AI Article Synopsis

  • Myostatin (MSTN) is found in the human kidney and its levels increase significantly in diabetic nephropathy (DN), particularly in the glomeruli and tubulointerstitium.
  • High glucose and glycated albumin levels stimulate MSTN expression in HK-2 kidney cells, resulting in decreased cell proliferation and activation of certain inflammatory pathways.
  • The study suggests that the overexpression of MSTN in the kidney may contribute to interstitial fibrosis associated with diabetic nephropathy.

Article Abstract

Myostatin (MSTN), a family member of the transforming growth factor (TGF)-β super family, has been detected in the tubuli of pig kidney, but its role in the human kidney is not known. In this study we observed upregulation of MSTN mRNA (~8 to 10-fold increase) both in the glomeruli and tubulointerstitium in diabetic nephropathy (DN). In DN, immunoreactive MSTN was mainly localized in the tubuli and interstitium (∼4-8 fold increase), where it colocalized in CD45 cells. MSTN was also upregulated in the glomeruli and the arterial vessels. Tubulointerstitial MSTN expression was directly related to interstitial fibrosis (r = 0.54, p < 0.01). In HK-2 tubular epithelial cells, both high (30 mmol) glucose and glycated albumin upregulated MSTN mRNA and its protein (p < 0.05-0.01). MSTN-treated HK-2 cells underwent decreased proliferation, together with NF-kB activation and CCL-2 and SMAD 2,3 overexpression. In addition, MSTN induced intracellular ROS release and upregulated NADPH oxidase, effects which were mediated by ERK activation. In conclusion, our data show that MSTN is expressed in the human kidney and overexpressed in DN, mainly in the tubulointerstitial compartment. Our results also show that MSTN is a strong inducer of proximal tubule activation and suggest that MSTN overexpression contributes to kidney interstitial fibrosis in DN.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7156449PMC
http://dx.doi.org/10.1038/s41598-020-62875-2DOI Listing

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