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The mechanisms by which mesangial cells regulate mesangial matrix dynamics remain poorly understood. This study investigated the role of mesangial cell\u2013derived extracellular matrix protein 1 (ECM1) in regulating mesangial matrix homeostasis and glomerular structure in mice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Immunofluorescence and single-nucleus RNA sequencing were used to clarify the ECM1 expression pattern in kidney. Global and tamoxifen-inducible\n                      <jats:italic toggle=\"yes\">Ecm1<\/jats:italic>\n                      -knockout (KO) mice demonstrated the\n                      <jats:italic toggle=\"yes\">in vivo<\/jats:italic>\n                      function of\n                      <jats:italic toggle=\"yes\">Ecm1<\/jats:italic>\n                      . Immunoprecipitation, mass spectrometry, and RNA-seq were used to reveal the mechanism by which ECM1 regulates mesangial matrix homeostasis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      snRNA-seq and immunofluorescence revealed that ECM1 was specifically expressed in glomerular mesangial cells and downregulated in diabetic kidney disease and IgA nephropathy. Genetic deletion of\n                      <jats:italic toggle=\"yes\">Ecm1<\/jats:italic>\n                      in mice resulted in mesangial matrix expansion at 4 and 8 weeks of age, whereas early stages appeared unaffected. Similarly, tamoxifen-induced global deletion of\n                      <jats:italic toggle=\"yes\">Ecm1<\/jats:italic>\n                      in 4-week-old mice led to a trend toward mesangial matrix expansion. Transcriptomic profiling and immunofluorescence confirmed substantial alterations of the mesangial matrix components in\n                      <jats:italic toggle=\"yes\">Ecm1<\/jats:italic>\n                      -KO kidneys. As a result, histological examination showed profound glomerular abnormalities in\n                      <jats:italic toggle=\"yes\">Ecm1<\/jats:italic>\n                      -KO mice.\n                      <jats:italic toggle=\"yes\">Ecm1<\/jats:italic>\n                      deficiency also elevated TGF\n                      <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                      1 expression and downstream signaling, likely contributing to the excessive collagen deposition in glomeruli. Mechanistically, ECM1 interacted with integrin\n                      <jats:italic toggle=\"yes\">\u03b1<\/jats:italic>\n                      8\n                      <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                      1 to promote mesangial cell\u2013matrix adhesion, and loss of this interaction led to mesangial cell disaggregation and detachment from glomerular basement membrane, thereby promoting glomerular pathology. Notably, adeno-associated virus\u2013mediated ECM1 expression\n                      <jats:italic toggle=\"yes\">in vivo<\/jats:italic>\n                      effectively rescued kidney dysfunction in\n                      <jats:italic toggle=\"yes\">Ecm1<\/jats:italic>\n                      -KO mice.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      ECM1 was highly expressed in glomerular mesangial cells. Loss of\n                      <jats:italic toggle=\"yes\">Ecm1<\/jats:italic>\n                      led to altered mesangial matrix composition, matrix expansion, and glomerular abnormalities, while restoration of ECM1 expression reversed these defects, demonstrating an essential role of mesangial cell\u2013derived ECM1 in preserving normal mesangial homeostasis and glomerular structure in mice.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1681\/asn.0000000969","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T17:00:26Z","timestamp":1765558826000},"page":"1206-1220","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Mesangial Cell\u2013Derived Extracellular Matrix Protein 1 Is Essential for Maintaining Mesangial Matrix Homeostasis and Glomerular Architecture"],"prefix":"10.1681","volume":"37","author":[{"given":"Pei","family":"Deng","sequence":"first","affiliation":[{"name":"Division of Nephrology, State Key Laboratory of Multi-organ Injury Prevention and Treatment, Guangdong Provincial Key Laboratory of Renal Failure Research, National Clinical Research Center for Kidney Disease, Guangdong Provincial Institute of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Zhou","sequence":"additional","affiliation":[{"name":"Division of Nephrology, State Key Laboratory of Multi-organ Injury Prevention and Treatment, Guangdong Provincial Key Laboratory of Renal Failure Research, National Clinical Research Center for Kidney Disease, Guangdong Provincial Institute of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jieli","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Nephrology, State Key Laboratory of Multi-organ Injury Prevention and Treatment, Guangdong Provincial Key Laboratory of Renal Failure Research, National Clinical Research Center for Kidney Disease, Guangdong Provincial Institute of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinyin","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Nephrology, State Key Laboratory of Multi-organ Injury Prevention and Treatment, Guangdong Provincial Key Laboratory of Renal Failure Research, National Clinical Research Center for Kidney Disease, Guangdong Provincial Institute of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, 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