ZHANG Yu, GAO Bo, QIAN Hao
Current Immunology. 2025, 45(4): 422-430.
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This study aims to investigate the regulatory effect of glutathione S-transferase mu 3 (GSTM3) on renal tubular epithelial cells HK-2 pyroptosis and renal inflammation in hyperuricemia (HUA). GSE186871 data set was used to screen for kidney differentially expressed genes in HUA and normal mice. The mice were divided into the normal group, the model group, the normal + adenovirus shRNA (normal + Ad-sh-NC) group, the model+Ad-sh-NC group (Ad-sh-NC group), and adenovirus GSTM3 shRNA group (Ad-sh-GSTM3 group). HK-2 cells were divided into the control group, the model group, the control + Ad-sh-NC group, the Ad-sh-NC group, and the Ad-sh-GSTM3 group. Cell survival rate was measured by CCK-8 method. Renal pathology was observed by H-E staining. The levels of serum uric acid (UA), creatinine (Cr),and blood urea nitrogen (BUN) were detected by a biochemical analyzer. IL-1β and IL-18 levels were detected by ELISA. Western blotting was used to detect GSTM3, Caspase-1, NOD-like receptor family pyrin domain-containing protein 3 (NLRP3), gasdermin D (GSDMD)-N, and Cleaved GSDMD-N expressions. The expressions of GSTM3 and GSDMD-N in kidney were detected by immunohistochemistry. The results showed that compared to the normal group, the model group showed renal tubule swelling and local inflammatory cell infiltration. The expressions of GSTM3, Caspase-1, NLRP3, GSDMD-N, and Cleaved GSDMD-N in renal tissue, and serum levels of Cr, BUN, UA, IL-1β, and IL-18 were all increased (P<0.05). Compared to the model group, the Ad-sh-GSTM3 group exhibited reduced renal tubule injury, decreased levels of Cr, BUN, UA, IL-1β, and IL-18 (P<0.01), and decreased protein expressions of GSTM3, Caspase-1, NLRP3, GSDMD-N, and Cleaved GSDMD-N (P<0.05). Compared to those of the control group, the HK-2 cell survival rate in the model group was decreased (P<0.01), along with increased IL-1β and IL-18 levels in the supernatant (P<0.01), and increased protein expressions of GSTM3, Caspase-1, NLRP3, GSDMD-N, and Cleaved GSDMD-N (P<0.01). Compared to the model group, the Ad-sh-GSTM3 group showed increased HK-2 cell survival rate (P<0.01), decreased IL-1β and IL-18 levels (P<0.01), and decreased protein expressions of GSTM3, Caspase-1, NLRP3, GSDMD-N, and Cleaved GSDMD-N (P<0.01). Therefore, inhibition of GSTM3 effectively inhibits the pyroptosis of renal tubular epithelial cells and alleviate the renal inflammatory injury caused by HUA.