4.7 Article

CHIP-overexpressing Wharton's jelly-derived mesenchymal stem cells attenuate hyperglycemia-induced oxidative stress-mediated kidney injuries in diabetic rats

Journal

FREE RADICAL BIOLOGY AND MEDICINE
Volume 173, Issue -, Pages 70-80

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.freeradbiomed.2021.07.026

Keywords

Carboxyl terminus of HSP70 interacting protein; Diabetes; Apoptosis; Fibrosis; Rats; Wharton's jelly derived mesenchymal stem cells

Funding

  1. department of medical research, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation
  2. China Medical University Beigang Hospital [IMAR 109-01-04-01, 1-CMUBHR108-010]

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Studies have shown that under high glucose conditions, CHIP can enhance cell viability by reducing oxidative stress and inhibiting MAPK-induced apoptosis and fibrosis. This suggests that CHIP protects WJMSCs and high-quality WJMSCs have potential therapeutic effects against diabetes-induced kidney injuries.
Accumulating studies have demonstrated the protective roles of mesenchymal stem cells against several disorders. However, one of their crucial limitations is reduced viability under stress conditions, including the hyperglycemia induced by diabetes. The molecular mechanisms involved in diabetes-induced kidney injuries are not fully elucidated. In this study, we found that high glucose (HG) reduced human proximal tubular epithelial cell viability. Further, hyperglycemia induced oxidative stress-mediated apoptosis and fibrosis in HK-2 cells via activation of the mitogen-activated protein kinases (MAPKs) including c-Jun N-terminal kinase JNK and p38 kinase. Carboxyl terminus of HSP70 interacting protein (CHIP) overactivation considerably rescued cell viability under HG stress. Moreover, Western blot analysis, flow cytometry, and MitoSOX staining revealed that hyperglycemia-induced mitochondrial oxidative stress production and apoptosis were attenuated in CHIPoverexpressing Wharton's jelly-derived mesenchymal stem cells (WJMSCs). Co-culture with CHIP-expressing WJMSCs maintained HK-2 cell viability, and inhibited apoptosis and fibrosis by attenuating HG-induced ROSmediated MAPK activation. CHIP-overexpressing WJMSCs also rescued the decreased kidney weight and hyperglycemia-induced kidney damage observed in streptozotocin-induced diabetic rats. Cumulatively, the current research findings demonstrate that CHIP suppresses hyperglycemia-induced oxidative stress and confers resistance to MAPK-induced apoptosis and fibrosis, and suggests that CHIP protects WJMSCs and the high quality WJMSCs have therapeutic effects against diabetes-induced kidney injuries.

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