RT Journal Article T1 Inflammation, Senescence and MicroRNAs in Chronic Kidney Disease. A1 Carmona, Andres A1 Guerrero, Fatima A1 Jimenez, Maria Jose A1 Ariza, Francisco A1 Agüera, Marisa L A1 Obrero, Teresa A1 Noci, Victoria A1 Muñoz-Castañeda, Juan Rafael A1 Rodríguez, Mariano A1 Soriano, Sagrario A1 Moreno, Juan Antonio A1 Martin-Malo, Alejandro A1 Aljama, Pedro K1 chronic kidney disease K1 microRNAs K1 microvesicles K1 monocytes CD14+CD16++ K1 vascular smooth muscle cells AB Patients with chronic kidney disease (CKD) show a chronic microinflammatory state that promotes premature aging of the vascular system. Currently, there is a growth interest in the search of novel biomarkers related to vascular aging to identify CKD patients at risk to develop cardiovascular complications. Forty-five CKD patients were divided into three groups according to CKD-stages [predialysis (CKD4-5), hemodialysis (HD) and kidney transplantation (KT)]. In all these patients, we evaluated the quantitative changes in microRNAs (miRNAs), CD14+C16++ monocytes number, and microvesicles (MV) concentration [both total MV, and monocytes derived MV (CD14+Annexin V+CD16+)]. To understand the molecular mechanism involved in senescence and osteogenic transdifferentation of vascular smooth muscle cells (VSMC), these cells were stimulated with MV isolated from THP-1 monocytes treated with uremic toxins (txMV). A miRNA array was used to investigate serum miRNAs profile in CKD patients. Reduced expression levels of miRNAs-126-3p, -191-5p and -223-3p were observed in CKD4-5 and HD patients as compared to KT. This down-regulation disappeared after KT, even when lower glomerular filtration rates (eGFR) persisted. Moreover, HD patients had higher percentage of proinflammatory monocytes (CD14+CD16++) and MV derived of proinflammatory monocytes (CD14+Annexin V+CD16+) than the other groups. In vitro studies showed increased expression of osteogenic markers (BMP2 and miRNA-223-3p), expression of cyclin D1, β-galactosidase activity and VSMC size in those cells treated with txMV. CKD patients present a specific circulating miRNAs expression profile associated with the microinflammatory state. Furthermore, microvesicles generated by monocytes treated with uremic toxins induce early senescence and osteogenic markers (BMP2 and miRNA-223-3p) in VSMC. SN 2296-634X YR 2020 FD 2020-08-06 LK https://hdl.handle.net/10668/28282 UL https://hdl.handle.net/10668/28282 LA en DS RISalud RD Apr 18, 2025