and may trigger and regulate various types of pathophysiological process. For example, TGF-&#x03B2; contributes to glomerular extracellular matrix accumulation by stimulating MCs to produce type I, III and IV collagen, laminin, fibronectin and heparan sulphate proteoglycans, as well as by inhibiting matrix degradation, which contributes to the development of glomerulosclerosis (<xref rid="b4-mmr-20-06-5297" ref-type="bibr">4</xref>). However, TGF-&#x03B2;1 also has anti-inflammatory properties in certain pathological conditions. For example, TGF-&#x03B2; blockade increased kidney inflammation, which was characterized by the upregulation of MCP1, proinflammatory chemokines and the infiltration of monocytes/macrophages in the kidneys (<xref rid="b5-mmr-20-06-5297" ref-type="bibr">5</xref>). Considering these situations, TGF-&#x03B2;1 may not be an optimal therapeutic target for kidney disease (<xref rid="b5-mmr-20-06-5297" ref-type="bibr">5</xref>). It is therefore crucial to explore the TGF-&#x03B2;1-associated mechanisms in order to identify its therapeutic targets.</p>
<p>Long non-coding (lnc) RNAs are defined as transcripts of &#x003E;200 nucleotides in length that are not translated into proteins (<xref rid="b6-mmr-20-06-5297" ref-type="bibr">6</xref>). Compared with protein-coding genes, lncRNAs are more conserved and specific to organs, tissues, cell types, developmental stages and disease conditions. In addition, lncRNAs are considered as better therapeutic targets in kidney diseases compared with protein-coding transcriptomes (<xref rid="b7-mmr-20-06-5297" ref-type="bibr">7</xref>). It has been reported that lncRNAs may be more responsible for the early development of diabetic nephropathy compared with protein-coding genes (<xref rid="b8-mmr-20-06-5297" ref-type="bibr">8</xref>). For example, the lncRNA LINC01619 contributes to the development of diabetic nephropathy, as it can regulate microRNA (miR)-27a/forkhead box protein O1 and endoplasmic reticulum stress, resulting in podocyte injury (<xref rid="b9-mmr-20-06-5297" ref-type="bibr">9</xref>). Furthermore, lncARSR was reported to promote the expression of AXL receptor tyrosine kinase and c-MET in renal cell carcinoma cells by competitively binding to miR-34/miR-449, which results in cell resistance to sunitinib (<xref rid="b10-mmr-20-06-5297" ref-type="bibr">10</xref>). lncRNAs may therefore represent potential therapeutic targets in kidney diseases.</p>
<p>Our previous study revealed that lncRNA uc.412 is differentially expressed in TGF-&#x03B2;1-treated MCs (<xref rid="b11-mmr-20-06-5297" ref-type="bibr">11</xref>). In the present study, in order to elucidate the downstream of roles of lncRNA uc.412, the gene expression profiles in MCs overexpressing lncRNA uc.412 were determined using high-throughput sequencing analysis and verified by reverse-transcription-quantitative (RT-q) PCR. Bioinformatics analysis of the identified differentially expressed genes (DEGs) was achieved to predict the function of uc.412. Results from the present suggested an association between uc.412 and kidney diseases. These data may aid our understanding of the role of uc.412 in mesangial cells and in elucidating the mechanism involved in abnormal MC proliferation.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture</title>
