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Chinese Journal of Cell and Stem Cell(Electronic Edition) ›› 2022, Vol. 12 ›› Issue (06): 329-334. doi: 10.3877/cma.j.issn.2095-1221.2022.06.002

• Original Research • Previous Articles     Next Articles

Indoxyl sulfate induces transdifferentiation of peritoneal mesenchymal cells through TGF-β1

Qiang Wang1, Xin Chen2, Xiaoxue Weng3, Yongze Zhuang1, Guoqing Yu1,()   

  1. 1. Department of Nephrology, the 900th Hospital of Joint Support Force, Fuzhou 350025, China
    2. Department of Child Health, Fujian Children's Hospital, Fuzhou 350003, China
    3. Department of Internal Medicine, Fujian Medical University, Fuzhou 350122, China
  • Received:2022-08-15 Online:2022-12-01 Published:2023-03-14
  • Contact: Guoqing Yu

Abstract:

Objective

To investigate the role of transforming growth factor (TGF-β1) in the induction of indoxyl sulfate in the transdifferentiation of peritoneal mesenchymal cells.

Methods

Human peritoneal mesenchymal cell line HMrSV5 was cultured in vitro using RPMI1640 medium containing 10% fetal bovine serum. 1 000 μmol/L indoxyl sulfate and 4.25% peritoneal dialysate (PDF) were added into the medium, respectively. 2 μmol/L TGF-β1 receptor inhibitor LY364947 (TRI) +PDF, TRI+1 000 μmol/ L indoxyl sulfate co-culture. The morphologic changes of cells at 0, 4, 24, 48 and 72 h were observed by immunofluorescence method. The relative expression levels of TGF-β1, Twist1 and E-cadherin at each time point were measured by qRT-PCR method. One-way analysis of variance was used for comparison between multiple groups, and SNK-q test was used for pairwise comparison between different groups.

Results

After the stimulation of indoxyl sulfate, the cells became thin and long like paving stones, but the changes were not obvious after the intervention of TRI +1 000 μmol/L indoxyl sulfate. Immunofluorescence staining showed that the expression of alpha-smooth muscle actin (α-SMA) was increased from 24 h after indoxyl sulfate intervention, and the expression was most obvious at 48 h, while the expression of α-SMA was decreased after indoxyl sulfate+TRI intervention at the same time. The results of qRT-PCR showed that compared with the control, the relative expression of TGF-β1 and Twist (1.03±0.01, 1.07±0.01 vs 0.28±0.01) gene was increased after 48 h intervention with indoxyl sulfate or PDF. E-cadherin (0.86± 0.02, 0.88± 0.02 vs 3.34±0.02) gene expression was decreased (P < 0.05) ; Compared with indoxyl sulfate culture medium, the relative gene expression of TGF-β1 and Twist1 (0.14±0.00 vs 1.03±0.01) was decreased after being added with indoxyl sulfate+TRI culture for 48 h. The relative expression level of E-cadherin (1.69±0.03 vs 0.86±0.02) was increased, and the difference was statistically significant (P < 0.05) . Compared with PDF culture, TGF-β1 and Twist1 48 h (0.14±0.00 vs 1.07±0.01) gene relative expression levels were decreased after adding PDF+TRI culture for 48 h. The relative expression level of E-cadherin (1.80±0.03 vs 0.88±0.02) was increased, and the difference was statistically significant (P < 0.05) .

Conclusion

Indoxyl sulfate can promote EMT through upregulation of TGF-β1 gene expression, and Twist1 was involved in the process induced by indoxyl sulfate in peritoneal mesenchymal cells.

Key words: Epithelial-mesenchymal transition, Indoxol sulfate, Transforming growth factor-β1, Twist1

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