This invention discloses the use of LAPTM5 in the preparation of drugs regulating renal tubular epithelial-mesenchymal transition (EMT). Through
bioinformatics analysis and multi-level experimental
verification, this invention found that LAPTM5 is significantly upregulated in an aging
kidney model and is positively correlated with renal aging and the severity of
fibrosis. Mechanistic studies show that LAPTM5 interacts with the
deubiquitinating enzyme USP10 and promotes its lysosomal degradation, weakening the
deubiquitination effect of USP10 on
PTEN. This leads to proteasomal degradation of
PTEN via the K48-linked polyubiquitination pathway, thereby relieving
PTEN's inhibition of the PI3K / AKT /
mTOR signaling pathway, inhibiting
autophagy activity, promoting renal tubular epithelial-mesenchymal transition, and accelerating the process of
renal fibrosis. At the
cellular level, PTEN overexpression can rescue LAPTM5-induced EMT; in animal models, the PTEN
agonist matrine significantly improves D-
galactose-induced
renal fibrosis in aging mice and protects
renal function by restoring
autophagy.