<p>The rat mesangial cell line RMC (cat. no. ATCC CRL-2573) was purchased from the American Type Culture Collection. RMCs were cultured in DMEM (HyClone; GE Healthcare Life Sciences) containing 10&#x0025; FBS (Crystalgen, Inc.) and 1&#x0025; penicillin/streptomycin (Gibco; Thermo Fisher Scientific, Inc.) and placed at 37&#x00B0;C in a humidified incubator containing 5&#x0025; CO<sub>2</sub>. The Medical Ethics Committee of the Second Affiliated Hospital of Nanjing Medical University approved the protocol of this study. The proliferation of MCs is a characteristic feature of glomerular diseases. The TGF-&#x03B2; signaling pathway is the main pathway for MC proliferation. The cells were treated with TGF-&#x03B2;1 at a concentration of 10 ng/ml for 24 h and then MCs were used in further experiments to detect the expression of lncRNA uc.412 (<xref rid="b11-mmr-20-06-5297" ref-type="bibr">11</xref>).</p>
</sec>
<sec>
<title>Cell transfection</title>
<p>MCs were transfected with uc.412 plasmid (oeuc.412; VectorBuilder) or empty vector control (oeVec) with Lipofectamine 2000<sup>&#x00AE;</sup> (Invitrogen; Thermo Fisher Scientific, Inc.). Briefly, 2.5 &#x00B5;g plasmid was diluted into 125 &#x00B5;l Opti-MEM serum-free medium (Gibco; Thermo Fisher Scientific, Inc.), and 6 &#x00B5;l Lipofectamine 2000 was diluted with 125 &#x00B5;l Opti-MEM serum-free medium and incubated room temperature for 5 min. The two solutions were incubated at room temperature for 20 min and then added to the cells seeded in 6-well plates at a density of 2&#x00D7;10<sup>5</sup> cells/well. Culture medium was replaced after 8 h. After 24 h, puromycin was used to select cells that were puromycin resistant following transfection. After a further 24 h, these cells were used for further experiment. The transfection efficacy was detected by RT-qPCR.</p>
</sec>
<sec>
<title>Cell proliferation assay</title>
<p>Transfected cells were seeded in 96-well plates at the density of 1&#x00D7;10<sup>4</sup> cells/well in sextuplicate and cultured in 100 &#x00B5;l DMEM containing 10&#x0025; FBS. At 0, 24, 48 and 72 h following seeding, 10 &#x00B5;l Cell Counting Kit-8 reagent (Dojindo Molecular Technologies, Inc.) was added in each well. Following 30 min incubation, the absorbance was measured at 450 nm using a microplate reader. The relative cell proliferation rate was normalized to the optical density value at 0 h.</p>
</sec>
<sec>
<title>Total RNA extraction and RT-qPCR</title>
<p>TRIzol<sup>&#x00AE;</sup> (Thermo Fisher Scientific, Inc.) was used to extract total RNA from MCs according to the manufacturers&#x0027; instructions. Total RNA (500 ng) was transcribed into cDNA using PrimeScript&#x2122; RT Reagent kit (Takara Bio, Inc.), according to the manufacturers&#x0027; instructions. qPCR analysis was performed with the ABI StepOne Real-Time PCR system (Applied Biosystems; Thermo Fisher Scientific, Inc.) using the SYBR<sup>&#x00AE;</sup> Premix Ex Taq&#x2122; kit (Takara Bio, Inc.) and the following thermocycling conditions: 95&#x00B0;C for 30 sec, followed by 40 cycles of 95&#x00B0;C for 5 sec and 60&#x00B0;C for 30 sec. StepOne software v2.0 (Applied Biosystems; Thermo Fisher Scientific, Inc.) was used to analyze the data based on the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method and GAPDH was used as the internal control for normalization (<xref rid="b12-mmr-20-06-5297" ref-type="bibr">12</xref>). The primer sequences are listed in <xref rid="SD1-mmr-20-06-5297" ref-type="supplementary-material">Table SI</xref>.</p>
</sec>
<sec>
<title>High-throughput sequencing</title>
<p>Total RNA was extracted as aforementioned and processed by oligo DT enrichment (rRNA removed), and KAPA Stranded RNA-Seq Library Prep kit (Illumina, Inc.) was used to construct an RNA library. In the library construction process, a chain-specific RNA sequencing library was constructed using double-stranded cDNA synthesis using the dUTP method and subsequently high-fidelity PCR polymerases (<xref rid="b13-mmr-20-06-5297" ref-type="bibr">13</xref>). The quality of the constructed library was verified by the Agilent 2100 Bioanalyzer (Agilent Technologies, Inc.) and quantified by RT-qPCR. Library