ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005

email@asn-online.org

202-640-4660

The Latest on X

Kidney Week

Abstract: TH-PO0395

miR-125b Inhibition Uncouples Inflammation from Blood Pressure: A Sex-Specific Mechanism of Glomerular Injury

Session Information

Category: Women's Health and Kidney Diseases

  • 2100 Women's Health and Kidney Diseases

Authors

  • Hueso, Miguel, Hospital Universitari de Bellvitge Servei de Nefrologia, L'Hospitalet de Llobregat, CT, Spain
  • Mallén Bareas, Adrián, Fundacio Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol, Badalona, CT, Spain
  • Rotllan, Noemi, Institut Recerca Sant Pau, Barcelona, CT, Spain
  • Griñan Gonzalez, Raquel, Institut Recerca Sant Pau, Barcelona, CT, Spain
  • Escola-Gil, Joan Carles, Institut Recerca Sant Pau, Barcelona, CT, Spain
  • Torras, Joan, Hospital Universitari de Bellvitge Servei de Nefrologia, L'Hospitalet de Llobregat, CT, Spain
  • Suñé-Pou, Marc, Barcelona University, Barcelona, CT, Spain
  • Navarro, Estanis, Fundacio Institut d'Investigacio en Ciencies de la Salut Germans Trias i Pujol, Badalona, CT, Spain
  • Ara, Jordi, Hospital Universitari Germans Trias i Pujol, Badalona, CT, Spain
  • Bover, Jordi, Hospital Universitari Germans Trias i Pujol, Badalona, CT, Spain
Background

Sex differences critically influence hypertension and chronic kidney disease, yet underlying molecular mechanisms remain unclear. MicroRNA-125b (miR-125b) regulates vascular inflammation and targets endothelin-1 (ET-1), a key mediator of vasoconstriction. We hypothesized that miR-125b inhibition exerts sex-specific effects on glomerular injury through differential inflammatory and hemodynamic responses.

Methods

Thirty-six 18-week-old ApoE kockout mice (18 males and 18 females) were treated for 4w with miR-125b (15 mg/kg), antagomiR-125b, or scrambled (SC) control. Glomerular injury was quantified by digital morphometry as the Bowman’s space surface area fraction [(A-B)/A], where A denotes total glomerular area and B the glomerular tuft area. Hepatic ET-1 and inflammatory markers (TNF-α, MCP-1) were analyzed by RNA expression. Blood pressure was measured noninvasively.

Results

In males, antagomiR-125b preserved the Bowman’s space surface area fraction (0.34±0.05 vs. 0.21±0.09 in SC, p=0.012; vs. 0.26±0.05 in miR-125b, p=0.041) and reduced creatinine (1.91±2.3 vs. 3.34±2.5 in SC, p=0.045; vs. 5.47±1.3 mg/dL in miR-125b, p=0.01). In females, no significant changes were observed in Bowman’s space fraction (0.31±0.08 vs. 0.31±0.06 in SC, p=0.4; vs. 0.31±0.08 in miR-125b, p=0.8) or creatinine (1.80±1.2 vs. vs. 2.77±1.8 in SC, p=0.1; vs. 3.65±2.2 mg/dL in miR-125b,mg/dL; p=0.09).
AntagomiR-125b reduced TNF-α (p=0.008) and MCP-1 (p=0.004) expression in both sexes. However, it also increased ET-1 expression by 2.93-fold overall, with a more pronounced rise in females (3.93±3.2) than in antagomiR-125b-treated males (1.48±1.3).
In males, antagomiR-125b significantly reduced systolic and diastolic blood pressure (p=0.01). In contrast, females remained hypertensive, with systolic blood pressure of 149.6±13.9 mmHg, diastolic blood pressure of 115.6±12.8 mmHg, and mean arterial pressure of 126.3±13.2 mmHg; this hemodynamic profile was associated with persistent glomerular tuft crowding.

Conclusion

miR-125b inhibition induces sex-divergent renal effects by uncoupling inflammation from hemodynamic control. Despite reduced inflammation in both sexes, enhanced ET-1–mediated vasoconstriction sustains hypertension in females and limits renal protection. These findings identify the miR-125b/ET-1 axis as a sex-specific therapeutic target in hypertensive kidney disease.

Acknowledgment

This study has been funded by the Instituto de Salud Carlos III (Co-funded by the European Regional Development Fund (ERDF), a way to build Europe) through the project PI 23/00927 (to M.H).

Funding

  • Government Support – Non-U.S.