FSTL1 aggravates high glucose-induced oxidative stress and transdifferentiation in HK-2 cells

Abstract Chronic hyperglycemia, a hallmark of diabetes, can trigger inflammatory responses in the kidney, leading to diabetic nephropathy (DN). Follistatin-like protein 1 (FSTL1) has emerged as a potential therapeutic target in various kidney diseases. This study investigated the effect of high gluc...

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Main Authors: Baoyuan Zhang, Hang Geng, Kai Zhao, Moussa Omorou, Shuang Liu, Zhihui Ye, Fanting Zhang, Haiyan Luan, Xuesong Zhang
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84462-5
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author Baoyuan Zhang
Hang Geng
Kai Zhao
Moussa Omorou
Shuang Liu
Zhihui Ye
Fanting Zhang
Haiyan Luan
Xuesong Zhang
author_facet Baoyuan Zhang
Hang Geng
Kai Zhao
Moussa Omorou
Shuang Liu
Zhihui Ye
Fanting Zhang
Haiyan Luan
Xuesong Zhang
author_sort Baoyuan Zhang
collection DOAJ
description Abstract Chronic hyperglycemia, a hallmark of diabetes, can trigger inflammatory responses in the kidney, leading to diabetic nephropathy (DN). Follistatin-like protein 1 (FSTL1) has emerged as a potential therapeutic target in various kidney diseases. This study investigated the effect of high glucose on FSTL1 expression and its role in oxidative stress and cellular transdifferentiation injury in HK-2 human proximal tubule epithelial cells, a model of DN. We investigated FSTL1’s level in HK-2 cells exposed to high glucose using Western blotting and quantitative real-time polymerase chain reaction (qRT-PCR). FSTL1 was manipulated using recombinant human FSTL1 (rhFSTL1) or lentiviral shFSTL1. We then analyzed proliferation, oxidative stress, transdifferentiation, cell migration, and the nuclear factor kappa-B (NF-κB) signaling pathway potentially involved in FSTL1 effects. Finally, we blocked the NF-κB pathway to see its influence on these cellular processes. High glucose exposure significantly increased FSTL1 in HK-2 cells, with longer/higher glucose further amplifying this effect. Silencing of FSTL1 ameliorates cellular damage by promoting proliferation, enhancing superoxide dismutase (SOD) and glutathione (GSH) activity, and reducing malondialdehyde (MDA) production, inhibiting cell migration. Furthermore, it prevented the harmful conversion of HK-2 cells from epithelial to myofibroblast-like phenotypes, evidenced by decreased fibronectin (FN) and α-smooth muscle actin (α-SMA) and preserved E-cadherin. Notably, silencing FSTL1 also inhibited the NF-κB signaling pathway. Conversely, rhFSTL1 exhibited opposite effects. Importantly, blocking NF-κB reversed the detrimental effects of FSTL1. These findings suggest that FSTL1 contributes to high glucose-induced kidney injury by promoting oxidative stress and cellular transdifferentiation potentially via the NF-κB pathway. Targeting FSTL1 may represent a novel therapeutic strategy for preventing or mitigating DN progression.