sequencing was performed on an Illumina HiSeq 4000 (Illumina, Inc.), using NaOH base denaturing single-strand generation, Illumina flow cell <italic>in situ</italic> amplification and 150 double-end cycle sequencing. Image processing and base recognition was performed using Solexa Pipeline software version 1.8. The FastQC software (version 0.11.5; Babraham Bioinformatics; Babraham Institute) was used to assess the sequencing quality of the reads and remove joints. The library was compared to the reference genome using Hisat2 software (version 2.1.; <uri xlink:href="http://ccb.jhu.edu/software/hisat2/faq.shtml">http://ccb.jhu.edu/software/hisat2/faq.shtml</uri>). StringTie software (version v1.3.3; <uri xlink:href="http://ccb.jhu.edu/software/stringtie/">http://ccb.jhu.edu/software/stringtie/</uri>) was used to estimate the transcript abundance. R software Ballgown was used to determine fragments per kilobase of exon per million fragments mapped at the gene level and at the transcript level and to screen the DEGs between samples. DEGs with |FC| &#x2265;1.5 were highlighted; where FC is fold change.</p>
</sec>
<sec>
<title>Bioinformatics analysis</title>
<p>Gene Ontology (GO) clustering and Kyoto Encyclopedia of Genes and Genomes (KEGG; <uri xlink:href="http://www.kegg.jp">http://www.kegg.jp</uri>) pathway analysis were performed on all DEGs identified following RNA sequencing. GO enrichment analysis of DEGs was retrieved using the DAVID database (<uri xlink:href="http://david.abcc.ncifcrf.gov">http://david.abcc.ncifcrf.gov</uri>) (<xref rid="b14-mmr-20-06-5297" ref-type="bibr">14</xref>,<xref rid="b15-mmr-20-06-5297" ref-type="bibr">15</xref>). KEGG pathway enrichment analysis and results were visualized using Cytoscape (<uri xlink:href="http://cytoscape.org">http://cytoscape.org</uri>).</p>
</sec>
<sec>
<title>Protein-protein interaction (PPI) network and downstream effects of uc.412</title>
<p>To determine the downstream effects of uc.412 on the proliferation of MC, the STRING database (<uri xlink:href="http://www.string-db.org">http://www.string-db.org</uri>) was used to analyze the PPI networks of DEGs. The cut-off criterion was set as a combined PPI score of &#x003E;0.4.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>SPSS 17.0 software (SPSS, Inc.) was used to conduct the statistical analyses. Student&#x0027;s t-test was used to compare two groups. Results were presented as the mean &#x00B1; the SD. Each experiment was repeated at least three times. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>MC proliferation is significantly increased following uc.412 overexpression</title>
<p>RT-qPCR results demonstrated that uc.412 was upregulated in TGF-&#x03B2;1-treated MCs (P&#x003C;0.05; <xref rid="f1-mmr-20-06-5297" ref-type="fig">Fig. 1A</xref>). Furthermore, uc.412 expression level was significantly increased in oeuc.412 MCs compared with Control oeVec MCs (P&#x003C;0.05; <xref rid="f1-mmr-20-06-5297" ref-type="fig">Fig. 1B</xref>). In addition, the proliferation rate of MCs overexpressing uc.412 was significantly increased after 48 and 72 h compared with oeVec-transfected MCs (P&#x003C;0.05; <xref rid="f1-mmr-20-06-5297" ref-type="fig">Fig. 1C</xref>).</p>
</sec>
<sec>
<title>DEG analysis</title>
<p>Following oeuc.412 transfection, a total of 1,305 DEGs were identified from RNA sequencing, of which 462 were upregulated and 843 were downregulated. The scatter plot of the expression level of the DEGs between oeuc.412-transfected group and oeVec-transfected control group is presented in <xref rid="f2-mmr-20-06-5297" ref-type="fig">Fig. 2A</xref>, and the differences among the top 50 DEGs in each group are highlighted in the heatmaps in <xref rid="f2-mmr-20-06-5297" ref-type="fig">Fig. 2B</xref>. The full lists of up- and downregulated genes are presented in <xref rid="SD1-mmr-20-06-5297" ref-type="supplementary-material">Tables SII</xref> and <xref rid="SD1-mmr-20-06-5297" ref-type="supplementary-material">SIII</xref>, respectively.</p>
