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Uremic toxin levels are associated with miR-223 in Chronic Kidney Disease-associated anemia
1, 2 , 1 , 3 , 1 , 4 , 1, 5 , 1 , 3 , 6 , 7, 8 , 6 , * 1
1  UPJV HEMATIM UR 4666, C.U.R.S, Université de Picardie Jules Verne, CEDEX 1, 80025 Amiens, France
2  INSERM UMRS 1148, Laboratory for Vascular Translational Science (LVTS), UFR SMBH, Université Sorbonne Paris Nord, CEDEX, 93017 Bobigny, France
3  Nephrology Dialysis and Transplantation Department, Amiens University Hospital, Amiens, France
4  Université de Rouen Normandie, CETAPS UR 3882, Boulevard André Siegfried, F-76000, Rouen, France
5  Centre of Molecular Inflammation Research (CEMIR), Department of Clinical Research and Molecular Medicine (IKOM), Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Trondheim, Norway
6  Nephrology Section, Department of Internal Medicine and Pediatrics, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium
7  Ambroise Paré Hospital, Division of Nephrology, APHP, Paris Ile de France Ouest (UVSQ) University
8  INSERM 1018 Eq. 5, CESP, Boulogne Billancourt et Villejuif, Paris, France
Academic Editor: Christos Kontos

Abstract:

Chronic kidney disease (CKD) poses a significant global threat, with increased rates of cardiovascular and all-cause mortality. Anemia is common in CKD, and is often associated with the accumulation of uremic toxins in the bloodstream. Previously, we demonstrated that the uremic toxin indoxyl sulfate (IS) has an impact on the regulation of erythropoiesis in both cellular and preclinical CKD models. In this study, on the roles of non-coding RNAs in this toxin/toxic effect, we measured the effect of IS on microRNA expression in the human erythropoietic cell line UT7/EPO, using nanostring technology. We found a significant increase in miR-223 in cells treated with IS. This finding was further validated in human primary CD34+ cells, a more physiological model for human erythropoiesis. Finally, serum levels of miR-223 correlated with representative uremic toxins, including IS, in patients with various stages of CKD, and also with endothelial dysfunction markers, indicating a link with vascular damage. These findings suggest that miR-223 may contribute to the development of anemia in CKD. Further investigation into the involvement of miR-223 in erythropoiesis is needed for a better understanding of the mechanisms underlying anemia in CKD and the potential role of uremic toxins. Ultimately, this may open up new therapeutic possibilities for the management of anemia in CKD.

Keywords: uremic toxin; microRNA; miR-223; Chronic Kidney disease; biomarker; erythropoiesis; red blood cell
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