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spelling doaj-art-2b0c83a9b5524288a99eb17d3e9959892025-01-05T12:17:42ZengNature PortfolioScientific Reports2045-23222025-01-0115111410.1038/s41598-024-84462-5FSTL1 aggravates high glucose-induced oxidative stress and transdifferentiation in HK-2 cellsBaoyuan Zhang0Hang Geng1Kai Zhao2Moussa Omorou3Shuang Liu4Zhihui Ye5Fanting Zhang6Haiyan Luan7Xuesong Zhang8Department of Histology and Embryology, School of Basic Medicine, Jiamusi UniversityMedical Imaging Center, First Affiliated Hospital, Jiamusi UniversityKey Laboratory of Microecology-Immune Regulatory Network and Related Diseases, School of Basic Medicine, Jiamusi UniversityLaboratory of Medical Biochemistry, First Affiliated Hospital, University of LoméKey Laboratory of Microecology-Immune Regulatory Network and Related Diseases, School of Basic Medicine, Jiamusi UniversityDepartment of Orthodontics, Second Affiliated Hospital, Jiamusi UniversityKey Laboratory of Microecology-Immune Regulatory Network and Related Diseases, School of Basic Medicine, Jiamusi UniversityKey Laboratory of Microecology-Immune Regulatory Network and Related Diseases, School of Basic Medicine, Jiamusi UniversityMedical Imaging Center, First Affiliated Hospital, Jiamusi UniversityAbstract Chronic hyperglycemia, a hallmark of diabetes, can trigger inflammatory responses in the kidney, leading to diabetic nephropathy (DN). Follistatin-like protein 1 (FSTL1) has emerged as a potential therapeutic target in various kidney diseases. This study investigated the effect of high glucose on FSTL1 expression and its role in oxidative stress and cellular transdifferentiation injury in HK-2 human proximal tubule epithelial cells, a model of DN. We investigated FSTL1’s level in HK-2 cells exposed to high glucose using Western blotting and quantitative real-time polymerase chain reaction (qRT-PCR). FSTL1 was manipulated using recombinant human FSTL1 (rhFSTL1) or lentiviral shFSTL1. We then analyzed proliferation, oxidative stress, transdifferentiation, cell migration, and the nuclear factor kappa-B (NF-κB) signaling pathway potentially involved in FSTL1 effects. Finally, we blocked the NF-κB pathway to see its influence on these cellular processes. High glucose exposure significantly increased FSTL1 in HK-2 cells, with longer/higher glucose further amplifying this effect. Silencing of FSTL1 ameliorates cellular damage by promoting proliferation, enhancing superoxide dismutase (SOD) and glutathione (GSH) activity, and reducing malondialdehyde (MDA) production, inhibiting cell migration. Furthermore, it prevented the harmful conversion of HK-2 cells from epithelial to myofibroblast-like phenotypes, evidenced by decreased fibronectin (FN) and α-smooth muscle actin (α-SMA) and preserved E-cadherin. Notably, silencing FSTL1 also inhibited the NF-κB signaling pathway. Conversely, rhFSTL1 exhibited opposite effects. Importantly, blocking NF-κB reversed the detrimental effects of FSTL1. These findings suggest that FSTL1 contributes to high glucose-induced kidney injury by promoting oxidative stress and cellular transdifferentiation potentially via the NF-κB pathway. Targeting FSTL1 may represent a novel therapeutic strategy for preventing or mitigating DN progression.https://doi.org/10.1038/s41598-024-84462-5Diabetic nephropathyFollistatin-like protein 1Oxidative stressTransdifferentiation
spellingShingle Baoyuan Zhang
Hang Geng
Kai Zhao
Moussa Omorou
Shuang Liu
Zhihui Ye
Fanting Zhang
Haiyan Luan
Xuesong Zhang
FSTL1 aggravates high glucose-induced oxidative stress and transdifferentiation in HK-2 cells
Scientific Reports
Diabetic nephropathy
Follistatin-like protein 1
Oxidative stress
Transdifferentiation
title FSTL1 aggravates high glucose-induced oxidative stress and transdifferentiation in HK-2 cells
title_full FSTL1 aggravates high glucose-induced oxidative stress and transdifferentiation in HK-2 cells
title_fullStr FSTL1 aggravates high glucose-induced oxidative stress and transdifferentiation in HK-2 cells
title_full_unstemmed FSTL1 aggravates high glucose-induced oxidative stress and transdifferentiation in HK-2 cells
title_short FSTL1 aggravates high glucose-induced oxidative stress and transdifferentiation in HK-2 cells
title_sort fstl1 aggravates high glucose induced oxidative stress and transdifferentiation in hk 2 cells
topic Diabetic nephropathy
Follistatin-like protein 1
Oxidative stress
Transdifferentiation
url https://doi.org/10.1038/s41598-024-84462-5
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