<p>To verify the DEGs detected by RNA sequencing, nine genes (<xref rid="b16-mmr-20-06-5297" ref-type="bibr">16</xref>) were randomly selected and their mRNA expression levels were examined by RT-qPCR in oeuc.412- and oeVec-transfected MCs; these included five upregulated genes [phospholipase A2 group IIA (PLA2G2A), integrin subunit a6 (ITGA6), fms related tyrosine kinase 1 (FLT1), serpin family E member 1 (SERPINE1) and cd55], and four downregulated genes [kelch-like family member 13 (KLHL13), argonaute RISC component 1 (AGO1), matrix metallopeptidase 3 (MMP3) and tumor necrosis factor receptor superfamily member 1B (TNFRS1B)]. The results demonstrated that the expression levels of PLA2G2A, ITGA6, FLT1, SERPINE1 and CD55 were significantly increased in MCs overexpressing uc.412 compared with control cells (<xref rid="f3-mmr-20-06-5297" ref-type="fig">Fig. 3A</xref>), whereas KLHL13, AGO1, MMP3 and TNFRS1B expression levels were significantly decreased in oeuc.412 compared with oeVEC MCs (<xref rid="f3-mmr-20-06-5297" ref-type="fig">Fig. 3B</xref>), which was consistent with the RNA sequencing results. This data identified an interlaced transcript network associated with uc.412.</p>
</sec>
<sec>
<title>GO clustering of DEGs</title>
<p>GO clustering was performed on the 1,305 DEGs and included the biological processes, the cellular components and the molecular function categories (<xref rid="f4-mmr-20-06-5297" ref-type="fig">Fig. 4</xref>). The top nine biological processes associated with the identified DEGs that were identified included &#x2018;extracellular matrix organization&#x2019;, &#x2018;positive regulation of cell proliferation&#x2019;, &#x2018;epithelial to mesenchymal transition&#x2019;, &#x2018;negative regulation of protein kinase activity&#x2019; and &#x2018;angiogenesis&#x2019; (<xref rid="f4-mmr-20-06-5297" ref-type="fig">Fig. 4A</xref>). The cellular components identified included &#x2018;cytosol&#x2019;, &#x2018;cytoplasm&#x2019;, &#x2018;extracellular matrix&#x2019;, &#x2018;cytoskeleton&#x2019; and &#x2018;proteinaceous extracellular matrix&#x2019; (<xref rid="f4-mmr-20-06-5297" ref-type="fig">Fig. 4B</xref>). The molecular functions identified included &#x2018;protein binding&#x2019;, &#x2018;sequence-specific DNA binding&#x2019;, &#x2018;extracellular matrix binding&#x2019;, &#x2018;protein kinase inhibitor activity&#x2019; and &#x2018;transcriptional activator activity&#x2019; (<xref rid="f4-mmr-20-06-5297" ref-type="fig">Fig. 4C</xref>).</p>
</sec>
<sec>
<title>KEGG pathway analysis of DEGs</title>
<p>KEGG pathway analysis was performed on the identified DEGs. The pathways identified included &#x2018;p53 signaling pathway&#x2019;, &#x2018;Notch signaling pathway&#x2019;, &#x2018;MAPK signaling pathway&#x2019;, &#x2018;PI3K-Akt singling pathway&#x2019;, &#x2018;Cytokine-cytokine receptor interaction&#x2019;, &#x2018;HTLV-1 infection&#x2019;, &#x2018;AGE-RAGE signaling pathway in diabetic complications&#x2019; and &#x2018;TNF signaling pathway&#x2019; (<xref rid="f5-mmr-20-06-5297" ref-type="fig">Fig. 5</xref>). The results indicated that the DEGs associated with uc.412 may be associated with several signaling pathways and make up a complex network.</p>
</sec>
<sec>
<title>PPI network and downstream effects of uc.412</title>
