Genetic Inhibition of USP43 Ameliorates Renal Fibrosis by Promoting the Ubiquitination and Degradation of STAT3 in Chronic Kidney Disease

 

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https://storage.unitedwebnetwork.com/files/1099/8898a2f85ce4e832b771306c2ab0a165.pdf
Genetic Inhibition of USP43 Ameliorates Renal Fibrosis by Promoting the Ubiquitination and Degradation of STAT3 in Chronic Kidney Disease

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Yong-Ke
You
Yong-Ke You yongke.you@szu.edu.cn Shenzhen University Department of Nephrology, Shenzhen University General Hospital Shenzhen China *
Han Wu wuhan@szu.edu.cn Shenzhen University Guangdong Provincial Key Laboratory of Regional Immunity and Diseases, Department of Immunology, Shenzhen University School of Medicine Shenzhen China -
Ye-Ping Ren renyeping123@126.com Shenzhen University Department of Nephrology, Shenzhen University General Hospital Shenzhen China -
Ying Tang ty.102@163.com The Third Affiliated Hospital of Southern Medical University Department of Nephrology Guangzhou China -
Wei-Lin Chen cwl@szu.edu.cn Shenzhen University Guangdong Provincial Key Laboratory of Regional Immunity and Diseases, Department of Immunology, Shenzhen University School of Medicine Shenzhen China -
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Chronic kidney disease (CKD) is characterized by progressive renal damage and persistent renal function decline. Renal fibrosis is the critical final common pathway leading to CKD progression. However, the underlying mechanisms and effective therapeutic targets remain poorly understoodOur preliminary data revealed that ubiquitin-specific proteases 43 (USP43) is markedly upregulated in tubular epithelial cells (TECs) from the fibrotic kidneys of human patients and animal models. However, its functional contribution to renal fibrosis has not been elucidated.

Renal tissues from human CKD patients, murine fibrosis models, and HK-2 cells were utilized in this study. The expressions of USP43 in renal fibrosis were evaluated at the protein and RNA levels using western blotting, qRT-PCR and immune staining. To investigate the biological functions and potential targets of USP43, we performed RNA sequencing in both USP43 knockout mice and wild-type control mice after unilateral ureteral obstruction (UUO) treatment, and conducted gain- and loss-of-function experiments in vitro. Immunoprecipitation and ubiquitination assays were performed to investigate the interaction between USP43 and STAT3 and to determine how USP43 regulates STAT3 ubiquitination and degradation.

USP43 expression was significantly elevated in kidneys from CKD patients, as well as in mouse models of renal fibrosis and in TGF-β1-stimulated HK-2 cells. Knockdown of USP43 in HK-2 cells markedly attenuated TGF-β1-induced epithelial injury and fibrotic marker expression. In vivo, USP43 knockdown alleviated renal tubular interstitial fibrosis in both UUO-induced renal injury and streptozotocin (STZ)-induced diabetic kidney injury models. Immunoprecipitation assays confirmed that USP43 directly interacts with STAT3 in TECs. Moreover, USP43 depletion enhanced STAT3 ubiquitination, reduced its protein stability, and consequently alleviated renal fibrogenesis.

These results demonstrated that genetic inhibition of USP43 ameliorates renal fibrosis in CKD by promoting ubiquitination and degradation of STAT3. Targeting USP43 may provide a promising strategies for preventing renal fibrosis and slowing CKD progression.

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