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Publication : Focal segmental glomerulosclerosis is induced by microRNA-193a and its downregulation of WT1.

First Author  Gebeshuber CA Year  2013
Journal  Nat Med Volume  19
Issue  4 Pages  481-7
PubMed ID  23502960 Mgi Jnum  J:197989
Mgi Id  MGI:5495065 Doi  10.1038/nm.3142
Citation  Gebeshuber CA, et al. (2013) Focal segmental glomerulosclerosis is induced by microRNA-193a and its downregulation of WT1. Nat Med 19(4):481-7
abstractText  Focal segmental glomerulosclerosis (FSGS) is a frequent and severe glomerular disease characterized by destabilization of podocyte foot processes. We report that transgenic expression of the microRNA miR-193a in mice rapidly induces FSGS with extensive podocyte foot process effacement. Mechanistically, miR-193a inhibits the expression of the Wilms' tumor protein (WT1), a transcription factor and master regulator of podocyte differentiation and homeostasis. Decreased expression levels of WT1 lead to downregulation of its target genes PODXL (podocalyxin) and NPHS1 (nephrin), as well as several other genes crucial for the architecture of podocytes, initiating a catastrophic collapse of the entire podocyte-stabilizing system. We found upregulation of miR-193a in isolated glomeruli from individuals with FSGS compared to normal kidneys or individuals with other glomerular diseases. Thus, upregulation of miR-193a provides a new pathogenic mechanism for FSGS and is a potential therapeutic target.
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