<p>The STRING database was used to predict the putative downstream functional genes of uc.412. The results demonstrated that SERPINE1 interacted with connective tissue growth factor (CTGF), hepatocyte growth factor (HGF), FLT1, interleukin 6 (IL6), prostaglandin G/H synthase 2 (PTGS2), tissue-type plasminogen activator (PLAT) and insulin-like growth factor-binding protein 5 (IGFBP5) in the network of the upregulated genes (<xref rid="SD1-mmr-20-06-5297" ref-type="supplementary-material">Fig. S1A</xref>), and, therefore, may be a hub protein. MMP3 interacts with TNFRS1B, ETS domain-containing protein ELK4 (ELK4), integrin subunit &#x03B2;-like 1 (ITGBL1), endothelin-1 receptor (EDNRA) and cysteine-rich secretory protein 1 (CRISP1) (<xref rid="SD1-mmr-20-06-5297" ref-type="supplementary-material">Fig. S1B</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>TGF-&#x03B2;1 serves a crucial role in promoting fibrosis in tissue (<xref rid="b4-mmr-20-06-5297" ref-type="bibr">4</xref>). Since antifibrotic therapy consisting in targeting TGF-&#x03B2;1 to treat renal fibrosis can lead to dysregulation of other normal physiological processes (<xref rid="b4-mmr-20-06-5297" ref-type="bibr">4</xref>), it is necessary to understand the specific downstream mechanisms of TGF-&#x03B2;1-induced fibrosis to identify additional precise targets. It has been demonstrated that lncRNAs can directly regulate some biological processes in a disease- and tissue-specific manner (<xref rid="b6-mmr-20-06-5297" ref-type="bibr">6</xref>). For example, the lncRNA SARCC binds to and destabilizes the androgen receptor post-transcriptionally to regulate its expression, which can contribute to tumor progression in renal cell carcinoma (<xref rid="b17-mmr-20-06-5297" ref-type="bibr">17</xref>). Targeting lncRNAs may therefore provide a novel therapeutic approach in various types of cancer. Results from the present study demonstrated that uc.412 was upregulated in MCs following TGF-&#x03B2;1 treatment and that uc.412 overexpression significantly increased MC proliferation. It is therefore crucial to understand the underlying mechanism of uc.412 in the regulation of MC proliferation and to determine whether uc.412 may be considered as a therapeutic target in mesangial proliferative kidney diseases.</p>
<p>To determine the potential biological functions of uc.412 in MCs, DEGs were identified between MCs that overexpressed uc.412 and negative control MCs using high-throughput RNA sequencing. The results from this analysis identified 1,305 DEGs, including 462 up- and 843 downregulated genes.</p>
<p>The number of samples analyzed in the present study was limited, criteria for selecting DEGs was set as |FC| &#x2265;1.5. In order to verify the RNA-sequencing results, expression levels of five upregulated and 4 downregulated DEGs were subsequently verified by RT-qPCR. Serum secretory phospholipase A2-IIa, which is encoded by PLA2G2A, has been demonstrated to be associated with cell signaling, apoptosis, remodeling of cell membranes and inflammatory responses (<xref rid="b16-mmr-20-06-5297" ref-type="bibr">16</xref>). The &#x03B2;-catenin-dependent Wnt signaling pathway may regulate PLA2G2A expression through the &#x03B2;-catenin-dependent Wnt signaling pathway; the Wnt pathway is involved in numerous kidney diseases, including glomerular diseases, ischemic kidney injury, interstitial fibrosis, diabetic nephropathy and cystic kidney diseases (<xref rid="b18-mmr-20-06-5297" ref-type="bibr">18</xref>). Deregulation of the Wnt pathway has been associated with fibrotic diseases in kidney (<xref rid="b19-mmr-20-06-5297" ref-type="bibr">19</xref>). Numerous molecules have been demonstrated to be associated with the establishment of the fibrotic condition, including angiotensin II, TGF-&#x03B2;1 and CTGF (<xref rid="b19-mmr-20-06-5297" ref-type="bibr">19</xref>). Furthermore, a crosstalk between the Wnt pathway and these signaling molecules has been identified (<xref rid="b19-mmr-20-06-5297" ref-type="bibr">19</xref>). uc.412 may therefore regulate the expression of certain genes involved in proliferation and fibrosis of MCs and may serve a role in the pathways that contribute to the development of kidney diseases.</p>
<p>The results from GO analysis indicated that the identified DEGs may be involved in certain biological process, which may serve crucial roles in the incidence and development of certain kidney diseases. For example, podocyte injury may lead to glomerulosclerosis in IgA nephropathy (IgAN) (<xref rid="b19-mmr-20-06-5297" ref-type="bibr">19</xref>). Various factors contributing to epithelial-to-mesenchymal transition (EMT) have been demonstrated to be responsible for podocyte damage. For example, hyperglycemia has been demonstrated to induce podocyte EMT through TGF-&#x03B2;/Smad classic pathway, the Wnt/&#x03B2;-catenin signaling pathway, the integrin/integrin-linked kinase signaling pathway, the mitogen-activated protein kinase signaling pathway, the Jagged/Notch signaling pathway and the nuclear factor-&#x03BA;B signaling pathway and contribute to podocyte damage (<xref rid="b20-mmr-20-06-5297" ref-type="bibr">20</xref>). However, it was previously reported that the PI3K/AKT-signaling pathway may be involved in EMT in podocytes following treatment with mesangial medium from cells isolated from IgAN patients (<xref rid="b19-mmr-20-06-5297" ref-type="bibr">19</xref>). In addition, previous studies reported that directly modulating cell cycle progress could regulate RMC proliferation (<xref rid="b21-mmr-20-06-5297" ref-type="bibr">21</xref>,<xref rid="b22-mmr-20-06-5297" ref-type="bibr">22</xref>). Furthermore, immunosuppressive agents could affect the cell cycle progression, apoptosis and proliferation of MCs (<xref rid="b23-mmr-20-06-5297" ref-type="bibr">23</xref>). Some kidney diseases can be ameliorated through cell cycle-dependent mechanisms (<xref rid="b23-mmr-20-06-5297" ref-type="bibr">23</xref>); for example, MC cell cycle can be regulated using rapamycin to induce an inhibition of MC proliferation, a reduction of IgA deposition and a slow IgAN progression (<xref rid="b24-mmr-20-06-5297" ref-type="bibr">24</xref>). Results from the present study indicated that uc.412 downstream genes may regulate cell cycle, which indicated that uc.412 may be involved in MC proliferation.</p>
<p>The results from KEGG clustering analysis, identified several key pathways and a complex regulatory network. It has been reported that p53 is upregulated in a mouse model of Habu nephritis, which suggested that p53 can modulate MC proliferation and apoptosis (<xref rid="b25-mmr-20-06-5297" ref-type="bibr">25</xref>). Furthermore, Notch signaling pathway could activate TGF-&#x03B2; to accelerate the development of diabetic nephropathy (<xref rid="b26-mmr-20-06-5297" ref-type="bibr">26</xref>). The dysregulation of Notch signaling molecules has been reported to serve a vital role in fibrosis models, renal injuries and diabetic kidney biopsies (<xref rid="b26-mmr-20-06-5297" ref-type="bibr">26</xref>). For example, Jagged1, which is the canonical Notch ligand, is upregulated in a TGF-&#x03B2; dependent manner during chronic kidney diseases (<xref rid="b26-mmr-20-06-5297" ref-type="bibr">26</xref>). The present study therefore hypothesized that uc.412 may serve a crucial role in the development of mesangial proliferative glomerulonephritis.</p>
<p>STRING was used to construct PPI networks from RNA sequencing data. The results demonstrated that SERPINE1 interacted with a number of proteins in the upregulated genes PPI network. For example, SERPINE1 may interact with CTGF, which has been demonstrated to serve a crucial role in the progression of kidney fibrosis, as it participates in cell migration, proliferation and inflammation (<xref rid="b27-mmr-20-06-5297" ref-type="bibr">27</xref>). CTGF can also stimulate MCs to synthesize more fibronectin and collagen type I (<xref rid="b28-mmr-20-06-5297" ref-type="bibr">28</xref>). MMP3 was also revealed to interact with a number of proteins in the downregulated genes PPI network. In addition, a series of genes associated with cell proliferation were involved in the interaction networks. For example, Notch3 interacted with cyclin D2, dynamin 3 and EPH receptor A7 (<xref rid="b29-mmr-20-06-5297" ref-type="bibr">29</xref>). Downregulating cellular expression of Notch3 may therefore improve cell proliferation (<xref rid="b29-mmr-20-06-5297" ref-type="bibr">29</xref>). In conclusion, the results from the present study exhibited an interlaced transcript network associated with uc.412, which may have important effects on MC proliferation.</p>
<p>Identifying the role of uc.412 in MC proliferation is crucial to understanding certain glomerular diseases. The present study identified the downstream genes of uc.412 and a complicated mesangial cell network. These results may aid in developing novel therapeutic strategies to limit the pathological process of glomerular diseases associated with uncontrolled MC proliferation. However, the underlying mechanism and biological function of uc.412 in the regulation of MC proliferation require further investigation.</p>
</sec>
<sec sec-type="supplementary-material">
<title>Supplementary Material</title>
<supplementary-material id="SD1-mmr-20-06-5297" content-type="local-data">
<caption>
<title>Supporting Data</title>
</caption>
<media mimetype="application" mime-subtype="pdf" xlink:href="Supplementary_Data.pdf"/>
</supplementary-material>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was supported by The National Natural Science Foundation of China (grant no. 81670650), The Natural Science Foundation of Jiangsu Province (grant no. BK20161071), The Project of Nanjing Medical Youth Talent (grant no. QRX17106), The Project of Jiangsu Provincial Maternal and Child Talent (grant no. FRC201737), The Research Project of Jiangsu Provincial Health Commission (grant no. LGY2018071) and The Science and Technology Development Foundation of Nanjing Medical University (grant no. 2016NJMU036).</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed during the present study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>SL, AZ, BW and WG conceived and designed the study. MY, ZG and XW performed the experiments. HS, GQ, XL, QF and XZ interpreted the data. MY wrote the manuscript. AZ critically reviewed and revised the manuscript. SL and QF revised the manuscript. All authors have read and approved the final version of the manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>The present study was approved by the Medical Ethics Committee of the Second Affiliated Hospital of Nanjing Medical University (Nanjing, China; approval number: 2016KY008-01).</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
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<floats-group>
<fig id="f1-mmr-20-06-5297" position="float">
<label>Figure 1.</label>
<caption><p>uc.412 overexpression significantly increased MC proliferation. (A) Relative uc.412 expression level in MCs was detected by reverse transcription-quantitative PCR and the results demonstrated that uc.412 was significantly upregulated in TGF-&#x03B2;1-treated MCs compared with NC group. Data are presented as the mean &#x00B1; SD. Each experiment was performed three times and with five replicates; &#x002A;P&#x003C;0.05. (B) Confirmation of successful establishment of uc.412-overexpressing MCs. Data are presented as the mean &#x00B1; SD. Each experiment was performed three times and with five replicates; &#x002A;P&#x003C;0.05. (C) Proliferation of oeuc.412 MCs is increased compared with the oeVec group. Cell proliferation was detected every 24 h using the Cell Counting Kit-8. Data are presented as the mean &#x00B1; SD. Each experiment was performed three times and in sextuplicate. &#x002A;P&#x003C;0.05. LncRNA, long non-coding RNA; MCs, mesangial cells; NC, negative control; oe, overexpressing; TGF-&#x03B2;1, transforming growth factor &#x03B2;1; uc.412, long non-coding RNA uc.412; vec, vector.</p></caption>
<graphic xlink:href="MMR-20-06-5297-g00.tif"/>
</fig>
<fig id="f2-mmr-20-06-5297" position="float">
<label>Figure 2.</label>
<caption><p>Identification of DEGs between oeuc.412 and oeVec MCs. (A) Scatter plot used to determine gene expression variations between uc.412-overexpressing MCs and control MCs. Expression levels were detected and normalized as tag counts per million of TPM. In the scatter-plot, values on &#x00D7; and y axes represent the averaged TPM values of each group (log<sub>2</sub> scaled). Red dots represent upregulated genes, and green dots represent downregulated genes, identified as changes of &#x003E;1.5 fold change between the two comparison groups; gray dots indicate genes that were not differentially expressed. (B) DEGs between oeuc.412 MCs and oeVEC negative control. The top 50 upregulated genes and 50 downregulated genes with the highest difference in expression levels. In the left figure, red represent relatively high expression, and white represents relatively low expression. In the right figure, blue represents relatively high expression and white represent relatively low expression. DEGS, differentially expressed genes; MCs, mesangial cells; oe, overexpressing; uc.412, long non-coding RNA uc.412; vec, vector; TPM, total aligned tRNA reads.</p></caption>
<graphic xlink:href="MMR-20-06-5297-g01.tif"/>
</fig>
<fig id="f3-mmr-20-06-5297" position="float">
<label>Figure 3.</label>
<caption><p>Reverse transcription-quantitative PCR confirmation of the mRNA expression levels of the identified differentially expressed genes. The data indicated that (A) PLA2G2A, ITGA6, FLT1, SERPINE1 and CD55 expression levels were significantly increased, and (B) KLHL13, AGO1, MMP3 and TNFRS1B expression levels were significantly decreased in oeuc.412-transfected MCs compared with oeVec-transfected MCs. Each experiment was performed three times and with five replicates; &#x002A;P&#x003C;0.05. AGO1, argonaute RISC component 1; FLT1, fms related tyrosine kinase 1; ITGA6, integrin subunit alpha 6; KLHL13, kelch-like family member 13; MMP3, matrix metallopeptidase 3; oe, overexpressing; PLA2G2A, phospholipase A2 group IIA; SERPINE1, serpin family E member 1; TNFRS1B, tumor necrosis factor receptor superfamily member 1B; uc.412, long non-coding RNA uc.412; vec, vector.</p></caption>
<graphic xlink:href="MMR-20-06-5297-g02.tif"/>
</fig>
<fig id="f4-mmr-20-06-5297" position="float">
<label>Figure 4.</label>
<caption><p>GO term analysis of the identified DEGs. (A-C) The 1,305 DEGS identified between uc.412 overexpressing mesangial cells and control cells were analyzed for GO term enrichment, including (A) biological processes, (B) cellular components and (C) molecular functions. GO, gene ontology; MAPK, mitogen-activated protein kinase; uc.412, long non-coding RNA uc.412.</p></caption>
<graphic xlink:href="MMR-20-06-5297-g03.tif"/>
</fig>
<fig id="f5-mmr-20-06-5297" position="float">
<label>Figure 5.</label>
<caption><p>Analysis of the potential target genes of uc.412 by Kyoto Encyclopedia of Genes and Genomes pathway analysis.</p></caption>
<graphic xlink:href="MMR-20-06-5297-g04.tif"/>
</fig>
</floats-group>
</article>